Real time endoscopic ultrasound elastography and strain ratio in the diagnosis of solid pancreatic lesions

Figure 1 A patient with chronic pancreatitis showing heterogeneous soft tissue (green, yellow, and red), and interpreted as fibrosis or inflammation.

Figure 2 A patient with elasticity score 3 showing mixed hard and soft tissues (mixed colors) or a honeycombed elastography pattern, interpreted as indeterminate for malignancy.

Figure 3 A patient with autoimmune pancreatitis showing elasticity score 3.

Figure 4 A patient with advanced malignant lesions with necrotic areas (elasticity score 5) showing predominantly hard (blue) lesion with dispersed heterogenic soft (green) areas.

Figure 5 A patient with pancreatic head malignancy showing high stain ratio (25. 86).

Figure 6 A patient with pancreatic head malignancy showing very high stain ratio (45. 34).