The usefulness of EUS-FNA with contrast-enhanced harmonic imaging of solid pancreatic lesions: A prospective study.

Journal of Gastroenterology and Hepatology
Masahiro ItonagaShin-Ichi Murata

Abstract

Few studies have investigated endoscopic ultrasound-guided fine-needle aspiration with contrast-enhanced harmonic imaging (EUS-FNA-CHI) for diagnosing and adequately sampling pancreatic lesions. This study aimed to investigate the efficacy of EUS-FNA-CHI compared with that of endoscopic ultrasound-guided fine-needle aspiration with fundamental B mode imaging (EUS-FNA-FBI) for diagnosing solid pancreatic lesions. Consecutive patients with solid pancreatic lesions were enrolled prospectively (UMIN 000024467). Only samples obtained during the first needle pass (EUS-FNA-FBI) and second needle pass (EUS-FNA-CHI) were used to compare the accuracy rate for diagnosing pancreatic lesions and rate of adequate sampling for histological evaluation. In patients with hypo-enhancing lesions on contrast-enhanced harmonic EUS (CH-EUS), subgroup analyses were performed. Patients were classified into those with a heterogeneous area in the whole lesion (whole group), those with a heterogeneous area with a non-enhancing area (non-enhancing group), and those with a heterogeneous area with a homogeneous area (homogeneous group). Ninety-three patients were enrolled. Overall, the rates of adequate sampling and sensitivity were significantly higher with...Continue Reading

References

Apr 22, 2004·Endoscopy·M S BhutaniUNKNOWN No Endosonographic Detection of Tumor (NEST) Study
Jun 4, 2005·Gastrointestinal Endoscopy·Keith E VolmarH Bill Xie
Jul 12, 2005·Journal of Gastroenterology·Kazushi NumataKatsuaki Tanaka
Dec 25, 2007·Gastrointestinal Endoscopy·Masayuki KitanoMasatoshi Kudo
Apr 27, 2010·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Pietro FusaroliGiancarlo Caletti
Oct 20, 2011·The American Journal of Gastroenterology·Masayuki KitanoYoshifumi Takeyama
Oct 12, 2013·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Kazuki UedaMasahiro Itonaga
Jul 7, 2015·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·Mitsuru SugimotoHiromasa Ohira
Feb 22, 2017·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Huiyun ZhuZhaoshen Li
Oct 20, 2018·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Yasunobu YamashitaMasayuki Kitano

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Citations

Nov 26, 2020·Endoscopy·Anthony Yuen Bun Teoh
Nov 5, 2020·Diagnostics·Masahiro ItonagaMasayuki Kitano
Feb 22, 2021·Journal of Digestive Diseases·Tiing Leong Ang, Lai Mun Wang
Aug 14, 2021·Current Opinion in Gastroenterology·Guru TrikudanathanShounak Majumder

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