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2. EUS Needle Identification Comparison and Evaluation study (with videos)

Author

Peter P Fink, Edward Chen, Mohammad Adel Ali, Khanh Pham, Ali A. Siddiqui, Fauze Maluf-Filho, Paul Fockens, Adrian Saftoiu, Enrique Vazquez-Sequeiros, Raj J. Shah, Maor Lahav, Pramod Kumar Garg, James M. Scheiman, Field F. Willingham, Rabindra R. Watson, Elisabetta Buscarini, Rastislav Kunda, Norbert Gritzmann, Uzma D. Siddiqui, Costin Teodor Streba, Wanmei Wang, Garth Campbell, Paul S. Sidhu, Peter Vilmann, Marcus Kantowski, Harry R. Aslanian, Michael Hocke, Alberto Larghi, Malay Sharma, Pierre Henri Deprez, Andrew Y. Wang, Michael Griswold, Christian Pállson Nolsøe, Jürgen Pohl, Michael B. Wallace, Andreas Slot Vilmann, Roald Flesland Havre, Arnold J. Markowitz, Shou-Jiang Tang, Anand V. Sahai, Timothy C. McCowan, Vanessa M. Shami, Pietro Fusaroli, Fabio Piscaglia, Odd Helge Gilja, Christoph F. Dietrich, Manoop S. Bhutani, Niels Bang, Jinga Mariana, James Buxbaum, Ruonan Wu, Cyrillo Rodrigues de Araujo, Jouke T. Annema, T. Lorentzen, Simon Freeman, Girish Mishra, Maija Radzina, Gerard Isenberg, Linda S. Lee, Erik H.F.M. van der Heijden, Mirko D'Onofrio, Rajesh Puri, Christian Jenssen, AM Patel, William R. Brugge, Zeno Sparchez, Cynthia L. Harris, Michael J. Levy, Sten Mellerup Sørensen, Tang SJ, Vilmann AS, Saftoiu A, Wang W, Streba CT, Fink PP, Griswold M, Wu R, Dietrich CF, Jenssen C, Hocke M, Kantowski M, Pohl J, Fockens P, Annema JT, van der Heijden EH, Havre RF, Do-Cong Pham K, Kunda R, Deprez PH, Mariana J, Vazquez-Sequeiros E, Larghi A, Buscarini E, Fusaroli P, Lahav M, Puri R, Garg PK, Sharma M, Maluf-Filho F, Sahai A, Brugge WR, Lee LS, Aslanian HR, Wang AY, Shami VM, Markowitz A, Siddiqui AA, Mishra G, Scheiman JM, Isenberg G, Siddiqui UD, Shah RJ, Buxbaum J, Watson RR, Willingham FF, Bhutani MS, Levy MJ, Harris C, Wallace MB, Nolsøe CP, Lorentzen T, Bang N, Sørensen SM, Gilja OH, D'Onofrio M, Piscaglia F, Gritzmann N, Radzina M, Sparchez ZA, Sidhu PS, Freeman S, McCowan TC, Rodrigues de Araujo C Jr, Patel A, Ali MA, Campbell G, Chen E, Vilmann P, AGEM - Amsterdam Gastroenterology Endocrinology Metabolism, CCA -Cancer Center Amsterdam, Gastroenterology and Hepatology, AII - Amsterdam institute for Infection and Immunity, and Pulmonology

Subjects
medicine.medical_specialty, Endosonography, 03 medical and health sciences, 0302 clinical medicine, 030202 anesthesiology, Radiologists, Medicine, Humans, Radiology, Nuclear Medicine and imaging, Sampling (medicine), biopsy, EUS-guided FNA, Endoscopic Ultrasound-Guided Fine Needle Aspiration, business.industry, Phantoms, Imaging, EUS-guided FNA, biopsy, Significant difference, Gastroenterologists, Other Research Radboud Institute for Health Sciences [Radboudumc 0], fine needle aspiration, Gastroenterology, Echogenicity, Videotape Recording, Surgery, Needles, High definition, 030211 gastroenterology & hepatology, Radiology, business, Rare cancers Radboud Institute for Health Sciences [Radboudumc 9]
Abstract

Item does not contain fulltext BACKGROUND AND AIMS: EUS-guided FNA or biopsy sampling is widely practiced. Optimal sonographic visualization of the needle is critical for image-guided interventions. Of the several commercially available needles, bench-top testing and direct comparison of these needles have not been done to reveal their inherent echogenicity. The aims are to provide bench-top data that can be used to guide clinical applications and to promote future device research and development. METHODS: Descriptive bench-top testing and comparison of 8 commonly used EUS-FNA needles (all size 22 gauge): SonoTip Pro Control (Medi-Globe); Expect Slimline (Boston Scientific); EchoTip, EchoTip Ultra, EchoTip ProCore High Definition (Cook Medical); ClearView (Conmed); EZ Shot 2 (Olympus); and BNX (Beacon Endoscopic), and 2 new prototype needles, SonoCoat (Medi-Globe), coated by echogenic polymers made by Encapson. Blinded evaluation of standardized and unedited videos by 43 EUS endoscopists and 17 radiologists specialized in GI US examination who were unfamiliar with EUS needle devices. RESULTS: There was no significant difference in the ratings and rankings of these needles between endosonographers and radiologists. Overall, 1 prototype needle was rated as the best, ranking 10% to 40% higher than all other needles (P < .01). Among the commercially available needles, the EchoTip Ultra needle and the ClearView needle were top choices. The EZ Shot 2 needle was ranked statistically lower than other needles (30%-75% worse, P < .001). CONCLUSIONS: All FNA needles have their inherent and different echogenicities, and these differences are similarly recognized by EUS endoscopists and radiologists. Needles with polymeric coating from the entire shaft to the needle tip may offer better echogenicity.

Published
2016

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