Advances and efficacy in specimen handling for endoscopic ultrasound‐guided fine needle aspiration and biopsy: A comprehensive review

Autor: Takuji Iwashita, Shinya Uemura, Tezuka Ryuichi, Akihiko Senju, Shota Iwata, Yosuke Ohashi, Masahito Shimizu
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: DEN Open, Vol 4, Iss 1, Pp n/a-n/a (2024)
Druh dokumentu: article
ISSN: 2692-4609
DOI: 10.1002/deo2.350
Popis: Abstract Endoscopic ultrasound‐guided fine needle aspiration and biopsy have significantly evolved since they offer a minimally invasive approach for obtaining pathological specimens from lesions adjacent to or within the intestine. This paper reviews advancements in endoscopic ultrasound‐guided fine needle aspiration and biopsy techniques and devices, emphasizing the importance of handling specimens for diagnostic accuracy. Innovations of fine needle biopsy needles with features like side holes and Franseen shapes have enhanced histological sampling capabilities. Techniques for specimen handling, including rapid on‐site evaluation and macroscopic on‐site evaluation, play pivotal roles in assessing sample adequacy, thereby influencing diagnostic outcomes. The utility of artificial intelligence in augmenting rapid on‐site evaluation and macroscopic on‐site evaluation, although still in experimental stages, presents a promising avenue for improving procedural efficiency and diagnostic precision. The choice of specimen handling technique is dependent on various factors including endoscopist preference, procedure objectives, and available resources, underscoring the need for a comprehensive understanding of each method's characteristics to optimize diagnostic efficacy and procedural safety.
Databáze: Directory of Open Access Journals