New ultrasound techniques for lymph node evaluation

World J Gastroenterol. 2013 Aug 14;19(30):4850-60. doi: 10.3748/wjg.v19.i30.4850.


Conventional ultrasound (US) is the recommended imaging method for lymph node (LN) diseases with the advantages of high resolution, real time evaluation and relative low costs. Current indications of transcutaneous ultrasound and endoscopic ultrasound include the detection and characterization of lymph nodes and the guidance for LN biopsy. Recent advances in US technology, such as contrast enhanced ultrasound (CEUS), contrast enhanced endoscopic ultrasound (CE-EUS), and real time elastography show potential to improve the accuracy of US for the differential diagnosis of benign and malignant lymph nodes. In addition, CEUS and CE-EUS have been also used for the guidance of fine needle aspiration and assessment of treatment response. Complementary to size criteria, CEUS could also be used to evaluate response of tumor angiogenesis to anti-angiogenic therapies. In this paper we review current literature regarding evaluation of lymphadenopathy by new and innovative US techniques.

Keywords: Endoscopic ultrasound; Lymph node metastasis; Lymph nodes; Lymphoma; Ultrasound.

Publication types

  • Review

MeSH terms

  • Contrast Media
  • Elasticity Imaging Techniques*
  • Endoscopic Ultrasound-Guided Fine Needle Aspiration*
  • Endosonography*
  • Humans
  • Image Interpretation, Computer-Assisted
  • Imaging, Three-Dimensional
  • Lymph Nodes / diagnostic imaging*
  • Lymph Nodes / pathology
  • Lymphatic Diseases / diagnostic imaging*
  • Lymphatic Diseases / pathology
  • Lymphatic Metastasis
  • Predictive Value of Tests
  • Prognosis


  • Contrast Media