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The history of endoscopic ultrasound-guided fine-needle aspiration: development and progress

  • Special Feature: Review Article
  • Cutting edge of EUS-FNA
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Abstract

Endoscopic ultrasonography (EUS) is an important diagnostic technique to accurately diagnose diseases originating from organs near the gastrointestinal tract. EUS-guided fine-needle aspiration (FNA) has improved the histopathological diagnosis. EUS-FNA has been further developed over a long period of 40 years. The history of the development of endosonographic scopes, ultrasonographic observation systems, puncture needles, and puncture methods will provide a springboard for future development.

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Abbreviations

AIP:

Autoimmune pancreatitis

EUS-FNA:

Endoscopic ultrasound-guided fine-needle aspiration

EUS-FNB:

Endoscopic ultrasound-guided fine-needle biopsy

FFPE:

Formalin-fixed paraffin-embedded

G:

Gauge

GIST:

Gastrointestinal stromal tumor

IPMN:

Intraductal papillary mucinous neoplasm

MOSE:

Macroscopic on-site quality evaluation

ROSE:

Rapid on-site examination

SOSE:

Stereomicroscopic on-site evaluation

VOSE:

Visual on-site evaluation

References

  1. Strohm WD, Phillip J, Hagenmüller F, et al. Ultrasonic tomography by means of an ultrasonic fiberendoscope. Endoscopy. 1980;12:241–4.

    Article  CAS  PubMed  Google Scholar 

  2. Dimagno E, Regan P, Wilson D, et al. Ultrasonic endoscope. Lancet. 1980;1:629–31.

    Article  CAS  PubMed  Google Scholar 

  3. Kouze T. EUS-current situation and prospects. Gatroenterol Endosc. 1988;30:2977–88 (in Japanese).

    Google Scholar 

  4. Harada N, Kouze T, Oshima I, et al. A trial of endoscopic ultrasound-guided puncture technique. Gatroenterol Endosc. 1991;33:1657–63 (in Japanese).

    Google Scholar 

  5. Vilmann P, Jacobsen GK, Henriksen FW, et al. Endoscopic ultrasonography with guided fine needle aspiration biopsy in pancreatic disease. Gastrointest Endosc. 1992;38:172–3.

    Article  CAS  PubMed  Google Scholar 

  6. Harada N, Kouzu T, Isono K. Fine-needle aspiration biopsy of a submucosal tumor of the stomach using endoscopic ultrasonography. Dig Endosc. 1993;5:417–20.

    Article  Google Scholar 

  7. Wiersema MJ, Hawes RH, Tao LC, et al. Endoscopic ultrasonography as an adjunct to fine needle aspiration cytology of the upper and lower gastrointestinal tract. Gastrointest Endosc. 1992;38:35–9.

    Article  CAS  PubMed  Google Scholar 

  8. Vilmann P, Hancke S. A new biopsy handle instrument for endoscopic ultrasound-guided fine-needle aspiration biopsy. Gastrointest Endosc. 1996;43:238–42.

    Article  CAS  PubMed  Google Scholar 

  9. Wiersema MJ, Wiersema LM, Khusro Q, et al. Combined endosonography and fine-needle aspiration cytology in the evaluation of gastrointestinal lesions. Gastrointest Endosc. 1994;40:199–206.

    Article  CAS  PubMed  Google Scholar 

  10. Wiersema MJ, Chak A, Wiersema LM. Mediastinal histoplasmosis: evaluation with endosonography and endoscopic fine-needle aspiration biopsy. Gastrointest Endosc. 1994;40:78–81.

    Article  CAS  PubMed  Google Scholar 

  11. Chang KJ, Albers CG, Nguyen P. Endoscopic ultrasound-guided fine needle aspiration of pleural and ascitic fluid. Am J Gastroenterol. 1995;90:148–50.

    CAS  PubMed  Google Scholar 

  12. Pedersen BH, Vilmann P, Milman N, et al. Endoscopic ultrasonography with guided fine needle aspiration biopsy of a mediastinal mass lesion. Acta Radiol. 1995;36:326–8.

    Article  CAS  PubMed  Google Scholar 

  13. Chang KJ, Erickson RA, Nguyen P. Endoscopic ultrasound (EUS) and EUS-guided fine-needle aspiration of the left adrenal gland. Gastrointest Endosc. 1996;44:568–72.

    Article  CAS  PubMed  Google Scholar 

  14. Silvestri GA, Hoffman BJ, Bhutani MS, et al. Ann Thorac Surg. 1996;61:1441–5 (discussion 1445–6).

    Article  CAS  PubMed  Google Scholar 

  15. Binmoeller KF, Jabusch HC, Seifert H, et al. Endosonography-guided fine-needle biopsy of indurated pancreatic lesions using an automated biopsy device. Endoscopy. 1997;29:384–8.

    Article  CAS  PubMed  Google Scholar 

  16. Brandwein SL, Farrell JJ, Centeno BA, et al. Detection and tumor staging of malignancy in cystic, intraductal, and solid tumors of the pancreas by EUS. Gastrointest Endosc. 2001;53:722–7.

    Article  CAS  PubMed  Google Scholar 

  17. Ribeiro A, Vazquez-Sequeiros E, Wiersema LM, et al. EUS-guided fine-needle aspiration combined with flow cytometry and immunocytochemistry in the diagnosis of lymphoma. Gastrointest Endosc. 2001;53:485–91.

    Article  CAS  PubMed  Google Scholar 

  18. Fritscher-Ravens A, Sriram PV, Krause C, et al. Detection of pancreatic metastases by EUS-guided fine-needle aspiration. Gastrointest Endosc. 2001;53:65–70.

    Article  CAS  PubMed  Google Scholar 

  19. Gu M, Ghafari S, Nguyen PT, et al. Cytologic diagnosis of gastrointestinal stromal tumors of the stomach by endoscopic ultrasound-guided fine-needle aspiration biopsy: cytomorphologic and immunohistochemical study of 12 cases. Diagn Cytopathol. 2001;25:343–50.

    Article  CAS  PubMed  Google Scholar 

  20. Ando N, Goto H, Niwa Y, et al. The diagnosis of GI stromal tumors with EUS-guided fine needle aspiration with immunohistochemical analysis. Gastrointest Endosc. 2002;55:37–43.

    Article  PubMed  Google Scholar 

  21. Jhala D. Fine needle aspiration biopsy of the islet cell tumor of pancreas: a comparison between computerized axial tomography and endoscopic ultrasound-guided fine needle aspiration biopsy. Ann Diagn Pathol. 2002;6:106–12.

    Article  PubMed  Google Scholar 

  22. Fritscher-Ravens A, Mylonaki M, Pantes A, et al. Endoscopic ultrasound-guided biopsy for the diagnosis of focal lesions of the spleen. Am J Gastroenterol. 2003;98:1022–7.

    Article  PubMed  Google Scholar 

  23. Jacobson BC, Pitman MB, Brugge WR. EUS-guided FNA for the diagnosis of gallbladder masses. Gastrointest Endosc. 2003;57:251–4.

    Article  PubMed  Google Scholar 

  24. Koito K, Nagakawa T, Murashima Y, et al. Endoscopic ultrasonographic-guided punctured pancreatic ductography: an initial and successful trial. Abdom Imaging. 1995;20:222–4.

    Article  CAS  PubMed  Google Scholar 

  25. Kitano M, Minaga K, Hatamaru K, et al. Clinical dilemma of endoscopic ultrasound-guided fine needle aspiration for resectable pancreatic body and tail cancer. Dig Endosc. 2022;34:307–16.

    Article  PubMed  Google Scholar 

  26. Yane K, Kuwatani M, Yoshida M, et al. Non-negligible rate of needle tract seeding after endoscopic ultrasound-guided fine-needle aspiration for patients undergoing distal pancreatectomy for pancreatic cancer. Dig Endosc. 2020;32:801–11.

    Article  PubMed  Google Scholar 

  27. Kitano M, Yoshida M, Ashida R, et al. Needle tract seeding after endoscopic ultrasound-guided tissue acquisition of pancreatic tumors: A nationwide survey in Japan. Dig Endosc. 2022. https://doi.org/10.1111/den.14346.

    Article  PubMed  Google Scholar 

  28. Wiersema MJ, Sandusky D, Carr R, et al. Endosonography-guided cholangiopancreatography. Gastrointest Endosc. 1996;43:102–6.

    Article  CAS  PubMed  Google Scholar 

  29. Harada N, Kouzu T, Arima M, et al. Endoscopic ultrasound-guided histologic needle biopsy: preliminary results using a newly developed endoscopic ultrasound transducer. Gastrointest Endosc. 1996;44:327–30.

    Article  CAS  PubMed  Google Scholar 

  30. Arima M, Harada N, Kouzu T, et al. Endoscopic ultrasound-guided puncturing biopsy technique. Endosc Dig. 1997;5:689–96 (in Japanese with English abstract).

    Google Scholar 

  31. Vilmann P, Hancke S, Henriksen FW, et al. Endosonographically-guided fine needle aspiration biopsy of malignant lesions in the upper gastrointestinal tract. Endoscopy. 1993;25:523–7.

    Article  CAS  PubMed  Google Scholar 

  32. Kanno A, Ishida K, Hamada S, et al. Diagnosis of autoimmune pancreatitis by EUS-FNA by using a 22-gauge needle based on the international consensus diagnostic criteria. Gastrointest Endosc. 2012;76:594–602.

    Article  PubMed  Google Scholar 

  33. Wiersema MJ, Levy MJ, Harewood GC, et al. Initial experience with EUS-guided trucut needle biopsies of perigastric organs. Gastrointest Endosc. 2002;56:275–8.

    Article  PubMed  Google Scholar 

  34. Levy MJ, Jondal ML, Clain J, et al. Preliminary experience with an EUS-guided trucut biopsy needle compared with EUS-guided FNA. Gastrointest Endosc. 2003;57:101–6.

    Article  PubMed  Google Scholar 

  35. Levy MJ, Wiersema MJ. EUS-guided trucut biopsy. Gastrointest Endosc. 2005;62:417–26.

    Article  PubMed  Google Scholar 

  36. Levy MJ, Reddy RP, Wiersema MJ, et al. EUS-guided trucut biopsy in establishing autoimmune pancreatitis as the cause of obstructive jaundice. Gastrointest Endosc. 2005;61:467–72.

    Article  PubMed  Google Scholar 

  37. Iglesias-Garcia J, Poley JW, Larghi A, et al. Feasibility and yield of a new EUS histology needle: results from a multicenter, pooled, cohort study. Gastrointest Endosc. 2011;73:1189–96.

    Article  PubMed  Google Scholar 

  38. 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.

    Article  PubMed  Google Scholar 

  39. Bang JY, Hebert-Magee S, Hasan MK, et al. Endoscopic ultrasonography-guided biopsy using a Franseen needle design: initial assessment. Dig Endosc. 2017;29:338–46.

    Article  PubMed  Google Scholar 

  40. Adler DG, Witt B, Chadwick B, et al. Pathologic evaluation of a new endoscopic ultrasound needle designed to obtain core tissue samples: a pilot study. Endosc Ultrasound. 2016;5:178–83.

    Article  PubMed  PubMed Central  Google Scholar 

  41. Gkolfakis P, Crinò SF, Tziatzios G, et al. Comparative diagnostic performance of end-cutting fine-needle biopsy needles for EUS tissue sampling of solid pancreatic masses: a network meta-analysis. Gastrointest Endosc. 2022;95:1067–77.

    Article  PubMed  Google Scholar 

  42. Mukai S, Itoi T, Ashida R, et al. Multicenter, prospective, crossover trial comparing the door-knocking method with the conventional method for EUS-FNA of solid pancreatic masses (with videos). Gastrointest Endosc. 2016;83:1210–7.

    Article  PubMed  Google Scholar 

  43. Bang JY, Magee SH, Ramesh J, et al. Randomized trial comparing fanning with standard technique for endoscopic ultrasound-guided fine-needle aspiration of solid pancreatic mass lesions. Endoscopy. 2013;45:445–50.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  44. Rastogi A, Wani S, Gupta N, et al. A prospective, single-blind, randomized, controlled trial of EUS-guided FNA with and without a stylet. Gastrointest Endosc. 2011;74:58–64.

    Article  PubMed  Google Scholar 

  45. Nakai Y, Isayama H, Chang KJ, et al. Slow pull versus suction in endoscopic ultrasound-guided fine-needle aspiration of pancreatic solid masses. Dig Dis Sci. 2014;59:1578–85.

    Article  PubMed  Google Scholar 

  46. Attam R, Arain MA, Bloechl SJ, et al. ‘Wet suction technique (WEST)’: a novel way to enhance the quality of EUS-FNA aspirate. Results of a prospective, single-blind, randomized, controlled trial using a 22-gauge needle for EUS-FNA of solid lesions. Gastrointest Endosc. 2015;81:1401–7.

    Article  PubMed  Google Scholar 

  47. Kudo T, Kawakami H, Hayashi T, et al. High and low negative pressure suction techniques in EUS-guided fine-needle tissue acquisition by using 25-gauge needles: a multicenter, prospective, randomized, controlled trial. Gastrointest Endosc. 2014;80:1030-7.e1.

    Article  PubMed  Google Scholar 

  48. Iglesias-Garcia J, Dominguez-Munoz JE, Abdulkader I, et al. Influence of on-site cytopathology evaluation on the diagnostic accuracy of endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) of solid pancreatic masses. Am J Gastroenterol. 2011;106:1705–10.

    Article  PubMed  Google Scholar 

  49. 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;81:177–85.

    Article  PubMed  Google Scholar 

  50. Masutani H, Okuwaki K, Kida M, et al. On-site stereomicroscope quality evaluations to estimate white core cutoff lengths using EUS-FNA biopsy sampling with 22-gauge needles. Gastrointest Endosc. 2019;90:947–56.

    Article  PubMed  Google Scholar 

  51. Ishikawa T, Ohno E, Mizutani Y, et al. Usefulness of macroscopic on-site evaluation using a stereomicroscope during EUS-FNB for diagnosing solid pancreatic lesions. Can J Gastroenterol Hepatol. 2022;2022:1–8.

    Article  Google Scholar 

  52. Watanabe M, Okuwaki K, Kida M, et al. Multicenter prospective study of the efficacy of stereomicroscopic on-site evaluation in endoscopic ultrasound-guided tissue acquisition in patients with pancreatic cancer. Pancreatology. 2022;22:311–6.

    Article  PubMed  Google Scholar 

  53. Stigliano S, Balassone V, Biasutto D, et al. Accuracy of visual on-site evaluation (Vose) in predicting the adequacy of Eus-guided fine needle biopsy: a single center prospective study. Pancreatology. 2021;21:312–7.

    Article  PubMed  Google Scholar 

  54. Kanno A, Miwata T, Nagai H, et al. Endoscopic ultrasound-guided pancredeatic sampling for the histopathological diagnosis of autoimmune pancreatitis. Dig Endosc. 2022;34:420–7.

    Article  PubMed  Google Scholar 

  55. Kanno A, Tamada K, Fukushima N, et al. Endoscopic ultrasound-guided tissue acquisition for the histopathological diagnosis of autoimmune pancreatitis. J Med Ultrason. 2021;48:555–63.

    Article  Google Scholar 

  56. Japanese Society of Pathology. Rules for handling pathological tissue specimens for genomic medicine. Available from https://pathology.or.jp/genome_med/elearning.html. Accessed 20 July 2023.

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Acknowledgements

The information on EUS and ultrasonic observation equipment was provided by Olympus, FUJIFILM, Cook Medical, and Pentax.

Funding

This work was supported by the MHLW Research Program on Rare and Intractable Diseases (grant number: JPMH20FC1040).

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Authors and Affiliations

  1. Department of Medicine, Division of Gastroenterology, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke, Tochigi, 329-0498, Japan

    Atsushi Kanno, Eriko Ikeda, Kozue Ando, Kensuke Yokoyama & Hironori Yamamoto

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  1. Atsushi Kanno
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  2. Eriko Ikeda
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  3. Kozue Ando
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  4. Kensuke Yokoyama
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  5. Hironori Yamamoto
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Contributions

AK designed the study and wrote the manuscript; AK, EI, KA, KY, and HY performed data analysis. All authors approved the final version of the article.

Corresponding author

Correspondence to Atsushi Kanno.

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Atsushi Kanno, Eriko Ikeda, Kozue Ando, Kensuke Yokoyama, and Hironori Yamamoto declare that they have no conflicts of interest.

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Kanno, A., Ikeda, E., Ando, K. et al. The history of endoscopic ultrasound-guided fine-needle aspiration: development and progress. J Med Ultrasonics (2024). https://doi.org/10.1007/s10396-023-01400-0

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