Therapeutic aspects of endoscopic ultrasound

Timothy A. Woodward

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Endoscopic ultrasound (EUS) is a technology that had been used primarily as a passive imaging modality. Recent advances have enables us to move beyond the use of EUS solely as a staging tool to an interventional device. Current studies suggest that interventional applications of EUS will allow for minimally invasive assessment and therapies in a cost-effective manner. Endoscopic ultrasound with fine needle aspiration (EUS-FNA) has been demonstrated to be a technically feasible, relatively safe method of obtaining cytologic specimens. The clinical utility of EUS-FNA appears to be greatest in the diagnosis and staging of pancreatic cancer and in the nodal staging of gastrointestinal and pulmonary malignancies. In addition, EUS-FNA has demonstrated utility in the sampling pleural and ascitic fluid not generally appreciated or assessable to standard interventions. Interventional applications of EUS include EUS-guided pseudocyst drainage, EUS-guided injection of botulinum toxin in the treatment of achalasia, and EUS-guided celiac plexus neurolysis in the treatment of pancreatic cancer pain. Finally, EUS-guided fine-needle instillation (EUS-FNI) is being evaluated, in conjunction with recent biomolecular treatment modalities, as a delivery system in the treatment of certain gastrointestinal tumors.

Original languageEnglish (US)
Title of host publicationProceedings of SPIE - The International Society for Optical Engineering
PublisherSociety of Photo-Optical Instrumentation Engineers
Pages431-438
Number of pages8
Volume3590
StatePublished - 1999
EventProceedings of the 1999 Lasers in Surgery: Advanced Characterization, Therapeutics, and Systems IX - San Jose, CA, USA
Duration: Jan 23 1999Jan 24 1999

Other

OtherProceedings of the 1999 Lasers in Surgery: Advanced Characterization, Therapeutics, and Systems IX
CitySan Jose, CA, USA
Period1/23/991/24/99

Fingerprint

Ultrasonics
needles
cancer
pain
drainage
therapy
delivery
tumors
sampling
injection
Needles
costs
vacuum
fluids
Drainage
Tumors
Sampling
Imaging techniques
Fluids
Costs

ASJC Scopus subject areas

  • Electrical and Electronic Engineering
  • Condensed Matter Physics

Cite this

Woodward, T. A. (1999). Therapeutic aspects of endoscopic ultrasound. In Proceedings of SPIE - The International Society for Optical Engineering (Vol. 3590, pp. 431-438). Society of Photo-Optical Instrumentation Engineers.

Therapeutic aspects of endoscopic ultrasound. / Woodward, Timothy A.

Proceedings of SPIE - The International Society for Optical Engineering. Vol. 3590 Society of Photo-Optical Instrumentation Engineers, 1999. p. 431-438.

Research output: Chapter in Book/Report/Conference proceedingChapter

Woodward, TA 1999, Therapeutic aspects of endoscopic ultrasound. in Proceedings of SPIE - The International Society for Optical Engineering. vol. 3590, Society of Photo-Optical Instrumentation Engineers, pp. 431-438, Proceedings of the 1999 Lasers in Surgery: Advanced Characterization, Therapeutics, and Systems IX, San Jose, CA, USA, 1/23/99.
Woodward TA. Therapeutic aspects of endoscopic ultrasound. In Proceedings of SPIE - The International Society for Optical Engineering. Vol. 3590. Society of Photo-Optical Instrumentation Engineers. 1999. p. 431-438
Woodward, Timothy A. / Therapeutic aspects of endoscopic ultrasound. Proceedings of SPIE - The International Society for Optical Engineering. Vol. 3590 Society of Photo-Optical Instrumentation Engineers, 1999. pp. 431-438
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