Turn off MathJax
Article Contents
Ziyu WANG, Liang LIU, Wenyuan SHI, Hao ZOU. Research Progress of Ultrasound and Related Technologies in the Diagnosis and Treatment of Pancreatic Cancer[J]. Journal of Kunming Medical University.
Citation: Ziyu WANG, Liang LIU, Wenyuan SHI, Hao ZOU. Research Progress of Ultrasound and Related Technologies in the Diagnosis and Treatment of Pancreatic Cancer[J]. Journal of Kunming Medical University.

Research Progress of Ultrasound and Related Technologies in the Diagnosis and Treatment of Pancreatic Cancer

More Information
  • Corresponding author: 邹浩、男、博士、教授、硕士研究生导师,昆明医科大学第二附属医院肝胆胰外科二病区科室主任,主要从事肝胆胰外科疾病微创诊治以及胆道恶性肿瘤的基础与临床研究。美国MD安德森癌症中心、日本国立国家医疗中心、东京大学附属病院、杏林大学附属病院、泰国朱拉隆功国王纪念医院访问学者。云南省科技项目、江西省科技项目评审专家;国家临床重点专科肝胆外科核心成员,欧美同学会医师分会青年委员(全国),中国抗癌协会环境肿瘤专委会委员,中国医师协会外科临床研究工作组委员、肝癌专委会医工交叉学组委员,云南省医学会外科学分会常委、胆道外科学组副组长及肠内肠外营养分会常委、小儿外科分会委员、肿瘤学分会青委,云南省医师协会微无创专业委员会常委,云南省抗癌协会常务理事、肝癌专委会副主任委员、临床肿瘤协作专委会委员、腹腔镜与机器人专委会常委,云南省预防医学会肿瘤预防与控制专委会常委、胰腺癌防治专委会副主委,云南省普通外科医疗质量控制中心专家委员会委员,云南省肝胆外科创新团队成员,云南省高校肝胆外科科技创新团队核心成员; 《中国普通外科杂志》《中华肿瘤防治杂志》中青年编委兼审稿人,BMC Cancer,International Journal of Oncology等SCI收录医学杂志审稿人。主持省重点项目2项、面上项目3项;以第一作者及通讯作者身份发表学术论文51篇、其中SCI收录14篇,主编专著1部、副主编专著2部、参编专著1部、参译专著3部;参与撰写全国专家共识3篇;授权发明专利3项、实用新型专利1项、软件著作权2项。
  • Received Date: 2026-07-13
    Available Online: 2026-10-28
  • Pancreatic cancer, particularly pancreatic ductal adenocarcinoma (PDAC), has an insidious onset and rapid progression, and early diagnosis and precision treatment remain challenging. Contrast-enhanced CT and MRI/MRCP remain the basis for staging and resectability assessment, whereas ultrasound-related technologies is primarily reflected in high-resolution local evaluation, tissue acquisition, and interventional support. Current evidence indicates that endoscopic ultrasound (EUS) and EUS-guided fine-needle biopsy (EUS-FNB) have become mature key techniques for detecting small lesions, local staging, and obtaining tissue for histopathologic and molecular analyses. EUS-guided biliary drainage and celiac plexus neurolysis have established palliative roles in selected patients with biliary obstruction or cancer-related pain. By contrast, Contrast-enhanced EUS, elastography, and artificial intelligence are primarily adjunctive tools for lesion characterization, target selection, and quality improvement, while EUS-guided radiofrequency ablation, high-intensity focused ultrasound, and local delivery remain in the exploratory stage. The main evidence gaps include patient selection, technical parameters, optimal integration with systemic therapy, and confirmation of survival benefit through multicenter randomized studies. This review summarizes the clinical positioning, key quantitative evidence, and future research priorities of ultrasound and related technologies in the diagnosis and treatment of pancreatic cancer according to the above evidence levels.
  • loading
  • [1]
    Dahiya D S, Shah Y R, Ali H, et al. Basic principles and role of endoscopic ultrasound in diagnosis and differentiation of pancreatic cancer from other pancreatic lesions: A comprehensive review of endoscopic ultrasound for pancreatic cancer[J]. J Clin Med, 2024, 13(9): 2599. doi: 10.3390/jcm13092599
    [2]
    Tempero M A, Malafa M P, Al-Hawary M, et al. Pancreatic adenocarcinoma, version 2.2021, NCCN clinical practice guidelines in oncology[J]. J Natl Compr Canc Netw, 2021, 19(4): 439-457.
    [3]
    Ciaravino V, D’Onofrio M. Pancreatic ultrasound: State of the art[J]. J Ultrasound Med, 2019, 38(5): 1125-1137. doi: 10.1002/jum.14978
    [4]
    Zakaria A, Al-Share B, Klapman J B, et al. The role of endoscopic ultrasonography in the diagnosis and staging of pancreatic cancer[J]. Cancers, 2022, 14(6): 1373. doi: 10.3390/cancers14061373
    [5]
    Machicado J D, Sheth S G, Chalhoub J M, et al. American Society for Gastrointestinal Endoscopy guideline on the role of endoscopy in the diagnosis and management of solid pancreatic masses: Summary and recommendations[J]. Gastrointest Endosc, 2024, 100(5): 786-796. doi: 10.1016/j.gie.2024.06.002
    [6]
    Facciorusso A, Arvanitakis M, Crinò S F, et al. Endoscopic ultrasound-guided tissue sampling: European Society of Gastrointestinal Endoscopy (ESGE) Technical and Technology Review[J]. Endoscopy, 2025, 57(4): 390-418. doi: 10.1055/a-2524-2596
    [7]
    D’Onofrio M, Beleù A, De Robertis R. Ultrasound-guided percutaneous procedures in pancreatic diseases: New techniques and applications[J]. Eur Radiol Exp, 2019, 3(1): 2. doi: 10.1186/s41747-018-0081-2
    [8]
    Harmsen F R, Domagk D, Dietrich C F, et al. Discriminating chronic pancreatitis from pancreatic cancer: Contrast-enhanced EUS and multidetector computed tomography in direct comparison[J]. Endosc Ultrasound, 2018, 7(6): 395-403. doi: 10.4103/eus.eus_24_18
    [9]
    Conti C B, Mulinacci G, Salerno R, et al. Applications of endoscopic ultrasound elastography in pancreatic diseases: From literature to real life[J]. World J Gastroenterol, 2022, 28(9): 909-917. doi: 10.3748/wjg.v28.i9.909
    [10]
    Pawelec N, Durko Ł, Małecka-Wojciesko E. Changes connected to early chronic pancreatitis and early pancreatic cancer in endoscopic ultrasonography (EUS): Clinical implications[J]. Cancers, 2025, 17(11): 1891. doi: 10.3390/cancers17111891
    [11]
    Yao D W, Qin M Z, Jiang H X, et al. Comparison of EUS-FNA and EUS-FNB for diagnosis of solid pancreatic mass lesions: A meta-analysis of prospective studies[J]. Scand J Gastroenterol, 2024, 59(8): 972-979. doi: 10.1080/00365521.2024.2354908
    [12]
    Chong C C, Pittayanon R, Pausawasdi N, et al. Consensus statements on endoscopic ultrasound-guided tissue acquisition. Guidelines from the Asian Endoscopic Ultrasound Group[J]. Dig Endosc, 2024, 36(8): 871-883. doi: 10.1111/den.14768
    [13]
    Itonaga M, Yasukawa S, Fukutake N, et al. Comparison of 22-gauge standard and Franseen needles in EUS-guided tissue acquisition for diagnosing solid pancreatic lesions: A multicenter randomized controlled trial[J]. Gastrointest Endosc, 2022, 96(1): 57-66. e2.
    [14]
    Chen Y I, Chatterjee A, Berger R, et al. Endoscopic ultrasound (EUS)-guided fine needle biopsy alone vs. EUS-guided fine needle aspiration with rapid onsite evaluation in pancreatic lesions: A multicenter randomized trial[J]. Endoscopy, 2022, 54(1): 4-12. doi: 10.1055/a-1375-9775
    [15]
    Chalhoub J M, Hawa F, Grantham T, et al. Effect of the number of passes on diagnostic performance of EUS fine-needle biopsy of solid pancreatic masses: A systematic review and meta-analysis[J]. Gastrointest Endosc, 2024, 100(4): 595-604. e8.
    [16]
    Engh M A, Teutsch B, Schulze Wenning A, et al. Contrast-enhanced endoscopic ultrasound likely does not improve diagnostic adequacy during endoscopic ultrasound guided tissue acquisition: A systematic review and meta-analysis[J]. Pancreatology, 2024, 24(4): 649-660. doi: 10.1016/j.pan.2024.04.007
    [17]
    Pan Y, Ran T, Zhang X, et al. Adequacy of EUS-guided fine-needle aspiration and fine-needle biopsy for next-generation sequencing in pancreatic malignancies: A systematic review and meta-analysis[J]. Endosc Ultrasound, 2024, 13(6): 366-375. doi: 10.1097/eus.0000000000000097
    [18]
    Bang J Y, Jhala N, Seth A, et al. Standardisation of EUS-guided FNB technique for molecular profiling in pancreatic cancer: Results of a randomised trial[J]. Gut, 2023, 72(7): 1255-1257. doi: 10.1136/gutjnl-2023-329495
    [19]
    Yan X, Lv K, Xiao M, et al. The diagnostic performance of contrast-enhanced ultrasound versus contrast-enhanced computed tomography for pancreatic carcinoma: A systematic review and meta-analysis[J]. Transl Cancer Res TCR, 2022, 11(10): 3645-3656. doi: 10.21037/tcr-22-601
    [20]
    Shin C M, Villa E. The efficiency of contrast-enhanced endoscopic ultrasound (EUS) combined with EUS elastography for pancreatic cancer diagnosis: A systematic review and meta-analysis[J]. Ultrasonography, 2023, 42(1): 20-30. doi: 10.14366/usg.22103
    [21]
    Wu C C H, Lim S J M, Tan D M Y. Endoscopic ultrasound-guided needle-based confocal laser endomicroscopy for pancreatic cystic lesions: Current status and future prospects[J]. Clin Endosc, 2024, 57(4): 434-445. doi: 10.5946/ce.2023.157
    [22]
    Singh B S, Cazacu I M, Deza C A, et al. Image fusion involving real-time transabdominal or endoscopic ultrasound for gastrointestinal malignancies: Review of current and future applications[J]. Diagnostics (Basel), 2022, 12(12): 3218. doi: 10.3390/diagnostics12123218
    [23]
    Dumitrescu E A, Ungureanu B S, Cazacu I M, et al. Diagnostic value of artificial intelligence-assisted endoscopic ultrasound for pancreatic cancer: A systematic review and meta-analysis[J]. Diagnostics (Basel), 2022, 12(2): 309. doi: 10.3390/diagnostics12020309
    [24]
    Podină N, Gheorghe E C, Constantin A, et al. Artificial intelligence in pancreatic imaging: A systematic review[J]. United European Gastroenterol J, 2025, 13(1): 55-77. doi: 10.1002/ueg2.12723
    [25]
    Michiels N, Doppenberg D, Groen J V, et al. Intraoperative ultrasound during surgical exploration in patients with pancreatic cancer and vascular involvement (ULTRAPANC): A prospective multicenter study[J]. Ann Surg Oncol, 2023, 30(6): 3455-3463. doi: 10.1245/s10434-023-13112-3
    [26]
    Rimbaș M, Dumitru A C, Tripodi G, et al. EUS-guided radiofrequency ablation therapy for pancreatic neoplasia[J]. Diagnostics (Basel), 2024, 14(19): 2111. doi: 10.3390/diagnostics14192111
    [27]
    Patel V, Abdelbaki A, Thosani N C, et al. Endoscopic ultrasound-guided radiofrequency ablation of pancreatic tumors[J]. Curr Opin Gastroenterol, 2024, 40(5): 369-378. doi: 10.1097/MOG.0000000000001026
    [28]
    Tieranu C G, Balaban D V, Tabacelia D, et al. Endoscopic ultrasound-guided radiofrequency ablation for pancreatic adenocarcinoma: A scoping review with meta-analysis[J]. Diagnostics (Basel), 2025, 15(4): 437. doi: 10.3390/diagnostics15040437
    [29]
    Oh D, Seo D W, Song T J, et al. Clinical outcomes of EUS-guided radiofrequency ablation for unresectable pancreatic cancer: A prospective observational study[J]. Endosc Ultrasound, 2022, 11(1): 68-74. doi: 10.4103/EUS-D-21-00049
    [30]
    Robles-Medranda C, Del Valle R, Puga-Tejada M, et al. Assessing EUS-guided radiofrequency ablation in unresectable pancreatic ductal adenocarcinoma: A single-center historic cohort study[J]. Gastrointest Endosc, 2024, 100(2): 250-258. doi: 10.1016/j.gie.2024.03.023
    [31]
    Costanzo A, Fulco E, Marini M, et al. Endoscopic ultrasound-guided radiofrequency ablation (EUS-RFA) for pancreatic adenocarcinoma: A review[J]. Cureus, 2024, 16(10): e70691.
    [32]
    Giovannini M, Marx M. Radiofrequency ablation of pancreatic solid tumors[J]. Gastrointest Endosc Clin N Am, 2023, 33(4): 855-865.
    [33]
    Fergadi M P, Magouliotis D E, Rountas C, et al. A meta-analysis evaluating the role of high-intensity focused ultrasound (HIFU) as a fourth treatment modality for patients with locally advanced pancreatic cancer[J]. Abdom Radiol, 2022, 47(1): 254-264.
    [34]
    Marinova M, Khouri D A, Küppers J, et al. Study protocol of a randomized, two-arm, phase I/II trial investigating the feasibility, safety, and efficacy of local treatment with US-guided high-intensity focused ultrasound in combination with palliative chemotherapy in inoperable pancreatic cancer[J]. J Clin Med, 2024, 13(13): 3717.
    [35]
    Yu L, Liu Y, Li Z, et al. A retrospective comparative study on the treatment of non-metastatic pancreatic cancer using high-intensity focused ultrasound versus radical surgery[J]. Int J Hyperth, 2024, 41: 2398557. doi: 10.1080/02656736.2024.2398557
    [36]
    Sears O, Zhang H, Blatz N, et al. Focused ultrasound in pancreatic ductal adenocarcinoma: Mechanisms, preclinical evidence, and emerging clinical applications[J]. Cancers, 2026, 18(4): 574. doi: 10.3390/cancers18040574
    [37]
    Zhou W, Lei C, Xue X, et al. Revelations of pancreatic cancer treated by high-intensity focused ultrasound[J]. Discov Oncol, 2026, 17(1): 1211. doi: 10.1007/s12672-026-05049-2
    [38]
    Matsumoto K, Kato H, Tsutsumi K, et al. Current status of endoscopic ultrasound-guided antitumor treatment for pancreatic cancer[J]. Dig Endosc, 2025, 37(1): 18-28. doi: 10.1111/den.14815
    [39]
    Kerdsirichairat T, Shin E J. Endoscopic ultrasound guided interventions in the management of pancreatic cancer[J]. WJGE, 2022, 14(4): 191-204. doi: 10.4253/wjge.v14.i4.191
    [40]
    Moond V, Maniyar B, Harne P S, et al. Harnessing endoscopic ultrasound-guided radiofrequency ablation to reshape the pancreatic ductal adenocarcinoma microenvironment and elicit systemic immunomodulation[J]. Explor Target Antitumor Ther, 2024, 5(5): 1056-1073. doi: 10.37349/etat.2024.00263
    [41]
    Isayama H, Nakai Y, Itoi T, et al. Clinical practice guidelines for safe performance of endoscopic ultrasound/ultrasonography-guided biliary drainage: 2018[J]. J Hepatobiliary Pancreat Sci, 2019, 26(7): 249-269. doi: 10.1002/jhbp.631
    [42]
    van der Merwe S W, van Wanrooij R L J, Bronswijk M, et al. Therapeutic endoscopic ultrasound: European society of gastrointestinal endoscopy (ESGE) guideline[J]. Endoscopy, 2022, 54(2): 185-205. doi: 10.1055/a-1717-1391
    [43]
    Pawa S, Marya N B, Thiruvengadam N R, et al. American Society for Gastrointestinal Endoscopy guideline on the role of therapeutic EUS in the management of biliary tract disorders: Summary and recommendations[J]. Gastrointest Endosc, 2024, 100(6): 967-979. doi: 10.1016/j.gie.2024.03.027
    [44]
    Khashab M A, Bukhari M, Baron T H, et al. EUS-guided gastroenterostomy for malignant gastric outlet obstruction: Current status and future directions[J]. Gastrointest Endosc Clin N Am, 2020, 30(3): 479-494. doi: 10.1016/j.giec.2020.02.005
    [45]
    Asif A A, Walayat S K, Bechtold M L, et al. EUS-guided celiac plexus neurolysis for pain in pancreatic cancer patients–a meta-analysis and systematic review[J]. J Community Hosp Intern Med Perspect, 2021, 11(4): 536-542. doi: 10.1080/20009666.2021.1929049
    [46]
    Kamata K, Kinoshita M, Kinoshita I, et al. Efficacy of EUS-guided celiac plexus neurolysis in combination with EUS-guided celiac ganglia neurolysis for pancreatic cancer-associated pain: A multicenter prospective trial[J]. Int J Clin Oncol, 2022, 27(7): 1196-1201. doi: 10.1007/s10147-022-02160-6
    [47]
    Bharwad A V, Ahuja R, Jain P, et al. Artificial intelligence in pancreatobiliary endoscopy: Current advances, opportunities, and challenges[J]. J Clin Med, 2025, 14(21): 7519. doi: 10.3390/jcm14217519
  • Relative Articles

    [1] Shijun SHEN, Yamei YIN, Li SONG, Chunming XIANG, Heng LI. Influence of Nutrition Intervention on Quality of Life and Survival Prognosis of Patients with Locally Advanced Pancreatic Cancer. Journal of Kunming Medical University,  doi: 10.12259/j.issn.2095-610X.S20250418
    [2] Runlin FENG, Zongqi DENG, Mengyao WU, Yunna WANG, Yu WANG, Guilan LIU, Yanping TAO. GJB4 Gene Expression in Relation to Clinical and Pathological Features of Pancreatic Cancer Patients. Journal of Kunming Medical University,  doi: 10.12259/j.issn.2095-610X.S20250110
    [3] Ruifeng QIN, Jiadong XUE, Jia ZHANG, Fan LIU, Shaohui ZHANG, Liyang YIN, Zengjiang YUAN. Shikonin Induces Ferroptosis through ROS/JNK Pathway to Intervene in the Malignant Behavior of Pancreatic Cancer. Journal of Kunming Medical University,  doi: 10.12259/j.issn.2095-610X.S20251005
    [4] Yuhua XIAO, Lingxin YAN, Jidong CAO, Jinhua CHAI. Expression of LMO2 and CAPRIN1 in Pancreatic Cancer Tissues and Their Correlation with Prognosis. Journal of Kunming Medical University,  doi: 10.12259/j.issn.2095-610X.S20251216
    [5] Siyun LI, Zanyou YAN, Zan SHENG, Jieyu LIU, Jihua HUANG, Zhiping GUO, Yuping JI, Zhongjian LIU, Fan ZHANG. Clinical Efficacy of Abdominal Ultrasound-guided Endoscopic Retrograde Appendicitis Therapy for Acute Uncomplicated Appendicitis. Journal of Kunming Medical University,  doi: 10.12259/j.issn.2095-610X.S20240213
    [6] Qingbin ZENG, Rong XU, Wenzhi DONG, Zhijian CHEN, Weiran LIAO, Kui LONG. Expression of Zinc Finger Transcription Factor Sall4 In Pancreatic Cancer and Its Impact on Cell Invasion and Migration. Journal of Kunming Medical University,  doi: 10.12259/j.issn.2095-610X.S20241206
    [7] Lei ZHU, Ruixue LI, Changlei BAO, Chenchen HUANG, Shuxin LIANG, Zhenlin ZHAO, Hong ZHU. Effect of MSC-exo,a New Cell Delivery Tool,on Gene Delivery and Proliferation of Pancreatic Cancer. Journal of Kunming Medical University,  doi: 10.12259/j.issn.2095-610X.S20240206
    [8] Sijia LIU, Yaying YANG, Chao PENG, Yamin LI. Application of Contrast-enhanced CT and MRI in Preoperative TNM Staging of Pancreatic Cancer. Journal of Kunming Medical University,  doi: 10.12259/j.issn.2095-610X.S20230628
    [9] Jing-hui LI, Ming ZHU, Hai QU, Qiu-yu LI, Yu-juan WU, He-ying YANG, Yu-zhu WANG, Yan-ping LI. miR-490-3p Suppresses EMT of SW1990 Pancreatic Cancer Cells. Journal of Kunming Medical University,  doi: 10.12259/j.issn.2095-610X.S20210305
    [10] Li Fei Fei , Hao Jin Gang . . Journal of Kunming Medical University,
    [11] Gao Jing , Li Ying Hua , Yuan Yuan , Wu Shi Cong . . Journal of Kunming Medical University,
    [12] Shen Hong , Wang Xiu Yun , Xu Hui Qiong , Liu Xia . Analysis of Clinicopathological Features of 274 Cases of Pancreatic Cancer and Risk Factors Affecting Prognosis. Journal of Kunming Medical University,
    [13] Liu Ming Min , Wang Li Chun , Liang Xi , Yang Rui . Application of Ultrasound-guided Breast Microscopic Lesion Biopsy in the Early Diagnosis of Breast Cancer. Journal of Kunming Medical University,
    [14] Yang Ke , Dan Zu Jian , Zhou Qiong Hua , Wang Jun Feng . Relationship between Soluble Cytokine Receptors, Matrix Metalloproteinases and Pancreatic Cancer. Journal of Kunming Medical University,
    [15] Dong Ming Chun . The Clinical Effect of Ultrasound Guided Minimally Invasive Rotary Cutting on Breast Benign Lesions. Journal of Kunming Medical University,
    [16] Lei Xue Fen . . Journal of Kunming Medical University,
    [17] Zhang Qing . . Journal of Kunming Medical University,
    [18] Zhang Tao . . Journal of Kunming Medical University,
    [19] . Inhibition of Canonical Wnt Signaling Pathway in Pancreatic Cancer by Interfering CXCR4 in Vitro. Journal of Kunming Medical University,
    [20] Yuan Hui . . Journal of Kunming Medical University,
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Figures(3)  / Tables(1)

    Article Metrics

    Article views (154) PDF downloads(8) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return