Randomized controlled trial comparing the Franseen needle with the Fork-tip needle for EUS-guided fine-needle biopsy

Ashat, Munish; Klair, Jagpal S.; Rooney, Sydney L.; Vishal, Sagar; Jensen, Chris S.; Sahar, Nadav; Murali, Arvind R.; Abiad, Rami El; Gerke, Henning

doi:10.1016/j.gie.2020.05.057

Cited by 33 publications

(30 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Recently, endoscopic ultrasound-guided fine-needle biopsy (EUS-FNB) that uses a needle capable of cutting out tissue has been developed [7][8][9][10][11][12][13]. Among the various types of FNB needles, a fork-tip needle has a unique structure with a sharp tip that splits into two halves (Figure 1a), and its usefulness has been reported in pancreatic tumors [14][15][16][17][18][19]. However, few studies have referred to a EUS-FNB for GI SELs using the fork-tip needle.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Usefulness of a Fork-Tip Needle in Endoscopic Ultrasound-Guided Fine-Needle Biopsy for Gastric Subepithelial Lesions

et al. 2021

View full text Add to dashboard Cite

The sample adequacy and diagnostic accuracy of an endoscopic ultrasound (EUS)-guided fine-needle aspiration (EUS-FNA) for gastric subepithelial lesions (SELs) have been reported to be imperfect. To resolve these issues, a fork-tip needle as an EUS-guided fine-needle biopsy (FNB) needle has been developed. This study was conducted to evaluate the usefulness of a fork-tip needle in an EUS-FNB for gastric SELs. Seventy-nine patients who received an EUS-FNA or FNB using a fork-tip needle for gastric SELs were included in the study. The sample adequacy and diagnostic accuracy were compared between the EUS-FNB with the fork-tip needle group (fork-tip group, n = 13) and the EUS-FNA with FNA needle group (FNA group, n = 66). In addition, a multivariate analysis of the factors influencing diagnostic accuracy was conducted. Regarding sample adequacy, there was no significant difference between the groups (100% vs. 90.9%, respectively; p = 0.582). The diagnostic accuracy of the fork-tip group was numerically higher than that of the FNA group (92.3% vs. 81.8%, respectively; p = 0.682). In a multivariate analysis, the diagnostic accuracy was related to the tumor size and location of the SEL but not to the needle type. In conclusion, this study does not show statistical superiority, but suggests the useful potential of a fork-tip needle.

show abstract

Section: Introductionmentioning

confidence: 99%

“…of FNB needles, a fork-tip needle has a unique structure with a sharp tip that splits into two halves (Figure 1a), and its usefulness has been reported in pancreatic tumors [14][15][16][17][18][19]. However, few studies have referred to a EUS-FNB for GI SELs using the fork-tip needle.…”

Section: Introductionmentioning

confidence: 99%

Usefulness of a Fork-Tip Needle in Endoscopic Ultrasound-Guided Fine-Needle Biopsy for Gastric Subepithelial Lesions

et al. 2021

View full text Add to dashboard Cite

show abstract

“…Tissue acquisition by endoscopic ultrasound (EUS)-guided fine needle aspiration (EUS-FNA) has been regarded as insufficient for the diagnosis of AIP due to the small amounts of tissue acquired by this method. However, with the development of needles for tissue acquisition, specimens that favorably compare with core biopsies in size can be obtained under EUS guidance (EUSguided fine needle biopsy, EUS-FNB), [9][10][11][12][13] which enables the biopsy diagnosis of AIP as a feasible method. [14][15][16] We created the guidance described below to standardize the biopsy diagnosis of AIP and improve its accuracy.…”

Section: Introductionmentioning

confidence: 99%

Guidance for diagnosing autoimmune pancreatitis with biopsy tissues

Notohara

Kamisawa

Fukushima

et al. 2020

Pathology International

View full text Add to dashboard Cite

The biopsy‐based diagnosis of autoimmune pancreatitis (AIP) is difficult but is becoming imperative for pathologists due to the increased amount of endoscopic ultrasound‐guided biopsy tissue. To cope with this challenge, we propose guidance for the biopsy diagnosis of type 1 AIP. This guidance is for pathologists and comprises three main parts. The first part includes basic issues on tissue acquisition, staining, and final diagnosis, and is intended for gastroenterologists as well. The second part is a practical guide for diagnosing type 1 AIP based on the AIP clinical diagnostic criteria 2018. Inconsistent histological findings, tips for evaluating IgG4 immunostaining and key histological features including the ductal lesion and others are explained. Storiform fibrosis and obliterative phlebitis are diagnostic hallmarks but are sometimes equivocal. Storiform fibrosis is defined as spindle‐shaped cells, inflammatory cells and fine collagen fibers forming a flowing arrangement. Obliterative phlebitis is defined as fibrous venous obliteration with inflammatory cells. Examples of each are provided. The third part describes the differentiation of AIP from pancreatic ductal adenocarcinoma (PDAC), focusing on histological features of acinar‐ductal metaplasia in AIP, which is an important mimicker of PDAC. This guidance will help standardize pathology reports of pancreatic biopsies for diagnosing type 1 AIP.

show abstract

“…In addition, no statistically significant differences were found in terms of tissue quality or quantity, total tissue obtained, total tumor tissue, and the desmoplastic fibrosis yield obtained by the two needles. Another randomized controlled trial also demonstrated no significant difference in the diagnostic accuracy, 64 out of 75 (85.3%) versus 68 out of 75 (90.7%), ( p = 0.45) between franseen and fork-tip needles [ 63 ]. Recently, a meta-analysis comparing the two needles for EUS FNB of solid mass lesions was published [ 64 ].…”

Section: Eus-fnbmentioning

confidence: 99%

Current Status of Needles in the Optimization of Endoscopic Ultrasound-Guided Procedures

et al. 2020

View full text Add to dashboard Cite

Endoscopic ultrasound (EUS) is among the most important tools for the evaluation of gastrointestinal tumors and affected areas around the gastrointestinal tract. It enables the acquisition of material from abnormal lesions via the gastrointestinal wall for tissue confirmation via endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA). EUS-FNA has played a vital role in oncological care and has become the standard method for tissue sampling. The choice of needle type is an important factor determining tissue acquisition and has been evaluated by many researchers. New needles are introduced into the market almost every year, and opinions vary regarding proper needle selection. While there are diverse opinions but no definitive recommendations about the use of one particular device, fine-needle biopsy needles may provide detailed information on a tissue’s architecture based on greater sample yields. This permits additional analyses, including genetic sequencing and phenotyping, thereby enabling the provision of more personalized treatment plans. Furthermore, other EUS-guided procedures have been developed, including interventional EUS and through-the-needle devices. Given the continued attempts to improve the diagnostic ability and therapeutic techniques, we review in detail the available types of puncture needles to provide guidance on the selection of the appropriate needle types.

show abstract

Randomized controlled trial comparing the Franseen needle with the Fork-tip needle for EUS-guided fine-needle biopsy

Cited by 33 publications

References 38 publications

Usefulness of a Fork-Tip Needle in Endoscopic Ultrasound-Guided Fine-Needle Biopsy for Gastric Subepithelial Lesions

Usefulness of a Fork-Tip Needle in Endoscopic Ultrasound-Guided Fine-Needle Biopsy for Gastric Subepithelial Lesions

Guidance for diagnosing autoimmune pancreatitis with biopsy tissues

Current Status of Needles in the Optimization of Endoscopic Ultrasound-Guided Procedures

Contact Info

Product

Resources

About