Advances in endoscopic ultrasound-guided shear wave elastography: A comprehensive review of its clinical applications

doi:10.3748/wjg.v31.i46.113585

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Dec 14, 2025 (publication date) through Dec 10, 2025

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World Journal of Gastroenterology

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1007-9327

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Gastroenterol. Dec 14, 2025; 31(46): 113585
Published online Dec 14, 2025. doi: 10.3748/wjg.v31.i46.113585

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Figure 1 Endoscopic ultrasound-guided shear wave elastography images. A: Normal pancreas; B: Chronic pancreatitis; C: Pancreatic cancer. In endoscopic ultrasound-guided shear wave elastography, shear wave velocity values were similar in normal parenchyma and chronic pancreatitis, but markedly higher in pancreatic cancer. The net effective shear wave velocity shows a decreasing trend across these conditions, reflecting increasing tissue heterogeneity and stiffness.

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Figure 2 Endoscopic ultrasound-guided shear wave elastography images. A: Normal liver; B: Cirrhotic liver; C: Spleen. In endoscopic ultrasound-guided shear wave elastography, shear wave velocity is higher in cirrhotic liver compared to normal liver, reflecting increased parenchymal stiffness. Spleen stiffness measurements may provide additional information on the degree of portal hypertension.

Citation: Paratore M, Miliani S, D’Acunzo G, Viceconti N, Andaloro S, Cerniglia G, Mancuso F, Melita E, Rizzatti G, Gasbarrini A, Riccardi L, Garcovich M. Advances in endoscopic ultrasound-guided shear wave elastography: A comprehensive review of its clinical applications. World J Gastroenterol 2025; 31(46): 113585
URL: https://www.wjgnet.com/1007-9327/full/v31/i46/113585.htm
DOI: https://dx.doi.org/10.3748/wjg.v31.i46.113585