{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T05:29:57Z","timestamp":1775194197658,"version":"3.50.1"},"reference-count":17,"publisher":"MDPI AG","issue":"19","license":[{"start":{"date-parts":[[2021,10,8]],"date-time":"2021-10-08T00:00:00Z","timestamp":1633651200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003725","name":"National Research Foundation of Korea","doi-asserted-by":"publisher","award":["NRF-2021R1C1C100861911"],"award-info":[{"award-number":["NRF-2021R1C1C100861911"]}],"id":[{"id":"10.13039\/501100003725","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100014188","name":"Ministry of Science and ICT, South Korea","doi-asserted-by":"publisher","award":["IITP-2021-2020-0-01461"],"award-info":[{"award-number":["IITP-2021-2020-0-01461"]}],"id":[{"id":"10.13039\/501100014188","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Detection rates of pancreatic cystic lesions (PCLs) have increased, resulting in greater requirements for regular monitoring using imaging modalities. We aimed to evaluate the capability of ultrasonography (US) for morphological characterization of PCLs as a reference standard using endoscopic ultrasonography (EUS). A retrospective analysis was conducted of 102 PCLs from 92 patients who underwent US immediately prior to EUS between January 2014 and May 2017. The intermodality reliability and agreement of the PCL morphologic findings of the two techniques were analyzed and compared using the intraclass correlation coefficient and \u03ba values. The success rates of US for delineating PCLs in the head, body, and tail of the pancreas were 77.8%, 91.8%, and 70.6%, respectively. The intraclass correlation coefficient for US and the corresponding EUS lesion size showed very good reliability (0.978; p &lt; 0.001). The \u03ba value between modalities was 0.882 for pancreatic duct dilation, indicating good agreement. The \u03ba values for solid components and cystic wall and septal thickening were 0.481 and 0.395, respectively, indicating moderate agreement. US may be useful for monitoring PCL growth and changes in pancreatic duct dilation, but it has limited use in the diagnosis and surveillance of mural nodules or cystic wall thickness changes.<\/jats:p>","DOI":"10.3390\/jcm10194616","type":"journal-article","created":{"date-parts":[[2021,10,10]],"date-time":"2021-10-10T21:23:25Z","timestamp":1633901005000},"page":"4616","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Diagnostic Yield of Transabdominal Ultrasonography for Evaluation of Pancreatic Cystic Lesions Compared with Endoscopic Ultrasonography"],"prefix":"10.3390","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3639-3294","authenticated-orcid":false,"given":"Yu Ji","family":"Li","sequence":"first","affiliation":[{"name":"Department of Gastroenterology, Ajou University School of Medicine, 164 Worldcup-ro, Yeongtong-gu, Suwon-si 443-380, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gil Ho","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Ajou University School of Medicine, 164 Worldcup-ro, Yeongtong-gu, Suwon-si 443-380, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Min Jae","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Ajou University School of Medicine, 164 Worldcup-ro, Yeongtong-gu, Suwon-si 443-380, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jae Chul","family":"Hwang","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Ajou University School of Medicine, 164 Worldcup-ro, Yeongtong-gu, Suwon-si 443-380, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Byung Moo","family":"Yoo","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Ajou University School of Medicine, 164 Worldcup-ro, Yeongtong-gu, Suwon-si 443-380, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6862-1896","authenticated-orcid":false,"given":"Soon Sun","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Ajou University School of Medicine, 164 Worldcup-ro, Yeongtong-gu, Suwon-si 443-380, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sun Gyo","family":"Lim","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Ajou University School of Medicine, 164 Worldcup-ro, Yeongtong-gu, Suwon-si 443-380, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3352-5079","authenticated-orcid":false,"given":"Jin Hong","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Ajou University School of Medicine, 164 Worldcup-ro, Yeongtong-gu, Suwon-si 443-380, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2021,10,8]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1055","DOI":"10.1097\/MPA.0000000000001134","article-title":"Role of Radiological Imaging in the Diagnosis and Characterization of Pancreatic Cystic Lesions: A Systematic Review","volume":"47","author":"Mohamed","year":"2018","journal-title":"Pancreas"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"1656","DOI":"10.1111\/jgh.14658","article-title":"Prevalence of pancreatic cystic lesions detected by magnetic resonance imaging in the Chinese population","volume":"34","author":"Sun","year":"2019","journal-title":"J. Gastroenterol. Hepatol."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"147","DOI":"10.15279\/kpba.2019.24.4.147","article-title":"Endoscopic Ultrasound-based Approach in the Diagnosis and Treatment for Pancreatic Cystic Lesions","volume":"24","author":"Choi","year":"2019","journal-title":"Korean J. Pancreas Biliary Tract"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"e1666","DOI":"10.1097\/MD.0000000000001666","article-title":"Comparison of Endoscopic Ultrasonography, Computed Tomography, and Magnetic Resonance Imaging for Pancreas Cystic Lesions","volume":"94","author":"Lee","year":"2015","journal-title":"Medicine (Baltimore)"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"1509","DOI":"10.1016\/j.cgh.2017.03.020","article-title":"Progression of Unresected Intraductal Papillary Mucinous Neoplasms of the Pancreas to Cancer: A Systematic Review and Meta-analysis","volume":"15","author":"Choi","year":"2017","journal-title":"Clin. Gastroenterol. Hepatol."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1007\/s10396-019-00980-0","article-title":"Endoscopic ultrasonography for the evaluation of pancreatic cystic neoplasms","volume":"47","author":"Ohno","year":"2020","journal-title":"J. Med. Ultrason. (2001)"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1007\/s10396-019-00975-x","article-title":"Role of transabdominal ultrasonography in the diagnosis of pancreatic cystic lesions","volume":"47","author":"Hashimoto","year":"2020","journal-title":"J. Med. Ultrason. (2001)"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1111\/j.1572-0241.2007.01558.x","article-title":"Cystic lesions of the pancreas: Challenging issues in clinical practice","volume":"103","author":"Oh","year":"2008","journal-title":"Am. J. Gastroenterol."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"1471","DOI":"10.1148\/rg.256045161","article-title":"Cystic pancreatic lesions: A simple imaging-based classification system for guiding management","volume":"25","author":"Sahani","year":"2005","journal-title":"Radiographics"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"974621","DOI":"10.1155\/2015\/974621","article-title":"Application of Contrast-Enhanced Ultrasound in Cystic Pancreatic Lesions Using a Simplified Classification Diagnostic Criterion","volume":"2015","author":"Fan","year":"2015","journal-title":"Biomed. Res. Int."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1016\/j.jcm.2016.02.012","article-title":"A Guideline of Selecting and Reporting Intraclass Correlation Coefficients for Reliability Research","volume":"15","author":"Koo","year":"2016","journal-title":"J. Chiropr. Med."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"159","DOI":"10.2307\/2529310","article-title":"The measurement of observer agreement for categorical data","volume":"33","author":"Landis","year":"1977","journal-title":"Biometrics"},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Italian Association of Hospital Gastroenterologists and Endoscopists, Italian Association for the Study of the Pancreas, Buscarini, E., Pezzilli, R., Cannizzaro, R., De Angelis, C., Gion, M., Morana, G., Zamboni, G., and Arcidiacono, P. (2014). Italian consensus guidelines for the diagnostic work-up and follow-up of cystic pancreatic neoplasms. Dig. Liver Dis., 46, 479\u2013493.","DOI":"10.1016\/j.dld.2013.12.019"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"518","DOI":"10.2214\/AJR.17.18449","article-title":"Transabdominal Ultrasound Detection of Pancreatic Cysts Incidentally Detected at CT, MRI, or Endoscopic Ultrasound","volume":"210","author":"Jeon","year":"2018","journal-title":"AJR Am. J. Roentgenol."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"738","DOI":"10.1016\/j.pan.2017.07.007","article-title":"Revisions of international consensus Fukuoka guidelines for the management of IPMN of the pancreas","volume":"17","author":"Tanaka","year":"2017","journal-title":"Pancreatology"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"508","DOI":"10.1097\/00006676-199407000-00014","article-title":"Morphologic changes in the pancreas detected by screening ultrasonography in a mass survey, with special reference to main duct dilatation, cyst formation, and calcification","volume":"9","author":"Ikeda","year":"1994","journal-title":"Pancreas"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"484","DOI":"10.1159\/000064716","article-title":"Intraductal papillary-mucinous tumor of the pancreas concomitant with ductal carcinoma of the pancreas","volume":"2","author":"Yamaguchi","year":"2002","journal-title":"Pancreatology"}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/10\/19\/4616\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T07:10:26Z","timestamp":1760166626000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/10\/19\/4616"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,10,8]]},"references-count":17,"journal-issue":{"issue":"19","published-online":{"date-parts":[[2021,10]]}},"alternative-id":["jcm10194616"],"URL":"https:\/\/doi.org\/10.3390\/jcm10194616","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,10,8]]}}}