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Serveur d'exploration sur les relations entre la France et l'Australie

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P-LUM-06: Diagnostic accuracy of combined needle use of the new 20-gauge procore fine needle biopsy and the 25-gauge fine needle aspiration needle in solid gastrointestinal lesions

Identifieur interne : 000660 ( Main/Exploration ); précédent : 000659; suivant : 000661

P-LUM-06: Diagnostic accuracy of combined needle use of the new 20-gauge procore fine needle biopsy and the 25-gauge fine needle aspiration needle in solid gastrointestinal lesions

Auteurs : Priscilla Van Riet [Pays-Bas] ; Paolo Giorgio Arcidiacono [Italie] ; Mariachiara Petrone [Italie] ; Emanuele Dabizzi [Italie] ; Nam Quoc Nguyen [Australie] ; Masayuki Kitano [Japon] ; Kenneth Chang [États-Unis] ; Schalk Van Der Merwe [Belgique] ; Marco J. Bruno [Pays-Bas] ; Djuna L. Cahen [Pays-Bas] ; Alberto Larghi [Italie] ; Julio Iglesias-Garcia [Espagne] ; Marc Giovannini [France] ; Erwin Santo [Israël] ; Francisco Baldaque Silva [Suède] ; Juan Carlos Bucobo [États-Unis] ; Marie Robert [États-Unis] ; Adebowale Adeniran [États-Unis] ; Romulo Celli [États-Unis] ; Harry Aslanian [États-Unis] ; James Farrell [États-Unis]

Source :

RBID : PMC:5569758

Abstract

Background and Objectives:

Endoscopic ultrasound (EUS) fine needle biopsy (FNB) needles were designed to improve histologic yield, while maintaining the flexibility to permit ease of use. However, the diagnostic benefit of EUS-FNB needles as compared to the conventional fine needle aspiration (FNA) needles remains unclear. This study aimed to identify the diagnostic accuracy of combined needle use of a new 20-gauge ProCore FNB needle and a 25-gauge FNA needle.

Methods:

For this study, cases were selected in which both the 20-gauge ProCore FNB needle and the 25-gauge FNA needle were used during a single EUS procedure for sampling of a solid pancreatic mass, lymph node, or submucosal mass. Tissue acquisition was performed in the course of the ASPRO trial, a multicenter randomized study comparing the diagnostic value of 20-gauge ProCore FNB and 25-gauge FNA needles (ClinicalTrials.gov: NCT02167074). The protocol allowed additional sampling with the nonassigned needle, at the discretion of an endosonographer.

Results:

Of all 615 patients who were randomized for the ASPRO study, 74 were sampled with both needle types. In these combined needle cases, FNA was used first in 24 and ProCore FNB in 50 cases. Target lesions encompassed 39 solid pancreatic lesions, 18 submucosal masses, and 17 lymph nodes. Most pancreatic lesions were located in the head (25/39), lymph nodes were mainly located in the abdomen (15/18), and submucosal lesions were located in the stomach (8/20), esophagus (4/20), small intestines (3/20), and rectum (3/20). The main reason to use ProCore in addition to FNA was to collect more tissue for ancillary testing (79%). FNA was generally used in addition to ProCore to allow for on-site pathological assessment (76%). The regimen of FNA followed by ProCore resulted in 100% accuracy, while for ProCore followed by FNA, 88% was reached (P = 0.086). The type of target lesion, either pancreatic or nonpancreatic, did not affect the diagnostic accuracy of the two sampling regimens (odds ratio 1.2, 95% confidence interval 0.22–6.61, P = 0.834).

Conclusion:

FNA followed by ProCore FNB provides for a 100% diagnostic accuracy and tends to outperform ProCore FNB followed by FNA. Accuracy rates were independent of the type of target lesion.


Url:
DOI: 10.4103/2303-9027.212309
PubMed: NONE
PubMed Central: 5569758


Affiliations:

Links toward previous steps (curation, corpus...)

Le document en format XML

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<name sortKey="Iglesias Garcia, Julio" sort="Iglesias Garcia, Julio" uniqKey="Iglesias Garcia J" first="Julio" last="Iglesias-Garcia">Julio Iglesias-Garcia</name>
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<nlm:aff id="aff8">University Hospital of Santiago de Compostela, Santiago de Compostela, Spain</nlm:aff>
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<name sortKey="Silva, Francisco Baldaque" sort="Silva, Francisco Baldaque" uniqKey="Silva F" first="Francisco Baldaque" last="Silva">Francisco Baldaque Silva</name>
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<name sortKey="Bucobo, Juan Carlos" sort="Bucobo, Juan Carlos" uniqKey="Bucobo J" first="Juan Carlos" last="Bucobo">Juan Carlos Bucobo</name>
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<name sortKey="Robert, Marie" sort="Robert, Marie" uniqKey="Robert M" first="Marie" last="Robert">Marie Robert</name>
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<name sortKey="Adeniran, Adebowale" sort="Adeniran, Adebowale" uniqKey="Adeniran A" first="Adebowale" last="Adeniran">Adebowale Adeniran</name>
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<name sortKey="Celli, Romulo" sort="Celli, Romulo" uniqKey="Celli R" first="Romulo" last="Celli">Romulo Celli</name>
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<name sortKey="Aslanian, Harry" sort="Aslanian, Harry" uniqKey="Aslanian H" first="Harry" last="Aslanian">Harry Aslanian</name>
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<name sortKey="Farrell, James" sort="Farrell, James" uniqKey="Farrell J" first="James" last="Farrell">James Farrell</name>
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<title xml:lang="en" level="a" type="main">P-LUM-06: Diagnostic accuracy of combined needle use of the new 20-gauge procore fine needle biopsy and the 25-gauge fine needle aspiration needle in solid gastrointestinal lesions</title>
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<name sortKey="Cahen, Djuna L" sort="Cahen, Djuna L" uniqKey="Cahen D" first="Djuna L." last="Cahen">Djuna L. Cahen</name>
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<name sortKey="Larghi, Alberto" sort="Larghi, Alberto" uniqKey="Larghi A" first="Alberto" last="Larghi">Alberto Larghi</name>
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<name sortKey="Iglesias Garcia, Julio" sort="Iglesias Garcia, Julio" uniqKey="Iglesias Garcia J" first="Julio" last="Iglesias-Garcia">Julio Iglesias-Garcia</name>
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<name sortKey="Giovannini, Marc" sort="Giovannini, Marc" uniqKey="Giovannini M" first="Marc" last="Giovannini">Marc Giovannini</name>
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<country xml:lang="fr">France</country>
<wicri:regionArea>Institute Paoli-Calmettes, Marseilles</wicri:regionArea>
<wicri:noRegion>Marseilles</wicri:noRegion>
<wicri:noRegion>Marseilles</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Santo, Erwin" sort="Santo, Erwin" uniqKey="Santo E" first="Erwin" last="Santo">Erwin Santo</name>
<affiliation wicri:level="1">
<nlm:aff id="aff10">Tel Aviv Sourasky Medical Center, Tel Aviv, Israel</nlm:aff>
<country xml:lang="fr">Israël</country>
<wicri:regionArea>Tel Aviv Sourasky Medical Center, Tel Aviv</wicri:regionArea>
<wicri:noRegion>Tel Aviv</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Silva, Francisco Baldaque" sort="Silva, Francisco Baldaque" uniqKey="Silva F" first="Francisco Baldaque" last="Silva">Francisco Baldaque Silva</name>
<affiliation wicri:level="1">
<nlm:aff id="aff11">Karolinska University Hospital, Huddinge, Sweden</nlm:aff>
<country xml:lang="fr">Suède</country>
<wicri:regionArea>Karolinska University Hospital, Huddinge</wicri:regionArea>
<wicri:noRegion>Huddinge</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Bucobo, Juan Carlos" sort="Bucobo, Juan Carlos" uniqKey="Bucobo J" first="Juan Carlos" last="Bucobo">Juan Carlos Bucobo</name>
<affiliation wicri:level="2">
<nlm:aff id="aff12">Stony Brook University Hospital, New York, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Stony Brook University Hospital, New York</wicri:regionArea>
<placeName>
<region type="state">État de New York</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Robert, Marie" sort="Robert, Marie" uniqKey="Robert M" first="Marie" last="Robert">Marie Robert</name>
<affiliation wicri:level="1">
<nlm:aff id="aff13">Yale University School of Medicine, New Haven, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Yale University School of Medicine, New Haven</wicri:regionArea>
<wicri:noRegion>New Haven</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Adeniran, Adebowale" sort="Adeniran, Adebowale" uniqKey="Adeniran A" first="Adebowale" last="Adeniran">Adebowale Adeniran</name>
<affiliation wicri:level="1">
<nlm:aff id="aff13">Yale University School of Medicine, New Haven, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Yale University School of Medicine, New Haven</wicri:regionArea>
<wicri:noRegion>New Haven</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Celli, Romulo" sort="Celli, Romulo" uniqKey="Celli R" first="Romulo" last="Celli">Romulo Celli</name>
<affiliation wicri:level="1">
<nlm:aff id="aff13">Yale University School of Medicine, New Haven, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Yale University School of Medicine, New Haven</wicri:regionArea>
<wicri:noRegion>New Haven</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Aslanian, Harry" sort="Aslanian, Harry" uniqKey="Aslanian H" first="Harry" last="Aslanian">Harry Aslanian</name>
<affiliation wicri:level="1">
<nlm:aff id="aff13">Yale University School of Medicine, New Haven, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Yale University School of Medicine, New Haven</wicri:regionArea>
<wicri:noRegion>New Haven</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Farrell, James" sort="Farrell, James" uniqKey="Farrell J" first="James" last="Farrell">James Farrell</name>
<affiliation wicri:level="1">
<nlm:aff id="aff13">Yale University School of Medicine, New Haven, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Yale University School of Medicine, New Haven</wicri:regionArea>
<wicri:noRegion>New Haven</wicri:noRegion>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Endoscopic Ultrasound</title>
<idno type="ISSN">2303-9027</idno>
<idno type="eISSN">2226-7190</idno>
<imprint>
<date when="2017">2017</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc>
<textClass></textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<sec id="st1">
<title>Background and Objectives:</title>
<p>Endoscopic ultrasound (EUS) fine needle biopsy (FNB) needles were designed to improve histologic yield, while maintaining the flexibility to permit ease of use. However, the diagnostic benefit of EUS-FNB needles as compared to the conventional fine needle aspiration (FNA) needles remains unclear. This study aimed to identify the diagnostic accuracy of combined needle use of a new 20-gauge ProCore FNB needle and a 25-gauge FNA needle.</p>
</sec>
<sec id="st2">
<title>Methods:</title>
<p>For this study, cases were selected in which both the 20-gauge ProCore FNB needle and the 25-gauge FNA needle were used during a single EUS procedure for sampling of a solid pancreatic mass, lymph node, or submucosal mass. Tissue acquisition was performed in the course of the ASPRO trial, a multicenter randomized study comparing the diagnostic value of 20-gauge ProCore FNB and 25-gauge FNA needles (ClinicalTrials.gov: NCT02167074). The protocol allowed additional sampling with the nonassigned needle, at the discretion of an endosonographer.</p>
</sec>
<sec id="st3">
<title>Results:</title>
<p>Of all 615 patients who were randomized for the ASPRO study, 74 were sampled with both needle types. In these combined needle cases, FNA was used first in 24 and ProCore FNB in 50 cases. Target lesions encompassed 39 solid pancreatic lesions, 18 submucosal masses, and 17 lymph nodes. Most pancreatic lesions were located in the head (25/39), lymph nodes were mainly located in the abdomen (15/18), and submucosal lesions were located in the stomach (8/20), esophagus (4/20), small intestines (3/20), and rectum (3/20). The main reason to use ProCore in addition to FNA was to collect more tissue for ancillary testing (79%). FNA was generally used in addition to ProCore to allow for on-site pathological assessment (76%). The regimen of FNA followed by ProCore resulted in 100% accuracy, while for ProCore followed by FNA, 88% was reached (
<italic>P</italic>
= 0.086). The type of target lesion, either pancreatic or nonpancreatic, did not affect the diagnostic accuracy of the two sampling regimens (odds ratio 1.2, 95% confidence interval 0.22–6.61,
<italic>P</italic>
= 0.834).</p>
</sec>
<sec id="st4">
<title>Conclusion:</title>
<p>FNA followed by ProCore FNB provides for a 100% diagnostic accuracy and tends to outperform ProCore FNB followed by FNA. Accuracy rates were independent of the type of target lesion.</p>
</sec>
</div>
</front>
</TEI>
<affiliations>
<list>
<country>
<li>Australie</li>
<li>Belgique</li>
<li>Espagne</li>
<li>France</li>
<li>Israël</li>
<li>Italie</li>
<li>Japon</li>
<li>Pays-Bas</li>
<li>Suède</li>
<li>États-Unis</li>
</country>
<region>
<li>Hollande-Méridionale</li>
<li>Latium</li>
<li>Lombardie</li>
<li>État de New York</li>
</region>
<settlement>
<li>Milan</li>
<li>Rome</li>
<li>Rotterdam</li>
</settlement>
</list>
<tree>
<country name="Pays-Bas">
<region name="Hollande-Méridionale">
<name sortKey="Van Riet, Priscilla" sort="Van Riet, Priscilla" uniqKey="Van Riet P" first="Priscilla" last="Van Riet">Priscilla Van Riet</name>
</region>
<name sortKey="Bruno, Marco J" sort="Bruno, Marco J" uniqKey="Bruno M" first="Marco J." last="Bruno">Marco J. Bruno</name>
<name sortKey="Cahen, Djuna L" sort="Cahen, Djuna L" uniqKey="Cahen D" first="Djuna L." last="Cahen">Djuna L. Cahen</name>
</country>
<country name="Italie">
<region name="Lombardie">
<name sortKey="Arcidiacono, Paolo Giorgio" sort="Arcidiacono, Paolo Giorgio" uniqKey="Arcidiacono P" first="Paolo Giorgio" last="Arcidiacono">Paolo Giorgio Arcidiacono</name>
</region>
<name sortKey="Dabizzi, Emanuele" sort="Dabizzi, Emanuele" uniqKey="Dabizzi E" first="Emanuele" last="Dabizzi">Emanuele Dabizzi</name>
<name sortKey="Larghi, Alberto" sort="Larghi, Alberto" uniqKey="Larghi A" first="Alberto" last="Larghi">Alberto Larghi</name>
<name sortKey="Petrone, Mariachiara" sort="Petrone, Mariachiara" uniqKey="Petrone M" first="Mariachiara" last="Petrone">Mariachiara Petrone</name>
</country>
<country name="Australie">
<noRegion>
<name sortKey="Nguyen, Nam Quoc" sort="Nguyen, Nam Quoc" uniqKey="Nguyen N" first="Nam Quoc" last="Nguyen">Nam Quoc Nguyen</name>
</noRegion>
</country>
<country name="Japon">
<noRegion>
<name sortKey="Kitano, Masayuki" sort="Kitano, Masayuki" uniqKey="Kitano M" first="Masayuki" last="Kitano">Masayuki Kitano</name>
</noRegion>
</country>
<country name="États-Unis">
<noRegion>
<name sortKey="Chang, Kenneth" sort="Chang, Kenneth" uniqKey="Chang K" first="Kenneth" last="Chang">Kenneth Chang</name>
</noRegion>
<name sortKey="Adeniran, Adebowale" sort="Adeniran, Adebowale" uniqKey="Adeniran A" first="Adebowale" last="Adeniran">Adebowale Adeniran</name>
<name sortKey="Aslanian, Harry" sort="Aslanian, Harry" uniqKey="Aslanian H" first="Harry" last="Aslanian">Harry Aslanian</name>
<name sortKey="Bucobo, Juan Carlos" sort="Bucobo, Juan Carlos" uniqKey="Bucobo J" first="Juan Carlos" last="Bucobo">Juan Carlos Bucobo</name>
<name sortKey="Celli, Romulo" sort="Celli, Romulo" uniqKey="Celli R" first="Romulo" last="Celli">Romulo Celli</name>
<name sortKey="Farrell, James" sort="Farrell, James" uniqKey="Farrell J" first="James" last="Farrell">James Farrell</name>
<name sortKey="Robert, Marie" sort="Robert, Marie" uniqKey="Robert M" first="Marie" last="Robert">Marie Robert</name>
</country>
<country name="Belgique">
<noRegion>
<name sortKey="Van Der Merwe, Schalk" sort="Van Der Merwe, Schalk" uniqKey="Van Der Merwe S" first="Schalk" last="Van Der Merwe">Schalk Van Der Merwe</name>
</noRegion>
</country>
<country name="Espagne">
<noRegion>
<name sortKey="Iglesias Garcia, Julio" sort="Iglesias Garcia, Julio" uniqKey="Iglesias Garcia J" first="Julio" last="Iglesias-Garcia">Julio Iglesias-Garcia</name>
</noRegion>
</country>
<country name="France">
<noRegion>
<name sortKey="Giovannini, Marc" sort="Giovannini, Marc" uniqKey="Giovannini M" first="Marc" last="Giovannini">Marc Giovannini</name>
</noRegion>
</country>
<country name="Israël">
<noRegion>
<name sortKey="Santo, Erwin" sort="Santo, Erwin" uniqKey="Santo E" first="Erwin" last="Santo">Erwin Santo</name>
</noRegion>
</country>
<country name="Suède">
<noRegion>
<name sortKey="Silva, Francisco Baldaque" sort="Silva, Francisco Baldaque" uniqKey="Silva F" first="Francisco Baldaque" last="Silva">Francisco Baldaque Silva</name>
</noRegion>
</country>
</tree>
</affiliations>
</record>

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