A comparison of the antegrade core trap and reverse bevel needles for EUS-guided fine-needle biopsy sampling of liver mass: a prospective randomized cross over study

Kongkam, Pradermchai; Nalinthassanai, Nutbordee; Prueksapanich, Piyapan; Sanpavat, Anapat; Cañones, Arlyn R.; Luangsukrerk, Thanawat; Angsuwatcharakon, Phonthep; Ridtitid, Wiriyaporn; Kullavanijaya, Pinit; Treeprasertsuk, Sombat; Rerknimitr, Rungsun

doi:10.1016/j.hpb.2021.10.009

Cited by 4 publications

(4 citation statements)

References 12 publications

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“…The newly developed antegrade-bevel needle demonstrated comparable efficacy and incidence of adverse events to the original reverse-bevel needle. However, the antegrade-bevel needles were able to obtain a larger amount of biopsy tissue compared to the reverse-bevel needles[ 25 ].…”

Section: Discussionmentioning

confidence: 99%

Role of endoscopic ultrasound and endoscopic ultrasound-guided tissue acquisition in diagnosing hepatic focal lesions

Okasha,

Delsa,

Alsawaf

et al. 2023

World J Methodol

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The documentation of psychological trauma is obviously a challenge to clinicians while they are diving deep into remote events related to their clients or patients. The potential role of psychological trauma in the early developmental stages, and even the existence of adverse childhood experiences, is important to prove, yet it is difficult to do so. A diverse range of methods have been applied, all of which presumably benchmark a big therapeutic step; however, these enthusiastic methods frequently do not last for long. While hypnosis supporters, Freudian and Neo-Freudian disciples can be acute enough to enhance and uncover suppressed memories, modern psychiatry relies mostly on diversely structured interviews. Functional magnetic resonance and its related subtleties might help, but the questions that remain unanswered are numerous and confusing. Connecting early experiences with long-term memory while identifying psychological trauma its importance for the individual’s growth trajectory; thus, it remains an intriguing issue.

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Section: Discussionmentioning

confidence: 99%

Role of endoscopic ultrasound and endoscopic ultrasound-guided tissue acquisition in diagnosing hepatic focal lesions

Okasha,

Delsa,

Alsawaf

et al. 2023

World J Methodol

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“…First-generation FNB needles have been studied in retrospective studies, showing that the diagnostic accuracy of reverse-beveled needles for solid hepatic lesions was 89.7–90%, and the adequacy for IHC was 88–91% [ 11 , 12 , 13 ] but without advantages over EUS-FNA needles [ 14 ] or 20G antegrade beveled needles (diagnostic accuracy of 88.5%) [ 31 ].…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Ultrasound-Guided Fine-Needle Biopsy versus Fine-Needle Aspiration in the Diagnosis of Focal Liver Lesions: Prospective Head-to-Head Comparison

et al. 2022

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Endoscopic ultrasound-guided fine-needle biopsy (EUS-FNB) or fine-needle aspiration (EUS-FNA) from focal liver lesions are indicated in selected cases, but there has been no previous comparison of needle types of the same size. The aim of our study was to compare the histologic diagnostic accuracy and adequacy of cores obtained with EUS-FNB needles in contrast to those obtained with FNA needles in focal liver lesions. This prospective one-center study included patients with left lobe hepatic focal lesions with contraindications for percutaneous liver biopsy or need for EUS for concomitant lesions. Each patient had one pass of 22G EUS-FNB (Franseen) needle and one pass of 22G EUS-FNA in a crossover manner, without macroscopic on-site evaluation. Each sample was analyzed separately for histologic adequacy and diagnosis. The final diagnosis was based on histology results or on imaging follow-up in the case of negative biopsies. The EUS-FNB samples (n = 30) were found to be more adequate for histologic analysis, with more cellularity and longer tissue aggregates than the EUS-FNA samples (n = 30). The accuracy of EUS-FNB was 100%, whereas that of EUS-FNA was 86.7% (p = 0.039). No post-procedure complications were noted. The 22G EUS-FNB needle proved superior to 22G EUS-FNA in terms of tissue acquisition diagnostic accuracy and histologic adequacy in focal liver lesions.

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“…Further, the use of EUS in close proximity to the liver allows for better visualization of liver lesions for targeted liver biopsies[ 10 ]. In fact, multiple studies have shown a diagnostic accuracy between 85%-90% for solid liver masses using EUS-guided FNB[ 14 - 16 ]. Use of ultrasound-guided technique also allows practitioners to avoid critical structures during biopsy procurement.…”

Section: Methods Of Liver Biopsymentioning

confidence: 99%

Update on endoscopic ultrasound-guided liver biopsy

Rangwani¹,

Ardeshna²,

Mumtaz³

et al. 2022

WJG

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Endoscopic ultrasound guided liver biopsy (EUS-LB) has emerged as a minimally-invasive alternative to the traditional (percutaneous or transjugular) liver biopsy techniques for the diagnosis of liver parenchymal diseases. Po-tentially, EUS-LB combines the advantages of percutaneous and transjugular liver biopsy in addressing focused sampling in addition to measuring portal pressure. Additionally, EUS-LB facilitates access to both the lobes of the liver which is not considered with the traditional percutaneous liver biopsy. Multiple studies have compared EUS-LB with conventional liver biopsy and reported comparable diagnostic yield, increased acquisition of complete portal tracts, and longer specimen length as compared to the traditional approaches. EUS-LB is associated with lesser post-procedural pain and shorter recovery time, while providing lower risk of complications when compared to traditional liver biopsy. Innovations in needle types, needle sizes and suction techniques have aimed at further optimizing the EUS-LB technique. This review article updates current literature with focus on the variations in the technique and equipment used for EUS-LB, and compares EUS-LB with traditional methods of liver biopsy.

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A comparison of the antegrade core trap and reverse bevel needles for EUS-guided fine-needle biopsy sampling of liver mass: a prospective randomized cross over study

Cited by 4 publications

References 12 publications

Role of endoscopic ultrasound and endoscopic ultrasound-guided tissue acquisition in diagnosing hepatic focal lesions

Role of endoscopic ultrasound and endoscopic ultrasound-guided tissue acquisition in diagnosing hepatic focal lesions

Endoscopic Ultrasound-Guided Fine-Needle Biopsy versus Fine-Needle Aspiration in the Diagnosis of Focal Liver Lesions: Prospective Head-to-Head Comparison

Update on endoscopic ultrasound-guided liver biopsy

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