[Purpose] We aimed to assess the diagnostic performance of transabdominal ultrasonography (US) in identifying superior mesenteric nerve plexus (PL sma) invasion by pancreatic carcinoma. [Subjects and Methods] Ninety-six patients with pancreatic carcinoma who received preoperative US and CT were enrolled. US examinations were performed using Aplio XV/XG/500 (TOSHIBA) with a 3.75–7.5 MHz convex,linear transducer. In US, a low echoic area around the SMA was considered to indicate PL sma invasion. In contrast, in CT, an increase in fat attenuation around the SMA was considered to indicate PL sma invasion. [Results and Discussion] Fifteen patients were diagnosed with pathological PL sma invasion. The sensitivity, specificity, accuracy, positive predictive value, and negative predictive value of US and CT were respectively 53.3% and 60.0%, 92.5% and 90.1%, 86.4% and 85.4%, 52.9% and 57.1%, and 91.4% and 92.4%. The two modalities showed no significant difference in diagnostic accuracy. [Conclusion] Transabdominal ultrasonography showed good diagnostic accuracy in identifying PL sma invasion by pancreatic carcinoma.

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[Purpose] The purpose of this study was to assess diagnostic performance of strain ratio (SR) which is calculated by ultrasound elastography in differential diagnosis of breast lesions under uniformed procedure. [Subjects and Methods]Eighty-four lesions in 82 patients (mean age 54 years) were examined using Aplio XG (TOSHIBA) with 12∼18 MHz linear transducer. Each lesion was categorized according to The Japan Association of Breast and Thyroid Sonology (JABTS) criteria based on conventional B-mode. Category 4 and 5 were classified as malignant lesions. As uniformed criteria of elastography, absolute strain value above 0.28 with sinusoidal waveform data were adopted. SR was calculated using fat lesion ratio (FLR).SR above 5.00 was taken as a malignant lesion. Diagnosis was made by histopathological examinations. Two sonographers performed elastography for interobserver reliability.[Results and Discussion]FLR of benign lesions and malignant lesions were significantly different (3.46±2.77 and 13.51±12.64, P=0.000).Sensitivity, specificity, accuracy, positive predictive value and negative predictive value of diagnosis made by categolical evaluation and elastography were 76.2%, 100%, 82.1%, 100% and 58.3% respectively .In lesions showed category 3, FLR of benign and malignant lesions-were significantly different (3.80±2.91 and 11.09±11.39, P=0.008).ICC(2,1) was 0.980.[Conclusion]Calculation of SR with present measuring procedure was highly reproducible. SR could help in the differential diagnosis of breast lesions.

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