Word-Import - 4

Inter-observer variability in EUS diagnosis of chronic pancreatitis

Please view each video clip and score your findings according to what you see:

Video 1-V4

Questions on EUS Findings for Video 1-V4

1. Hyper-echoic foci with shadowing, defined as small distinct focus of bright echo with acoustic shadowing

Yes

2. Non-shadowing hyperechoic foci, defined as small distinct focus of bright echo without acoustic shadowing

Yes

3. Strands, defined as small string like bright echo

Yes

4. Lobularity with non-contiguous lobules, defined as rounded homogenous areas separated by hyperechoic strands

Yes

5. Lobularity with honeycombing, defined as rounded homogenous areas separated by hyperechoic strands, and where at least 3 of the areas (lobules) are contiguous

Yes

6. Cysts, defined as abnormal anechoic round or oval structure

Yes

7. Dilated ducts, defined as dilated ducts >3mm in head, and/or >2mm in body, and/or >1mm in tail

Yes

8. Irregular pancreatic duct contour, defined as coarse uneven outline of the pancreatic duct

Yes

9. Hyper-echoic duct wall, defined as hyperechoic margins of the main pancreatic duct

Yes

10. Dilated side branches, defined as small anechoic structure outside the main pancreatic duct

Yes

11. Calculi in main pancreatic duct, defined as hyperechoic lesion with acoustic shadowing within the pancreas

Yes

Interpretation of the above video according to International working group criteria

12. Please choose any 1 answer listed below, based on the number of features under Question 1 to 11 you observed in the video

Normal pancreas (1-2 features observed)

Equivocal pancreatitis (3-4 features observed)

Definite pancreatitis (≥ 5 features observed)

Interpretation of the above video according to Rosemont Classification. For definitions of the classification, please refer to Table 1 below the question.

13. Please mark your interpretation of the EUS features in the video according to the Rosemont Classification (choose any 1 of the answers below):

Normal: ≤ 2 minor* features (*excludes cysts, dilated MPD, hyperechoic nonshadowing foci), no major features

Consistent with Chronic Pancreatitis: (i) 1 major A feature (+) ≥ 3 minor features, or (ii) 1 major A feature (+) major B feature; or (iii) 2 major A features

Suggestive of Chronic Pancreatitis: (i) 1 major A feature (+) <3 minor features; or (ii) 1 major B feature (+) ≥ 3 minor features, or (iii) = or > 5 minor features (any)

Indeterminate for Chronic Pancreatitis: (i) 3 to 4 minor features, no major features; or (ii) major B feature alone or with < 3 minor features

TABLE 1 -- ROSEMONT CONSENSUS DEFINITIONS

Video 2-V7

Questions on EUS Findings from Video 2-V7

1. Hyper-echoic foci with shadowing, defined as small distinct focus of bright echo with acoustic shadowing

Yes

2. Non-shadowing hyperechoic foci, defined as small distinct focus of bright echo without acoustic shadowing

Yes

3. Strands, defined as small string like bright echo

Yes

4. Lobularity with non-contiguous lobules, defined as rounded homogenous areas separated by hyperechoic strands

Yes

5. Lobularity with honeycombing, defined as rounded homogenous areas separated by hyperechoic strands, and where at least 3 of the areas (lobules) are contiguous

Yes

6. Cysts, defined as abnormal anechoic round or oval structure

Yes

7. Dilated ducts, defined as dilated ducts >3mm in head, and/or >2mm in body, and/or >1mm in tail

Yes

8. Irregular pancreatic duct contour, defined as coarse uneven outline of the pancreatic duct

Yes

9. Hyper-echoic duct wall, defined as hyperechoic margins of the main pancreatic duct

Yes

10. Dilated side branches, defined as small anechoic structure outside the main pancreatic duct

Yes

11. Calculi in main pancreatic duct, defined as hyperechoic lesion with acoustic shadowing within the pancreas

Yes

Interpretation of the above video according to International working group criteria

12. Please choose any 1 answer listed below, based on the number of features under Question 1 to 11 you observed in the video

Normal pancreas (1-2 features observed)

Equivocal pancreatitis (3-4 features observed)

Definite pancreatitis (≥ 5 features observed)

Interpretation of the above video according to Rosemont Classification. For definitions of the classification, please refer to Table 1 below the question.

13. Please mark your interpretation of the EUS features in the video above according to the Rosemont Classification (choose any 1 of the answers below):

Normal: ≤ 2 minor* features (*excludes cysts, dilated MPD, hyperechoic nonshadowing foci), no major features

Consistent with Chronic Pancreatitis: (i) 1 major A feature (+) ≥ 3 minor features, or (ii) 1 major A feature (+) major B feature; or (iii) 2 major A features

Suggestive of Chronic Pancreatitis: (i) 1 major A feature (+) <3 minor features; or (ii) 1 major B feature (+) ≥ 3 minor features, or (iii) = or > 5 minor features (any)

Indeterminate for Chronic Pancreatitis: (i) 3 to 4 minor features, no major features; or (ii) major B feature alone or with < 3 minor features

TABLE 1 -- ROSEMONT CONSENSUS DEFINITIONS

Video 3-V10

Questions on EUS Findings for Video 3-V10

1. Hyper-echoic foci with shadowing, defined as small distinct focus of bright echo with acoustic shadowing

Yes

2. Non-shadowing hyperechoic foci, defined as small distinct focus of bright echo without acoustic shadowing

Yes

3. Strands, defined as small string like bright echo

Yes

4. Lobularity with non-contiguous lobules, defined as rounded homogenous areas separated by hyperechoic strands

Yes

5. Lobularity with honeycombing, defined as rounded homogenous areas separated by hyperechoic strands, and where at least 3 of the areas (lobules) are contiguous

Yes

6. Cysts, defined as abnormal anechoic round or oval structure

Yes

7. Dilated ducts, defined as dilated ducts >3mm in head, and/or >2mm in body, and/or >1mm in tail

Yes

8. Irregular pancreatic duct contour, defined as coarse uneven outline of the pancreatic duct

Yes

9. Hyper-echoic duct wall, defined as hyperechoic margins of the main pancreatic duct

Yes

10. Dilated side branches, defined as small anechoic structure outside the main pancreatic duct

Yes

11. Calculi in main pancreatic duct, defined as hyperechoic lesion with acoustic shadowing within the pancreas

Yes

Interpretation of the above video according to International working group criteria

12. Please choose any 1 answer listed below, based on the number of features under Question 1 to 11 you observed in the video

Normal pancreas (1-2 features observed)

Equivocal pancreatitis (3-4 features observed)

Definite pancreatitis (≥ 5 features observed)

Interpretation of the above video according to Rosemont Classification. For definitions of the classification, please refer to Table 1 below the question.

13. Please mark your interpretation of the EUS features in the video according to the Rosemont Classification (choose any 1 of the answers below):

Normal: ≤ 2 minor* features (*excludes cysts, dilated MPD, hyperechoic nonshadowing foci), no major features

Consistent with Chronic Pancreatitis: (i) 1 major A feature (+) ≥ 3 minor features, or (ii) 1 major A feature (+) major B feature; or (iii) 2 major A features

Suggestive of Chronic Pancreatitis: (i) 1 major A feature (+) <3 minor features; or (ii) 1 major B feature (+) ≥ 3 minor features, or (iii) = or > 5 minor features (any)

Indeterminate for Chronic Pancreatitis: (i) 3 to 4 minor features, no major features; or (ii) major B feature alone or with < 3 minor features

TABLE 1 -- ROSEMONT CONSENSUS DEFINITIONS

Video 4-V9

Questions on EUS Findings for Video 4-V9

1. Hyper-echoic foci with shadowing, defined as small distinct focus of bright echo with acoustic shadowing

Yes

2. Non-shadowing hyperechoic foci, defined as small distinct focus of bright echo without acoustic shadowing

Yes

3. Strands, defined as small string like bright echo

Yes

4. Lobularity with non-contiguous lobules, defined as rounded homogenous areas separated by hyperechoic strands

Yes

5. Lobularity with honeycombing, defined as rounded homogenous areas separated by hyperechoic strands, and where at least 3 of the areas (lobules) are contiguous

Yes

6. Cysts, defined as abnormal anechoic round or oval structure

Yes

7. Dilated ducts, defined as dilated ducts >3mm in head, and/or >2mm in body, and/or >1mm in tail

Yes

8. Irregular pancreatic duct contour, defined as coarse uneven outline of the pancreatic duct

Yes

9. Hyper-echoic duct wall, defined as hyperechoic margins of the main pancreatic duct

Yes

10. Dilated side branches, defined as small anechoic structure outside the main pancreatic duct

Yes

11. Calculi in main pancreatic duct, defined as hyperechoic lesion with acoustic shadowing within the pancreas

Yes

Interpretation of the above video according to International working group criteria

12. Please choose any 1 answer listed below, based on the number of features under Question 1 to 11 you observed in the video

Normal pancreas (1-2 features observed)

Equivocal pancreatitis (3-4 features observed)

Definite pancreatitis (≥ 5 features observed)

Interpretation of the above video according to Rosemont Classification. For definitions of the classification, please refer to Table 1 below the question.

13. Please mark your interpretation of the EUS features in the video according to the Rosemont Classification (choose any 1 of the answers below):

Normal: ≤ 2 minor* features (*excludes cysts, dilated MPD, hyperechoic nonshadowing foci), no major features

Consistent with Chronic Pancreatitis: (i) 1 major A feature (+) ≥ 3 minor features, or (ii) 1 major A feature (+) major B feature; or (iii) 2 major A features

Suggestive of Chronic Pancreatitis: (i) 1 major A feature (+) <3 minor features; or (ii) 1 major B feature (+) ≥ 3 minor features, or (iii) = or > 5 minor features (any)

Indeterminate for Chronic Pancreatitis: (i) 3 to 4 minor features, no major features; or (ii) major B feature alone or with < 3 minor features

TABLE 1 -- ROSEMONT CONSENSUS DEFINITIONS

Video 5-V8

Questions on EUS Findings for Video 5-V8

1. Hyper-echoic foci with shadowing, defined as small distinct focus of bright echo with acoustic shadowing

Yes

2. Non-shadowing hyperechoic foci, defined as small distinct focus of bright echo without acoustic shadowing

Yes

3. Strands, defined as small string like bright echo

Yes

4. Lobularity with non-contiguous lobules, defined as rounded homogenous areas separated by hyperechoic strands

Yes

5. Lobularity with honeycombing, defined as rounded homogenous areas separated by hyperechoic strands, and where at least 3 of the areas (lobules) are contiguous

Yes

6. Cysts, defined as abnormal anechoic round or oval structure

Yes

7. Dilated ducts, defined as dilated ducts >3mm in head, and/or >2mm in body, and/or >1mm in tail

Yes

8. Irregular pancreatic duct contour, defined as coarse uneven outline of the pancreatic duct

Yes

9. Hyper-echoic duct wall, defined as hyperechoic margins of the main pancreatic duct

Yes

10. Dilated side branches, defined as small anechoic structure outside the main pancreatic duct

Yes

11. Calculi in main pancreatic duct, defined as hyperechoic lesion with acoustic shadowing within the pancreas

Yes

Interpretation of the above video according to International working group criteria

12. Please choose any 1 answer listed below, based on the number of features under Question 1 to 11 you observed in the video

Normal pancreas (1-2 features observed)

Equivocal pancreatitis (3-4 features observed)

Definite pancreatitis (≥ 5 features observed)

Interpretation of the above video according to Rosemont Classification. For definitions of the classification, please refer to Table 1 below the question.

13. Please mark your interpretation of the EUS features in the video according to the Rosemont Classification (choose any 1 of the answers below):

Normal: ≤ 2 minor* features (*excludes cysts, dilated MPD, hyperechoic nonshadowing foci), no major features

Consistent with Chronic Pancreatitis: (i) 1 major A feature (+) ≥ 3 minor features, or (ii) 1 major A feature (+) major B feature; or (iii) 2 major A features

Suggestive of Chronic Pancreatitis: (i) 1 major A feature (+) <3 minor features; or (ii) 1 major B feature (+) ≥ 3 minor features, or (iii) = or > 5 minor features (any)

Indeterminate for Chronic Pancreatitis: (i) 3 to 4 minor features, no major features; or (ii) major B feature alone or with < 3 minor features

TABLE 1 -- ROSEMONT CONSENSUS DEFINITIONS

Video 6-V1

Questions on EUS Findings for Video 6-V1

1. Hyper-echoic foci with shadowing, defined as small distinct focus of bright echo with acoustic shadowing

Yes

2. Non-shadowing hyperechoic foci, defined as small distinct focus of bright echo without acoustic shadowing

Yes

3. Strands, defined as small string like bright echo

Yes

4. Lobularity with non-contiguous lobules, defined as rounded homogenous areas separated by hyperechoic strands

Yes

5. Lobularity with honeycombing, defined as rounded homogenous areas separated by hyperechoic strands, and where at least 3 of the areas (lobules) are contiguous

Yes

6. Cysts, defined as abnormal anechoic round or oval structure

Yes

7. Dilated ducts, defined as dilated ducts >3mm in head, and/or >2mm in body, and/or >1mm in tail

Yes

8. Irregular pancreatic duct contour, defined as coarse uneven outline of the pancreatic duct

Yes

9. Hyper-echoic duct wall, defined as hyperechoic margins of the main pancreatic duct

Yes

10. Dilated side branches, defined as small anechoic structure outside the main pancreatic duct

Yes

11. Calculi in main pancreatic duct, defined as hyperechoic lesion with acoustic shadowing within the pancreas

Yes

Interpretation of the above video according to International working group criteria

12. Please choose any 1 answer listed below, based on the number of features under Question 1 to 11 you observed in the video

Normal pancreas (1-2 features observed)

Equivocal pancreatitis (3-4 features observed)

Definite pancreatitis (≥ 5 features observed)

Interpretation of the above video according to Rosemont Classification. For definitions of the classification, please refer to Table 1 below the question.

13. Please mark your interpretation of the EUS features in the video according to the Rosemont Classification (choose any 1 of the answers below):

Normal: ≤ 2 minor* features (*excludes cysts, dilated MPD, hyperechoic nonshadowing foci), no major features

Consistent with Chronic Pancreatitis: (i) 1 major A feature (+) ≥ 3 minor features, or (ii) 1 major A feature (+) major B feature; or (iii) 2 major A features

Suggestive of Chronic Pancreatitis: (i) 1 major A feature (+) <3 minor features; or (ii) 1 major B feature (+) ≥ 3 minor features, or (iii) = or > 5 minor features (any)

Indeterminate for Chronic Pancreatitis: (i) 3 to 4 minor features, no major features; or (ii) major B feature alone or with < 3 minor features

TABLE 1 -- ROSEMONT CONSENSUS DEFINITIONS

Video 7-S1

Questions on EUS Findings for Video 7-S1

1. Hyper-echoic foci with shadowing, defined as small distinct focus of bright echo with acoustic shadowing

Yes

2. Non-shadowing hyperechoic foci, defined as small distinct focus of bright echo without acoustic shadowing

Yes

3. Strands, defined as small string like bright echo

Yes

4. Lobularity with non-contiguous lobules, defined as rounded homogenous areas separated by hyperechoic strands

Yes

5. Lobularity with honeycombing, defined as rounded homogenous areas separated by hyperechoic strands, and where at least 3 of the areas (lobules) are contiguous

Yes

6. Cysts, defined as abnormal anechoic round or oval structure

Yes

7. Dilated ducts, defined as dilated ducts >3mm in head, and/or >2mm in body, and/or >1mm in tail

Yes

8. Irregular pancreatic duct contour, defined as coarse uneven outline of the pancreatic duct

Yes

9. Hyper-echoic duct wall, defined as hyperechoic margins of the main pancreatic duct

Yes

10. Dilated side branches, defined as small anechoic structure outside the main pancreatic duct

Yes

11. Calculi in main pancreatic duct, defined as hyperechoic lesion with acoustic shadowing within the pancreas

Yes

Interpretation of the above video according to International working group criteria

12. Please choose any 1 answer listed below, based on the number of features under Question 1 to 11 you observed in the video

Normal pancreas (1-2 features observed)

Equivocal pancreatitis (3-4 features observed)

Definite pancreatitis (≥ 5 features observed)

Interpretation of the above video according to Rosemont Classification. For definitions of the classification, please refer to Table 1 below the question.

13. Please mark your interpretation of the EUS features in the video according to the Rosemont Classification (choose any 1 of the answers below):

Normal: ≤ 2 minor* features (*excludes cysts, dilated MPD, hyperechoic nonshadowing foci), no major features

Consistent with Chronic Pancreatitis: (i) 1 major A feature (+) ≥ 3 minor features, or (ii) 1 major A feature (+) major B feature; or (iii) 2 major A features

Suggestive of Chronic Pancreatitis: (i) 1 major A feature (+) <3 minor features; or (ii) 1 major B feature (+) ≥ 3 minor features, or (iii) = or > 5 minor features (any)

Indeterminate for Chronic Pancreatitis: (i) 3 to 4 minor features, no major features; or (ii) major B feature alone or with < 3 minor features

TABLE 1 -- ROSEMONT CONSENSUS DEFINITIONS

Video 8-S2

Questions on EUS Findings for Video 8-S2

1. Hyper-echoic foci with shadowing, defined as small distinct focus of bright echo with acoustic shadowing

Yes

2. Non-shadowing hyperechoic foci, defined as small distinct focus of bright echo without acoustic shadowing

Yes

3. Strands, defined as small string like bright echo

Yes

4. Lobularity with non-contiguous lobules, defined as rounded homogenous areas separated by hyperechoic strands

Yes

5. Lobularity with honeycombing, defined as rounded homogenous areas separated by hyperechoic strands, and where at least 3 of the areas (lobules) are contiguous

Yes

6. Cysts, defined as abnormal anechoic round or oval structure

Yes

7. Dilated ducts, defined as dilated ducts >3mm in head, and/or >2mm in body, and/or >1mm in tail

Yes

8. Irregular pancreatic duct contour, defined as coarse uneven outline of the pancreatic duct

Yes

9. Hyper-echoic duct wall, defined as hyperechoic margins of the main pancreatic duct

Yes

10. Dilated side branches, defined as small anechoic structure outside the main pancreatic duct

Yes

11. Calculi in main pancreatic duct, defined as hyperechoic lesion with acoustic shadowing within the pancreas

Yes

Interpretation of the above video according to International working group criteria

12. Please choose any 1 answer listed below, based on the number of features under Question 1 to 11 you observed in the video

Normal pancreas (1-2 features observed)

Equivocal pancreatitis (3-4 features observed)

Definite pancreatitis (≥ 5 features observed)

Interpretation of the above video according to Rosemont Classification. For definitions of the classification, please refer to Table 1 below the question.

13. Please mark your interpretation of the EUS features in the video according to the Rosemont Classification (choose any 1 of the answers below):

Normal: ≤ 2 minor* features (*excludes cysts, dilated MPD, hyperechoic nonshadowing foci), no major features

Consistent with Chronic Pancreatitis: (i) 1 major A feature (+) ≥ 3 minor features, or (ii) 1 major A feature (+) major B feature; or (iii) 2 major A features

Suggestive of Chronic Pancreatitis: (i) 1 major A feature (+) <3 minor features; or (ii) 1 major B feature (+) ≥ 3 minor features, or (iii) = or > 5 minor features (any)

Indeterminate for Chronic Pancreatitis: (i) 3 to 4 minor features, no major features; or (ii) major B feature alone or with < 3 minor features

TABLE 1 -- ROSEMONT CONSENSUS DEFINITIONS

Video 9-V6

Questions on EUS Findings for Video 9-V6

1. Hyper-echoic foci with shadowing, defined as small distinct focus of bright echo with acoustic shadowing

Yes

2. Non-shadowing hyperechoic foci, defined as small distinct focus of bright echo without acoustic shadowing

Yes

3. Strands, defined as small string like bright echo

Yes

4. Lobularity with non-contiguous lobules, defined as rounded homogenous areas separated by hyperechoic strands

Yes

5. Lobularity with honeycombing, defined as rounded homogenous areas separated by hyperechoic strands, and where at least 3 of the areas (lobules) are contiguous

Yes

6. Cysts, defined as abnormal anechoic round or oval structure

Yes

7. Dilated ducts, defined as dilated ducts >3mm in head, and/or >2mm in body, and/or >1mm in tail

Yes

8. Irregular pancreatic duct contour, defined as coarse uneven outline of the pancreatic duct

Yes

9. Hyper-echoic duct wall, defined as hyperechoic margins of the main pancreatic duct

Yes

10. Dilated side branches, defined as small anechoic structure outside the main pancreatic duct

Yes

11. Calculi in main pancreatic duct, defined as hyperechoic lesion with acoustic shadowing within the pancreas

Yes

Interpretation of the above video according to International working group criteria

12. Please choose any 1 answer listed below, based on the number of features under Question 1 to 11 you observed in the video

Normal pancreas (1-2 features observed)

Equivocal pancreatitis (3-4 features observed)

Definite pancreatitis (≥ 5 features observed)

Interpretation of the above video according to Rosemont Classification. For definitions of the classification, please refer to Table 1 below the question.

13. Please mark your interpretation of the EUS features in the video according to the Rosemont Classification (choose any 1 of the answers below):

Normal: ≤ 2 minor* features (*excludes cysts, dilated MPD, hyperechoic nonshadowing foci), no major features

Consistent with Chronic Pancreatitis: (i) 1 major A feature (+) ≥ 3 minor features, or (ii) 1 major A feature (+) major B feature; or (iii) 2 major A features

Suggestive of Chronic Pancreatitis: (i) 1 major A feature (+) <3 minor features; or (ii) 1 major B feature (+) ≥ 3 minor features, or (iii) = or > 5 minor features (any)

Indeterminate for Chronic Pancreatitis: (i) 3 to 4 minor features, no major features; or (ii) major B feature alone or with < 3 minor features

TABLE 1 -- ROSEMONT CONSENSUS DEFINITIONS

Video 10-V5

Questions on EUS Findings for Video 10-V5

1. Hyper-echoic foci with shadowing, defined as small distinct focus of bright echo with acoustic shadowing

Yes

2. Non-shadowing hyperechoic foci, defined as small distinct focus of bright echo without acoustic shadowing

Yes

3. Strands, defined as small string like bright echo

Yes

4. Lobularity with non-contiguous lobules, defined as rounded homogenous areas separated by hyperechoic strands

Yes

5. Lobularity with honeycombing, defined as rounded homogenous areas separated by hyperechoic strands, and where at least 3 of the areas (lobules) are contiguous

Yes

6. Cysts, defined as abnormal anechoic round or oval structure

Yes

7. Dilated ducts, defined as dilated ducts >3mm in head, and/or >2mm in body, and/or >1mm in tail

Yes

8. Irregular pancreatic duct contour, defined as coarse uneven outline of the pancreatic duct

Yes

9. Hyper-echoic duct wall, defined as hyperechoic margins of the main pancreatic duct

Yes

10. Dilated side branches, defined as small anechoic structure outside the main pancreatic duct

Yes

11. Calculi in main pancreatic duct, defined as hyperechoic lesion with acoustic shadowing within the pancreas

Yes

Interpretation of the above video according to International working group criteria

12. Please choose any 1 answer listed below, based on the number of features under Question 1 to 11 you observed in the video

Normal pancreas (1-2 features observed)

Equivocal pancreatitis (3-4 features observed)

Definite pancreatitis (≥ 5 features observed)

Interpretation of the above video according to Rosemont Classification. For definitions of the classification, please refer to Table 1 below the question.

13. Please mark your interpretation of the EUS features in the video according to the Rosemont Classification (choose any 1 of the answers below):

Normal: ≤ 2 minor* features (*excludes cysts, dilated MPD, hyperechoic nonshadowing foci), no major features

Consistent with Chronic Pancreatitis: (i) 1 major A feature (+) ≥ 3 minor features, or (ii) 1 major A feature (+) major B feature; or (iii) 2 major A features

Suggestive of Chronic Pancreatitis: (i) 1 major A feature (+) <3 minor features; or (ii) 1 major B feature (+) ≥ 3 minor features, or (iii) = or > 5 minor features (any)

Indeterminate for Chronic Pancreatitis: (i) 3 to 4 minor features, no major features; or (ii) major B feature alone or with < 3 minor features

TABLE 1 -- ROSEMONT CONSENSUS DEFINITIONS

Video 11-S3

Questions on EUS Findings for Video 11-S3

1. Hyper-echoic foci with shadowing, defined as small distinct focus of bright echo with acoustic shadowing

Yes

2. Non-shadowing hyperechoic foci, defined as small distinct focus of bright echo without acoustic shadowing

Yes

3. Strands, defined as small string like bright echo

Yes

4. Lobularity with non-contiguous lobules, defined as rounded homogenous areas separated by hyperechoic strands

Yes

5. Lobularity with honeycombing, defined as rounded homogenous areas separated by hyperechoic strands, and where at least 3 of the areas (lobules) are contiguous

Yes

6. Cysts, defined as abnormal anechoic round or oval structure

Yes

7. Dilated ducts, defined as dilated ducts >3mm in head, and/or >2mm in body, and/or >1mm in tail

Yes

8. Irregular pancreatic duct contour, defined as coarse uneven outline of the pancreatic duct

Yes

9. Hyper-echoic duct wall, defined as hyperechoic margins of the main pancreatic duct

Yes

10. Dilated side branches, defined as small anechoic structure outside the main pancreatic duct

Yes

11. Calculi in main pancreatic duct, defined as hyperechoic lesion with acoustic shadowing within the pancreas

Yes

Interpretation of the above video according to International working group criteria

12. Please choose any 1 answer listed below, based on the number of features under Question 1 to 11 you observed in the video

Normal pancreas (1-2 features observed)

Equivocal pancreatitis (3-4 features observed)

Definite pancreatitis (≥ 5 features observed)

Interpretation of the above video according to Rosemont Classification. For definitions of the classification, please refer to Table 1 below the question.

13. Please mark your interpretation of the EUS features in the video according to the Rosemont Classification (choose any 1 of the answers below):

Normal: ≤ 2 minor* features (*excludes cysts, dilated MPD, hyperechoic nonshadowing foci), no major features

Consistent with Chronic Pancreatitis: (i) 1 major A feature (+) ≥ 3 minor features, or (ii) 1 major A feature (+) major B feature; or (iii) 2 major A features

Suggestive of Chronic Pancreatitis: (i) 1 major A feature (+) <3 minor features; or (ii) 1 major B feature (+) ≥ 3 minor features, or (iii) = or > 5 minor features (any)

Indeterminate for Chronic Pancreatitis: (i) 3 to 4 minor features, no major features; or (ii) major B feature alone or with < 3 minor features

TABLE 1 -- ROSEMONT CONSENSUS DEFINITIONS

Video 12-S4

Questions on EUS Findings for Video 12-S4

1. Hyper-echoic foci with shadowing, defined as small distinct focus of bright echo with acoustic shadowing

Yes

2. Non-shadowing hyperechoic foci, defined as small distinct focus of bright echo without acoustic shadowing

Yes

3. Strands, defined as small string like bright echo

Yes

4. Lobularity with non-contiguous lobules, defined as rounded homogenous areas separated by hyperechoic strands

Yes

5. Lobularity with honeycombing, defined as rounded homogenous areas separated by hyperechoic strands, and where at least 3 of the areas (lobules) are contiguous

Yes

6. Cysts, defined as abnormal anechoic round or oval structure

Yes

7. Dilated ducts, defined as dilated ducts >3mm in head, and/or >2mm in body, and/or >1mm in tail

Yes

8. Irregular pancreatic duct contour, defined as coarse uneven outline of the pancreatic duct

Yes

9. Hyper-echoic duct wall, defined as hyperechoic margins of the main pancreatic duct

Yes

10. Dilated side branches, defined as small anechoic structure outside the main pancreatic duct

Yes

11. Calculi in main pancreatic duct, defined as hyperechoic lesion with acoustic shadowing within the pancreas

Yes

Interpretation of the above video according to International working group criteria

12. Please choose any 1 answer listed below, based on the number of features under Question 1 to 11 you observed in the video

Normal pancreas (1-2 features observed)

Equivocal pancreatitis (3-4 features observed)

Definite pancreatitis (≥ 5 features observed)

Interpretation of the above video according to Rosemont Classification. For definitions of the classification, please refer to Table 1 below the question.

13. Please mark your interpretation of the EUS features in the video according to the Rosemont Classification (choose any 1 of the answers below):

Normal: ≤ 2 minor* features (*excludes cysts, dilated MPD, hyperechoic nonshadowing foci), no major features

Consistent with Chronic Pancreatitis: (i) 1 major A feature (+) ≥ 3 minor features, or (ii) 1 major A feature (+) major B feature; or (iii) 2 major A features

Suggestive of Chronic Pancreatitis: (i) 1 major A feature (+) <3 minor features; or (ii) 1 major B feature (+) ≥ 3 minor features, or (iii) = or > 5 minor features (any)

Indeterminate for Chronic Pancreatitis: (i) 3 to 4 minor features, no major features; or (ii) major B feature alone or with < 3 minor features

TABLE 1 -- ROSEMONT CONSENSUS DEFINITIONS

Video 13-V3

Questions on EUS Findings for Video 13-V3

1. Hyper-echoic foci with shadowing, defined as small distinct focus of bright echo with acoustic shadowing

Yes

2. Non-shadowing hyperechoic foci, defined as small distinct focus of bright echo without acoustic shadowing

Yes

3. Strands, defined as small string like bright echo

Yes

4. Lobularity with non-contiguous lobules, defined as rounded homogenous areas separated by hyperechoic strands

Yes

5. Lobularity with honeycombing, defined as rounded homogenous areas separated by hyperechoic strands, and where at least 3 of the areas (lobules) are contiguous

Yes

6. Cysts, defined as abnormal anechoic round or oval structure

Yes

7. Dilated ducts, defined as dilated ducts >3mm in head, and/or >2mm in body, and/or >1mm in tail

Yes

8. Irregular pancreatic duct contour, defined as coarse uneven outline of the pancreatic duct

Yes

9. Hyper-echoic duct wall, defined as hyperechoic margins of the main pancreatic duct

Yes

10. Dilated side branches, defined as small anechoic structure outside the main pancreatic duct

Yes

11. Calculi in main pancreatic duct, defined as hyperechoic lesion with acoustic shadowing within the pancreas

Yes

Interpretation of the above video according to International working group criteria

12. Please choose any 1 answer listed below, based on the number of features under Question 1 to 11 you observed in the video

Normal pancreas (1-2 features observed)

Equivocal pancreatitis (3-4 features observed)

Definite pancreatitis (≥ 5 features observed)

Interpretation of the above video according to Rosemont Classification. For definitions of the classification, please refer to Table 1 below the question.

13. Please mark your interpretation of the EUS features in the video according to the Rosemont Classification (choose any 1 of the answers below):

Normal: ≤ 2 minor* features (*excludes cysts, dilated MPD, hyperechoic nonshadowing foci), no major features

Consistent with Chronic Pancreatitis: (i) 1 major A feature (+) ≥ 3 minor features, or (ii) 1 major A feature (+) major B feature; or (iii) 2 major A features

Suggestive of Chronic Pancreatitis: (i) 1 major A feature (+) <3 minor features; or (ii) 1 major B feature (+) ≥ 3 minor features, or (iii) = or > 5 minor features (any)

Indeterminate for Chronic Pancreatitis: (i) 3 to 4 minor features, no major features; or (ii) major B feature alone or with < 3 minor features

TABLE 1 -- ROSEMONT CONSENSUS DEFINITIONS

Video 14-V2

Questions on EUS Findings for Video 14-V2

1. Hyper-echoic foci with shadowing, defined as small distinct focus of bright echo with acoustic shadowing

Yes

2. Non-shadowing hyperechoic foci, defined as small distinct focus of bright echo without acoustic shadowing

Yes

3. Strands, defined as small string like bright echo

Yes

4. Lobularity with non-contiguous lobules, defined as rounded homogenous areas separated by hyperechoic strands

Yes

5. Lobularity with honeycombing, defined as rounded homogenous areas separated by hyperechoic strands, and where at least 3 of the areas (lobules) are contiguous

Yes

6. Cysts, defined as abnormal anechoic round or oval structure

Yes

7. Dilated ducts, defined as dilated ducts >3mm in head, and/or >2mm in body, and/or >1mm in tail

Yes

8. Irregular pancreatic duct contour, defined as coarse uneven outline of the pancreatic duct

Yes

9. Hyper-echoic duct wall, defined as hyperechoic margins of the main pancreatic duct

Yes

10. Dilated side branches, defined as small anechoic structure outside the main pancreatic duct

Yes

11. Calculi in main pancreatic duct, defined as hyperechoic lesion with acoustic shadowing within the pancreas

Yes

Interpretation of the above video according to International working group criteria

12. Please choose any 1 answer listed below, based on the number of features under Question 1 to 11 you observed in the video

Normal pancreas (1-2 features observed)

Equivocal pancreatitis (3-4 features observed)

Definite pancreatitis (≥ 5 features observed)

Interpretation of the above video according to Rosemont Classification. For definitions of the classification, please refer to Table 1 below the question.

13. Please mark your interpretation of the EUS features in the video according to the Rosemont Classification (choose any 1 of the answers below):

Normal: ≤ 2 minor* features (*excludes cysts, dilated MPD, hyperechoic nonshadowing foci), no major features

Consistent with Chronic Pancreatitis: (i) 1 major A feature (+) ≥ 3 minor features, or (ii) 1 major A feature (+) major B feature; or (iii) 2 major A features

Suggestive of Chronic Pancreatitis: (i) 1 major A feature (+) <3 minor features; or (ii) 1 major B feature (+) ≥ 3 minor features, or (iii) = or > 5 minor features (any)

Indeterminate for Chronic Pancreatitis: (i) 3 to 4 minor features, no major features; or (ii) major B feature alone or with < 3 minor features

TABLE 1 -- ROSEMONT CONSENSUS DEFINITIONS

Video 15-V11

Questions on EUS Findings for Video 15-V11

1. Hyper-echoic foci with shadowing, defined as small distinct focus of bright echo with acoustic shadowing

Yes

2. Non-shadowing hyperechoic foci, defined as small distinct focus of bright echo without acoustic shadowing

Yes

3. Strands, defined as small string like bright echo

Yes

4. Lobularity with non-contiguous lobules, defined as rounded homogenous areas separated by hyperechoic strands

Yes

5. Lobularity with honeycombing, defined as rounded homogenous areas separated by hyperechoic strands, and where at least 3 of the areas (lobules) are contiguous

Yes

6. Cysts, defined as abnormal anechoic round or oval structure

Yes

7. Dilated ducts, defined as dilated ducts >3mm in head, and/or >2mm in body, and/or >1mm in tail

Yes

8. Irregular pancreatic duct contour, defined as coarse uneven outline of the pancreatic duct

Yes

9. Hyper-echoic duct wall, defined as hyperechoic margins of the main pancreatic duct

Yes

10. Dilated side branches, defined as small anechoic structure outside the main pancreatic duct

Yes

11. Calculi in main pancreatic duct, defined as hyperechoic lesion with acoustic shadowing within the pancreas

Yes

Interpretation of the above video according to International working group criteria

12. Please choose any 1 answer listed below, based on the number of features under Question 1 to 11 you observed in the video

Normal pancreas (1-2 features observed)

Equivocal pancreatitis (3-4 features observed)

Definite pancreatitis (≥ 5 features observed)

Interpretation of the above video according to Rosemont Classification. For definitions of the classification, please refer to Table 1 below the question.

13. Please mark your interpretation of the EUS features in the video according to the Rosemont Classification (choose any 1 of the answers below):

Normal: ≤ 2 minor* features (*excludes cysts, dilated MPD, hyperechoic nonshadowing foci), no major features

Consistent with Chronic Pancreatitis: (i) 1 major A feature (+) ≥ 3 minor features, or (ii) 1 major A feature (+) major B feature; or (iii) 2 major A features

Suggestive of Chronic Pancreatitis: (i) 1 major A feature (+) <3 minor features; or (ii) 1 major B feature (+) ≥ 3 minor features, or (iii) = or > 5 minor features (any)

Indeterminate for Chronic Pancreatitis: (i) 3 to 4 minor features, no major features; or (ii) major B feature alone or with < 3 minor features

TABLE 1 -- ROSEMONT CONSENSUS DEFINITIONS

Video 16-V12

Questions on EUS Findings for Video 16-V12

1. Hyper-echoic foci with shadowing, defined as small distinct focus of bright echo with acoustic shadowing

Yes

2. Non-shadowing hyperechoic foci, defined as small distinct focus of bright echo without acoustic shadowing

Yes

3. Strands, defined as small string like bright echo

Yes

4. Lobularity with non-contiguous lobules, defined as rounded homogenous areas separated by hyperechoic strands

Yes

5. Lobularity with honeycombing, defined as rounded homogenous areas separated by hyperechoic strands, and where at least 3 of the areas (lobules) are contiguous

Yes

6. Cysts, defined as abnormal anechoic round or oval structure

Yes

7. Dilated ducts, defined as dilated ducts >3mm in head, and/or >2mm in body, and/or >1mm in tail

Yes

8. Irregular pancreatic duct contour, defined as coarse uneven outline of the pancreatic duct

Yes

9. Hyper-echoic duct wall, defined as hyperechoic margins of the main pancreatic duct

Yes

10. Dilated side branches, defined as small anechoic structure outside the main pancreatic duct

Yes

11. Calculi in main pancreatic duct, defined as hyperechoic lesion with acoustic shadowing within the pancreas

Yes

Interpretation of the above video according to International working group criteria

12. Please choose any 1 answer listed below, based on the number of features under Question 1 to 11 you observed in the video

Normal pancreas (1-2 features observed)

Equivocal pancreatitis (3-4 features observed)

Definite pancreatitis (≥ 5 features observed)

Interpretation of the above video according to Rosemont Classification. For definitions of the classification, please refer to Table 1 below the question.

13. Please mark your interpretation of the EUS features in the video according to the Rosemont Classification (choose any 1 of the answers below):

Normal: ≤ 2 minor* features (*excludes cysts, dilated MPD, hyperechoic nonshadowing foci), no major features

Consistent with Chronic Pancreatitis: (i) 1 major A feature (+) ≥ 3 minor features, or (ii) 1 major A feature (+) major B feature; or (iii) 2 major A features

Suggestive of Chronic Pancreatitis: (i) 1 major A feature (+) <3 minor features; or (ii) 1 major B feature (+) ≥ 3 minor features, or (iii) = or > 5 minor features (any)

Indeterminate for Chronic Pancreatitis: (i) 3 to 4 minor features, no major features; or (ii) major B feature alone or with < 3 minor features

TABLE 1 -- ROSEMONT CONSENSUS DEFINITIONS

Video 17-V13

Questions on EUS Findings for Video 17-V13

1. Hyper-echoic foci with shadowing, defined as small distinct focus of bright echo with acoustic shadowing

Yes

2. Non-shadowing hyperechoic foci, defined as small distinct focus of bright echo without acoustic shadowing

Yes

3. Strands, defined as small string like bright echo

Yes

4. Lobularity with non-contiguous lobules, defined as rounded homogenous areas separated by hyperechoic strands

Yes

5. Lobularity with honeycombing, defined as rounded homogenous areas separated by hyperechoic strands, and where at least 3 of the areas (lobules) are contiguous

Yes

6. Cysts, defined as abnormal anechoic round or oval structure

Yes

7. Dilated ducts, defined as dilated ducts >3mm in head, and/or >2mm in body, and/or >1mm in tail

Yes

8. Irregular pancreatic duct contour, defined as coarse uneven outline of the pancreatic duct

Yes

9. Hyper-echoic duct wall, defined as hyperechoic margins of the main pancreatic duct

Yes

10. Dilated side branches, defined as small anechoic structure outside the main pancreatic duct

Yes

11. Calculi in main pancreatic duct, defined as hyperechoic lesion with acoustic shadowing within the pancreas

Yes

Interpretation of the above video according to International working group criteria

12. Please choose any 1 answer listed below, based on the number of features under Question 1 to 11 you observed in the video

Normal pancreas (1-2 features observed)

Equivocal pancreatitis (3-4 features observed)

Definite pancreatitis (≥ 5 features observed)

Interpretation of the above video according to Rosemont Classification. For definitions of the classification, please refer to Table 1 below the question.

13. Please mark your interpretation of the EUS features in the video according to the Rosemont Classification (choose any 1 of the answers below):

Normal: ≤ 2 minor* features (*excludes cysts, dilated MPD, hyperechoic nonshadowing foci), no major features

Consistent with Chronic Pancreatitis: (i) 1 major A feature (+) ≥ 3 minor features, or (ii) 1 major A feature (+) major B feature; or (iii) 2 major A features

Suggestive of Chronic Pancreatitis: (i) 1 major A feature (+) <3 minor features; or (ii) 1 major B feature (+) ≥ 3 minor features, or (iii) = or > 5 minor features (any)

Indeterminate for Chronic Pancreatitis: (i) 3 to 4 minor features, no major features; or (ii) major B feature alone or with < 3 minor features

TABLE 1 -- ROSEMONT CONSENSUS DEFINITIONS

Video 18-V14

Questions on EUS Findings for Video 18-V14

1. Hyper-echoic foci with shadowing, defined as small distinct focus of bright echo with acoustic shadowing

Yes

2. Non-shadowing hyperechoic foci, defined as small distinct focus of bright echo without acoustic shadowing

Yes

3. Strands, defined as small string like bright echo

Yes

4. Lobularity with non-contiguous lobules, defined as rounded homogenous areas separated by hyperechoic strands

Yes

5. Lobularity with honeycombing, defined as rounded homogenous areas separated by hyperechoic strands, and where at least 3 of the areas (lobules) are contiguous

Yes

6. Cysts, defined as abnormal anechoic round or oval structure

Yes

7. Dilated ducts, defined as dilated ducts >3mm in head, and/or >2mm in body, and/or >1mm in tail

Yes

8. Irregular pancreatic duct contour, defined as coarse uneven outline of the pancreatic duct

Yes

9. Hyper-echoic duct wall, defined as hyperechoic margins of the main pancreatic duct

Yes

10. Dilated side branches, defined as small anechoic structure outside the main pancreatic duct

Yes

11. Calculi in main pancreatic duct, defined as hyperechoic lesion with acoustic shadowing within the pancreas

Yes

Interpretation of the above video according to International working group criteria

12. Please choose any 1 answer listed below, based on the number of features under Question 1 to 11 you observed in the video

Normal pancreas (1-2 features observed)

Equivocal pancreatitis (3-4 features observed)

Definite pancreatitis (≥ 5 features observed)

Interpretation of the above video according to Rosemont Classification. For definitions of the classification, please refer to Table 1 below the question.

13. Please mark your interpretation of the EUS features in the video according to the Rosemont Classification (choose any 1 of the answers below):

Normal: ≤ 2 minor* features (*excludes cysts, dilated MPD, hyperechoic nonshadowing foci), no major features

Consistent with Chronic Pancreatitis: (i) 1 major A feature (+) ≥ 3 minor features, or (ii) 1 major A feature (+) major B feature; or (iii) 2 major A features

Suggestive of Chronic Pancreatitis: (i) 1 major A feature (+) <3 minor features; or (ii) 1 major B feature (+) ≥ 3 minor features, or (iii) = or > 5 minor features (any)

Indeterminate for Chronic Pancreatitis: (i) 3 to 4 minor features, no major features; or (ii) major B feature alone or with < 3 minor features

TABLE 1 -- ROSEMONT CONSENSUS DEFINITIONS

Video 19-V15

Questions on EUS Findings for Video 19-V15

1. Hyper-echoic foci with shadowing, defined as small distinct focus of bright echo with acoustic shadowing

Yes

2. Non-shadowing hyperechoic foci, defined as small distinct focus of bright echo without acoustic shadowing

Yes

3. Strands, defined as small string like bright echo

Yes

4. Lobularity with non-contiguous lobules, defined as rounded homogenous areas separated by hyperechoic strands

Yes

5. Lobularity with honeycombing, defined as rounded homogenous areas separated by hyperechoic strands, and where at least 3 of the areas (lobules) are contiguous

Yes

6. Cysts, defined as abnormal anechoic round or oval structure

Yes

7. Dilated ducts, defined as dilated ducts >3mm in head, and/or >2mm in body, and/or >1mm in tail

Yes

8. Irregular pancreatic duct contour, defined as coarse uneven outline of the pancreatic duct

Yes

9. Hyper-echoic duct wall, defined as hyperechoic margins of the main pancreatic duct

Yes

10. Dilated side branches, defined as small anechoic structure outside the main pancreatic duct

Yes

11. Calculi in main pancreatic duct, defined as hyperechoic lesion with acoustic shadowing within the pancreas

Yes

Interpretation of the above video according to International working group criteria

12. Please choose any 1 answer listed below, based on the number of features under Question 1 to 11 you observed in the video

Normal pancreas (1-2 features observed)

Equivocal pancreatitis (3-4 features observed)

Definite pancreatitis (≥ 5 features observed)

Interpretation of the above video according to Rosemont Classification. For definitions of the classification, please refer to Table 1 below the question.

13. Please mark your interpretation of the EUS features in the video according to the Rosemont Classification (choose any 1 of the answers below):

Normal: ≤ 2 minor* features (*excludes cysts, dilated MPD, hyperechoic nonshadowing foci), no major features

Consistent with Chronic Pancreatitis: (i) 1 major A feature (+) ≥ 3 minor features, or (ii) 1 major A feature (+) major B feature; or (iii) 2 major A features

Suggestive of Chronic Pancreatitis: (i) 1 major A feature (+) <3 minor features; or (ii) 1 major B feature (+) ≥ 3 minor features, or (iii) = or > 5 minor features (any)

Indeterminate for Chronic Pancreatitis: (i) 3 to 4 minor features, no major features; or (ii) major B feature alone or with < 3 minor features

TABLE 1 -- ROSEMONT CONSENSUS DEFINITIONS

Video 20-V16

Questions on EUS Findings for Video 20-V16

1. Hyper-echoic foci with shadowing, defined as small distinct focus of bright echo with acoustic shadowing

Yes

2. Non-shadowing hyperechoic foci, defined as small distinct focus of bright echo without acoustic shadowing

Yes

3. Strands, defined as small string like bright echo

Yes

4. Lobularity with non-contiguous lobules, defined as rounded homogenous areas separated by hyperechoic strands

Yes

5. Lobularity with honeycombing, defined as rounded homogenous areas separated by hyperechoic strands, and where at least 3 of the areas (lobules) are contiguous

Yes

6. Cysts, defined as abnormal anechoic round or oval structure

Yes

7. Dilated ducts, defined as dilated ducts >3mm in head, and/or >2mm in body, and/or >1mm in tail

Yes

8. Irregular pancreatic duct contour, defined as coarse uneven outline of the pancreatic duct

Yes

9. Hyper-echoic duct wall, defined as hyperechoic margins of the main pancreatic duct

Yes

10. Dilated side branches, defined as small anechoic structure outside the main pancreatic duct

Yes

11. Calculi in main pancreatic duct, defined as hyperechoic lesion with acoustic shadowing within the pancreas

Yes

Interpretation of the above video according to International working group criteria

12. Please choose any 1 answer listed below, based on the number of features under Question 1 to 11 you observed in the video

Normal pancreas (1-2 features observed)

Equivocal pancreatitis (3-4 features observed)

Definite pancreatitis (≥ 5 features observed)

Interpretation of the above video according to Rosemont Classification. For definitions of the classification, please refer to Table 1 below the question.

13. Please mark your interpretation of the EUS features in the video according to the Rosemont Classification (choose any 1 of the answers below):

Normal: ≤ 2 minor* features (*excludes cysts, dilated MPD, hyperechoic nonshadowing foci), no major features

Consistent with Chronic Pancreatitis: (i) 1 major A feature (+) ≥ 3 minor features, or (ii) 1 major A feature (+) major B feature; or (iii) 2 major A features

Suggestive of Chronic Pancreatitis: (i) 1 major A feature (+) <3 minor features; or (ii) 1 major B feature (+) ≥ 3 minor features, or (iii) = or > 5 minor features (any)

Indeterminate for Chronic Pancreatitis: (i) 3 to 4 minor features, no major features; or (ii) major B feature alone or with < 3 minor features

TABLE 1 -- ROSEMONT CONSENSUS DEFINITIONS

About yourself {REQUIRED}

1. Your Initial

2. Your Country, please scroll down to see options

3. No of EUS procedures you have performed to-date, please scroll down to see options

4. Years of experience in EUS, please scroll down to see options

Email Address (to allow us to share with you the study results)

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