22g needle echotip  (Cook Medical Inc)

Journal: Cureus

Article Title: Endoscopic Ultrasound-Guided Tissue Acquisition Versus Fine Needle Aspiration for Diagnosis of Pancreatic Ductal Adenocarcinoma

doi: 10.7759/cureus.41576

Figure Lengend Snippet: a: The 22G needle has tiny fenestrations on the needle body (double-headed yellow arrow) to improve visualization during a EUS examination b: The ProCore® 20 needle tip has an inverted bevel (yellow arrow) to obtain a microcore biopsy EUS: Endoscopic ultrasound

Article Snippet: The EUS-FNA was performed with the EchoTip® 22G needle (Cook Medical, Bloomington, IN, USA), and the EUS-TA was done with the new PC20 needle with a double forward bevel (Figure ).

Techniques:

Journal: Cureus

Article Title: Endoscopic Ultrasound-Guided Tissue Acquisition Versus Fine Needle Aspiration for Diagnosis of Pancreatic Ductal Adenocarcinoma

doi: 10.7759/cureus.41576

Figure Lengend Snippet: a: Microcore biopsy obtained by EUS-FNA with a 22G needle; b: Biopsy by EUS-TA taken with a PC20 needle After washing the needles, the collected tissue samples were formalin-fixed (buffered formaldehyde solution at 10%) and processed for pathological diagnosis. EUS: Endoscopic ultrasound, FNA: Fine needle aspiration, TA: Tissue acquisition, PC20: ProCore 20

Article Snippet: The EUS-FNA was performed with the EchoTip® 22G needle (Cook Medical, Bloomington, IN, USA), and the EUS-TA was done with the new PC20 needle with a double forward bevel (Figure ).

Techniques: Biomarker Discovery

Journal: Cureus

Article Title: Endoscopic Ultrasound-Guided Tissue Acquisition Versus Fine Needle Aspiration for Diagnosis of Pancreatic Ductal Adenocarcinoma

doi: 10.7759/cureus.41576

Figure Lengend Snippet: a: Clustered atypical pancreatic cells dissociating fibrotic area obtained by the 22G needle (red arrowheads); b: Infiltrating pancreatic adenocarcinoma associated with exuberant desmoplastic reaction (black arrowheads)

Article Snippet: The EUS-FNA was performed with the EchoTip® 22G needle (Cook Medical, Bloomington, IN, USA), and the EUS-TA was done with the new PC20 needle with a double forward bevel (Figure ).

Techniques:

Journal: Cureus

Article Title: Endoscopic Ultrasound-Guided Tissue Acquisition Versus Fine Needle Aspiration for Diagnosis of Pancreatic Ductal Adenocarcinoma

doi: 10.7759/cureus.41576

Figure Lengend Snippet: Overall patient characteristics and EUS findings *Chi-square test, **Mann-Whitney U test, ***Proportional test, ****Fisher’s exact test PC20: ProCore 20, EUS: Endoscopic ultrasound, MPD: Main pancreatic duct, FNA: Fine needle aspiration, TA: Tissue acquisition, p-NET: Pancreatic neuroendocrine tumor

Article Snippet: The EUS-FNA was performed with the EchoTip® 22G needle (Cook Medical, Bloomington, IN, USA), and the EUS-TA was done with the new PC20 needle with a double forward bevel (Figure ).

Techniques: Immunohistochemistry, Biomarker Discovery

Journal: Cureus

Article Title: Endoscopic Ultrasound-Guided Tissue Acquisition Versus Fine Needle Aspiration for Diagnosis of Pancreatic Ductal Adenocarcinoma

doi: 10.7759/cureus.41576

Figure Lengend Snippet: Initial assessment by the operator in relation to the tissue sample obtained and the technical difficulty in inserting the needle into the target lesion *Chi-square test EUS: Endoscopic ultrasound, FNA: Fine needle aspiration, TA: Tissue acquisition, PC20: ProCore 20

Article Snippet: The EUS-FNA was performed with the EchoTip® 22G needle (Cook Medical, Bloomington, IN, USA), and the EUS-TA was done with the new PC20 needle with a double forward bevel (Figure ).

Techniques:

Journal: Cureus

Article Title: Endoscopic Ultrasound-Guided Tissue Acquisition Versus Fine Needle Aspiration for Diagnosis of Pancreatic Ductal Adenocarcinoma

doi: 10.7759/cureus.41576

Figure Lengend Snippet: PC20: A TA measuring 1.17 mm (black arrow) shows malignant microtubular structures infiltrating the fibrotic area (H&E, 100x) 22G: Collected tissue measuring 0.48 mm (black arrows) shows typical epithelial clusters (H&E, 100x) PC20: ProCore 20, TA: Tissue acquisition, H&E: Hematoxylin and eosin

Article Snippet: The EUS-FNA was performed with the EchoTip® 22G needle (Cook Medical, Bloomington, IN, USA), and the EUS-TA was done with the new PC20 needle with a double forward bevel (Figure ).

Techniques:

Journal: Cureus

Article Title: Endoscopic Ultrasound-Guided Tissue Acquisition Versus Fine Needle Aspiration for Diagnosis of Pancreatic Ductal Adenocarcinoma

doi: 10.7759/cureus.41576

Figure Lengend Snippet: PC20: A needle TA measuring 0.42 mm (black arrows) shows a duct-insular subtype, with hyalinized stroma (or amyloid-like) (H&E, 50x) 22G: Needle tissue shows small cells with pale pink cytoplasm and round eccentrically located nuclei (H&E, 100x) PC20: ProCore 20, TA: Tissue acquisition, H&E: Hematoxylin and eosin

Article Snippet: The EUS-FNA was performed with the EchoTip® 22G needle (Cook Medical, Bloomington, IN, USA), and the EUS-TA was done with the new PC20 needle with a double forward bevel (Figure ).

Techniques:

Journal: Cureus

Article Title: Endoscopic Ultrasound-Guided Tissue Acquisition Versus Fine Needle Aspiration for Diagnosis of Pancreatic Ductal Adenocarcinoma

doi: 10.7759/cureus.41576

Figure Lengend Snippet: Comparison of needles in terms of specimen obtained and bleeding *Chi-square test EUS: Endoscopic ultrasound, FNA: Fine needle aspiration, TA: Tissue acquisition, PC20: ProCore 20

Article Snippet: The EUS-FNA was performed with the EchoTip® 22G needle (Cook Medical, Bloomington, IN, USA), and the EUS-TA was done with the new PC20 needle with a double forward bevel (Figure ).

Techniques: Comparison

Journal: Diagnostics

Article Title: Endoscopic Ultrasound Guided Fine Needle Aspiration versus Endoscopic Ultrasound Guided Fine Needle Biopsy for Pancreatic Cancer Diagnosis: A Systematic Review and Meta-Analysis

doi: 10.3390/diagnostics12122951

Figure Lengend Snippet: Retained studies characteristics.

Article Snippet: Cheng et al. (2018) [ ] , « Analysis of Fine-Needle Biopsy vs. Fine-Needle Aspiration in Diagnosis of Pancreatic and Abdominal Masses: A Prospective, Multicenter, Randomized Controlled Trial » , Prospective trial, multicenter, controlled and randomized , Studies made in China with 377 patients with solid pancreatic masses with 232 men. The average age was 58 years old (249 pancreatic masses). Total number of included patients: 377. , Patients were randomly allocated into groups for an evaluation 22G EUS-FNA (n = 190 and 22G EUS-FNB (n = 187). Group A, using commercially available FNA needles (22G EchoTip Ultra needle, Cook Medical); Group B, using the EUS-FNB needles (22G EchoTip ProCore needle, Cook Medical). , The diagnostic precision was about 92.68% for EUS-FNB vs. 81.75% for EUS-FNA ( p = 0.0099) while the cytological precision was about 88.62% (EUS-FNB) vs. 79.37% (EUS-FNA) ( p = 0.00468). , The sampling for the EUS-FNB was about 91.44% vs. 80% for the EUS-FNA ( p = 0.0015). , The samples obtained through EUS-FNB needles produced a more accurate diagnostic than the samples collected with EUS-FNA needles for the pancreatic masses..

Techniques: Diagnostic Assay, Sampling, Comparison, Biomarker Discovery, Produced

Journal: Diagnostics

Article Title: Endoscopic Ultrasound Guided Fine Needle Aspiration versus Endoscopic Ultrasound Guided Fine Needle Biopsy for Pancreatic Cancer Diagnosis: A Systematic Review and Meta-Analysis

doi: 10.3390/diagnostics12122951

Figure Lengend Snippet: Forest plot for diagnostic precision. I 2 : Heterogeneity rate; M-H: Odds ratio according to the method of Mantel–Haenszel; CI = Confidence Interval; Events = positive cases; FNA: Fine Needle Aspiration; FNB: Fine Needle Biopsy [ , , , , , , , , ].

Article Snippet: Cheng et al. (2018) [ ] , « Analysis of Fine-Needle Biopsy vs. Fine-Needle Aspiration in Diagnosis of Pancreatic and Abdominal Masses: A Prospective, Multicenter, Randomized Controlled Trial » , Prospective trial, multicenter, controlled and randomized , Studies made in China with 377 patients with solid pancreatic masses with 232 men. The average age was 58 years old (249 pancreatic masses). Total number of included patients: 377. , Patients were randomly allocated into groups for an evaluation 22G EUS-FNA (n = 190 and 22G EUS-FNB (n = 187). Group A, using commercially available FNA needles (22G EchoTip Ultra needle, Cook Medical); Group B, using the EUS-FNB needles (22G EchoTip ProCore needle, Cook Medical). , The diagnostic precision was about 92.68% for EUS-FNB vs. 81.75% for EUS-FNA ( p = 0.0099) while the cytological precision was about 88.62% (EUS-FNB) vs. 79.37% (EUS-FNA) ( p = 0.00468). , The sampling for the EUS-FNB was about 91.44% vs. 80% for the EUS-FNA ( p = 0.0015). , The samples obtained through EUS-FNB needles produced a more accurate diagnostic than the samples collected with EUS-FNA needles for the pancreatic masses..

Techniques: Diagnostic Assay