Endoscopy, Table of Contents Endoscopy 2023; 55(02): 138-139DOI: 10.1055/a-1942-6382 Editorial The role of macroscopic on-site evaluation in the era of biopsy needles: is it still useful?Referring to Mangiavillano B et al. p. 129–137Authors Author Affiliations Hirotoshi Ishiwatari 1 Division of Endoscopy, Shizuoka Cancer Center, Shizuoka, Japan Recommend Article Abstract Buy Article(opens in new window) Refers to:Endoscopic ultrasound-guided fine-needle biopsy with or without macroscopic on-site evaluation: a randomized controlled noninferiority trialEndoscopy 2023; 55(02): 129-137DOI: 10.1055/a-1915-5263 Full Text References References 1 Ishiwatari H, Sato J, Fujie S. et al. Gross visual inspection by endosonographers during endoscopic ultrasound-guided fine needle aspiration. Pancreatology 2019; 19: 191-195 2 Iwashita T, Yasuda I, Mukai T. et al. Macroscopic on-site quality evaluation of biopsy specimens to improve the diagnostic accuracy during EUS-guided FNA using a 19-gauge needle for solid lesions: a single-center prospective pilot study (MOSE study). Gastrointest Endosc 2015; 81: 177-185 3 Polkowski M, Jenssen C, Kaye P. et al. Technical aspects of endoscopic ultrasound (EUS)-guided sampling in gastroenterology: European Society of Gastrointestinal Endoscopy (ESGE) Technical Guideline – March 2017. Endoscopy 2017; 49: 989-1006 4 Chong CCN, Lakhtakia S, Nguyen N. et al. Endoscopic ultrasound-guided tissue acquisition with or without macroscopic on-site evaluation: randomized controlled trial. Endoscopy 2020; 52: 856-863 5 Kaneko J, Ishiwatari H, Sasaki K. et al. Macroscopic on-site evaluation of biopsy specimens for accurate pathological diagnosis during EUS-guided fine needle biopsy using 22-G Franseen needle. Endosc Ultrasound 2020; 9: 385-391 6 Mangiavillano B, Crino SF, Facciorusso A. et al. Endoscopic ultrasound-guided fine-needle biopsy with or without macroscopic on-site evaluation: a randomized controlled noninferiority trial. Endoscopy 2023; 55: 129-137 7 Karsenti D, Palazzo L, Perrot B. et al. 22G Acquire vs. 20G Procore needle for endoscopic ultrasound-guided biopsy of pancreatic masses: a randomized study comparing histologic sample quantity and diagnostic accuracy. Endoscopy 2020; 52: 747-753 8 Mita N, Iwashita T, Uemura S. et al. Endoscopic ultrasound-guided fine needle biopsy using 22-gauge Franseen needle for the histological diagnosis of solid lesions: a multicenter prospective pilot study. Dig Dis Sci 2020; 65: 1155-1163 9 Kaneko J, Ishiwatari H, Sasaki K. et al. Macroscopic visible core length can predict the histological sample quantity in endoscopic ultrasound-guided tissue acquisition: multicenter prospective study. Dig Endosc 2022; 34: 622-631