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CC BY-NC-ND 4.0 · Endosc Int Open 2024; 12(09): E1015-E1022
DOI: 10.1055/a-2362-5524
Original article

Performance evaluation of endoscopic ultrasonography needles: Experimental study

Yasunobu Yamashita
1   Second Department of Internal Medicine, Wakayama Medical University, Wakayama, Japan
,
REIKO ASHIDA 
1   Second Department of Internal Medicine, Wakayama Medical University, Wakayama, Japan
,
Chimyon Gon
2   Research and Development Center, Zeon Corporation, Takaoka, Japan
,
Hidehiro Kuroki
2   Research and Development Center, Zeon Corporation, Takaoka, Japan
,
Hirofumi Yamazaki
1   Second Department of Internal Medicine, Wakayama Medical University, Wakayama, Japan
,
Akiya Nakahata
1   Second Department of Internal Medicine, Wakayama Medical University, Wakayama, Japan
,
Takashi Tamura
1   Second Department of Internal Medicine, Wakayama Medical University, Wakayama, Japan
,
Keiichi Hatamaru
1   Second Department of Internal Medicine, Wakayama Medical University, Wakayama, Japan
,
Masahiro Itonaga
1   Second Department of Internal Medicine, Wakayama Medical University, Wakayama, Japan
,
Masayuki Kitano 
1   Second Department of Internal Medicine, Wakayama Medical University, Wakayama, Japan
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Abstract

Background and study aims The relative procedural performance of needles for endoscopic ultrasound-guided fine-needle aspiration/biopsy (EUS-FNA/B) is unclear. The present study therefore compared six types of 22-gauge FNA/B needles using a bench simulator.

Methods Resistance forces during needle puncture and removal, needle tip damage before and after procedure, leakage after puncture of mucinous cyst models, the shape of the puncture surface at the puncture site, amounts of samples extracted, ranges of needle deflection angles, and needle deformation after multiple procedures were compared using six types of needles.

Results Maximum resistance forces during puncture and removal were highest for ProCore needles and lowest for Expect needles. None of the needles had damage after puncturing. SharkCore needles showed the highest amount of leakage, whereas FNA needles showed no leakage. The puncture tracts of FNA needles remained in the form of a flap at the puncture site, whereas FNB needles broke off the target material creating a hole. The target material removed was supplemented within the puncture needle. TopGain needles produced significantly larger samples than ProCore, EZShot3 Plus, and Expect needles. FNB needles produced larger and more core samples than FNA needles. EZShot3 Plus needles had the highest range of needle deflection angle using an elevator device and the lowest needle deformation after 20 punctures at full endoscopic angle and a full elevator.

Conclusions The performance of the six needles differed in various ways. Understanding the characteristics of each needle may allow for selection of the appropriate needle for each situation.

Keywords

Endoscopic ultrasonography - Fine-needle aspiration/biopsy - Intervention EUS


Publication History

Received: 24 February 2024

Accepted after revision: 19 June 2024

Accepted Manuscript online:
08 July 2024

Article published online:
09 September 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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  • References

  • 1 Singla V, Agarwal R, Anikhindi SA. et al. Role of EUS-FNA for gallbladder mass lesions with biliary obstruction: a large single-center experience. Endosc Int Open 2019; 7: E1403-E1409
    Thieme ConnectPubMedSearch in Google Scholar
  • 2 Chen YI, Chatterjee A, Berger R. et al. Endoscopic ultrasound (EUS)-guided fine needle biopsy alone vs. EUS-guided fine needle aspiration with rapid onsite evaluation in pancreatic lesions: a multicenter randomized trial. Endoscopy 2022; 54: 4-12
    Thieme ConnectPubMedSearch in Google Scholar
  • 3 Crowe DR, Eloubeidi MA, Chhieng DC. et al. Fine-needle aspiration biopsy of hepatic lesions: computerized tomographic-guided versus endoscopic ultrasound-guided FNA. Cancer 2006; 108: 180-185
    CrossrefPubMedSearch in Google Scholar
  • 4 Kurita A, Kodama Y, Nakamoto Y. et al. Impact of EUS-FNA for preoperative para-aortic lymph node staging in patients with pancreatobiliary cancer. Gastrointest Endosc 2016; 84: 467-475
    CrossrefPubMedSearch in Google Scholar
  • 5 Sepe PS, Moparty B, Pitman MB. et al. EUS-guided FNA for the diagnosis of GI stromal cell tumors: sensitivity and cytologic yield. Gastrointest Endosc 2009; 70: 254-261
    CrossrefPubMedSearch in Google Scholar
  • 6 Sadeghi A, Mohamadnejad M, Islami F. et al. Diagnostic yield of EUS-guided FNA for malignant biliary stricture: a systematic review and meta-analysis. Gastrointest Endosc 2016; 83: 290-298
    CrossrefPubMedSearch in Google Scholar
  • 7 van Riet PA, Erler NS, Bruno MJ. et al. Comparison of fine-needle aspiration and fine-needle biopsy devices for endoscopic ultrasound-guided sampling of solid lesions: a systemic review and meta-analysis. Endoscopy 2021; 53: 411-423
    Thieme ConnectPubMedSearch in Google Scholar
  • 8 Li SY, Wang ZJ, Pan CY. et al. Comparative performance of endoscopic ultrasound-based techniques in patients with pancreatic cystic lesions: A network meta-analysis Am. J Gastroenterol 2023; 118: 243-255
    PubMedSearch in Google Scholar
  • 9 Facciorusso A, Crinò SF, Gkolfakis P. et al. Comparative performance of endoscopic ultrasound-based techniques in patients with pancreatic cystic lesions: A network meta-analysis. Am J Gastroenterol 2023; 118: 243-255
    CrossrefPubMedSearch in Google Scholar
  • 10 Tang SJ, Vilmann AS, Saftoiu A. et al. EUS Needle Identification comparison and evaluation study (with videos). Gastrointest Endosc 2016; 84: 424-433
    CrossrefPubMedSearch in Google Scholar
  • 11 Mukai S, Itoi T, Katanuma A. et al. An animal experimental study to assess the core tissue acquisition ability of endoscopic ultrasound-guided histology needles. Endosc Ultrasound 2018; 7: 263-269
    CrossrefPubMedSearch in Google Scholar
  • 12 Itoi T, Itokawa F, Kurihara T. et al. Experimental endoscopy: objective evaluation of EUS needles. Gastrointest Endosc 2009; 69: 509-516
    CrossrefPubMedSearch in Google Scholar
  • 13 Yousri M, Abusinna E, Tahoun N. et al. A comparative study of the diagnostic utility of endoscopic ultrasound-guided fine needle aspiration cytology (EUS-FNA) versus endoscopic ultrasound-guided fine needle biopsy (EUS-FNB) in pancreatic and non-pancreatic lesions. Asian Pac J Cancer Prev 2022; 23: 2151-2158
    CrossrefPubMedSearch in Google Scholar
  • 14 Kovacevic B, Toxværd A, Klausen P. et al. Tissue amount and diagnostic yield of a novel franseen EUS-FNB and a standard EUS-FNA needle – A randomized controlled study in solid pancreatic lesions. Endosc Ultrasound 2023; 12: 319-325
    CrossrefPubMedSearch in Google Scholar