“…Further sampling is performed immediately if the specimen is inadequate, thus avoiding the need for repeat procedures. 1 ROSE can also reduce the number of unnecessary needle punctures during EUS-FNA, as the procedure is stopped once adequate tissue sample is obtained, potentially reducing the risk of local complications. ROSE is not widely available in many centres in Asia, due to logistical challenges of having a cytopathologist in attendance during all EUS-FNA procedures, and it also incurs additional manpower cost.…”