EUS Needle Identification Comparison and Evaluation study (with videos)

Shou-Jiang Tang; Andreas Slot Vilmann; Adrian Saftoiu; Wanmei Wang; Costin Teodor Streba; Peter P Fink; Michael Griswold; Ruonan Wu; Christoph F Dietrich; Christian Jenssen; Michael Hocke; Marcus Kantowski; Jürgen Pohl; Paul Fockens; Jouke T Annema; Erik H F M van der Heijden; Roald Flesland Havre; Khanh Do-Cong Pham; Rastislav Kunda; Pierre H Deprez; Jinga Mariana; Enrique Vazquez-Sequeiros; Alberto Larghi; Elisabetta Buscarini; Pietro Fusaroli; Maor Lahav; Rajesh Puri; Pramod Kumar Garg; Malay Sharma; Fauze Maluf-Filho; Anand Sahai; William R Brugge; Linda S Lee; Harry R Aslanian; Andrew Y Wang; Vanessa M Shami; Arnold Markowitz; Ali A Siddiqui; Girish Mishra; James M Scheiman; Gerard Isenberg; Uzma D Siddiqui; Raj J Shah; James Buxbaum; Rabindra R Watson; Field F Willingham; Manoop S Bhutani; Michael J Levy; Cynthia Harris; Michael B Wallace; Christian Pállson Nolsøe; Torben Lorentzen; Niels Bang Sørensen; Sten Mellerup Sørensen; Odd Helge Gilja; Mirko D'Onofrio; Fabio Piscaglia; Norbert Gritzmann; Maija Radzina; Zeno Adrian Sparchez; Paul S Sidhu; Simon Freeman; Timothy C McCowan; Cyrillo Rodrigues de Araujo; Akash Patel; Mohammad Adel Ali; Garth Campbell; Edward Chen; Peter Vilmann

doi:10.1016/j.gie.2016.01.068

EUS Needle Identification Comparison and Evaluation study (with videos)

Shou-Jiang Tang, Andreas Slot Vilmann, Adrian Saftoiu, Wanmei Wang, Costin Teodor Streba, Peter P Fink, Michael Griswold, Ruonan Wu, Christoph F Dietrich, Christian Jenssen, Michael Hocke, Marcus Kantowski, Jürgen Pohl, Paul Fockens, Jouke T Annema, Erik H F M van der Heijden, Roald Flesland Havre, Khanh Do-Cong Pham, Rastislav Kunda, Pierre H DeprezJinga Mariana, Enrique Vazquez-Sequeiros, Alberto Larghi, Elisabetta Buscarini, Pietro Fusaroli, Maor Lahav, Rajesh Puri, Pramod Kumar Garg, Malay Sharma, Fauze Maluf-Filho, Anand Sahai, William R Brugge, Linda S Lee, Harry R Aslanian, Andrew Y Wang, Vanessa M Shami, Arnold Markowitz, Ali A Siddiqui, Girish Mishra, James M Scheiman, Gerard Isenberg, Uzma D Siddiqui, Raj J Shah, James Buxbaum, Rabindra R Watson, Field F Willingham, Manoop S Bhutani, Michael J Levy, Cynthia Harris, Michael B Wallace, Christian Pállson Nolsøe, Torben Lorentzen, Niels Bang Sørensen, Sten Mellerup Sørensen, Odd Helge Gilja, Mirko D'Onofrio, Fabio Piscaglia, Norbert Gritzmann, Maija Radzina, Zeno Adrian Sparchez, Paul S Sidhu, Simon Freeman, Timothy C McCowan, Cyrillo Rodrigues de Araujo, Akash Patel, Mohammad Adel Ali, Garth Campbell, Edward Chen, Peter Vilmann

Department of Clinical Medicine

15 Citations (Scopus)

Abstract

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.

Original language	English
Journal	Gastrointestinal Endoscopy
Volume	84
Issue number	3
Pages (from-to)	424-433.e2
Number of pages	10
ISSN	0016-5107
DOIs	https://doi.org/10.1016/j.gie.2016.01.068
Publication status	Published - 1 Sept 2016

Keywords

Journal Article

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10.1016/j.gie.2016.01.068

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5570521

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Tang, S-J., Vilmann, A. S., Saftoiu, A., Wang, W., Streba, C. T., Fink, P. P., Griswold, M., Wu, R., Dietrich, C. F., Jenssen, C., Hocke, M., Kantowski, M., Pohl, J., Fockens, P., Annema, J. T., van der Heijden, E. H. F. M., Havre, R. F., Pham, K. D-C., Kunda, R., ... Vilmann, P. (2016). EUS Needle Identification Comparison and Evaluation study (with videos). Gastrointestinal Endoscopy, 84(3), 424-433.e2. https://doi.org/10.1016/j.gie.2016.01.068

Tang, S-J, 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, EHFM, Havre, RF, Pham, KD-C, 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 Sørensen, N, Sørensen, SM, Gilja, OH, D'Onofrio, M, Piscaglia, F, Gritzmann, N, Radzina, M, Sparchez, ZA, Sidhu, PS, Freeman, S, McCowan, TC, de Araujo, CR, Patel, A, Ali, MA, Campbell, G, Chen, E & Vilmann, P 2016, 'EUS Needle Identification Comparison and Evaluation study (with videos)', Gastrointestinal Endoscopy, vol. 84, no. 3, pp. 424-433.e2. https://doi.org/10.1016/j.gie.2016.01.068

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title = "EUS Needle Identification Comparison and Evaluation study (with videos)",

abstract = "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.",

keywords = "Journal Article",

author = "Shou-Jiang Tang and Vilmann, {Andreas Slot} and Adrian Saftoiu and Wanmei Wang and Streba, {Costin Teodor} and Fink, {Peter P} and Michael Griswold and Ruonan Wu and Dietrich, {Christoph F} and Christian Jenssen and Michael Hocke and Marcus Kantowski and J{\"u}rgen Pohl and Paul Fockens and Annema, {Jouke T} and {van der Heijden}, {Erik H F M} and Havre, {Roald Flesland} and Pham, {Khanh Do-Cong} and Rastislav Kunda and Deprez, {Pierre H} and Jinga Mariana and Enrique Vazquez-Sequeiros and Alberto Larghi and Elisabetta Buscarini and Pietro Fusaroli and Maor Lahav and Rajesh Puri and Garg, {Pramod Kumar} and Malay Sharma and Fauze Maluf-Filho and Anand Sahai and Brugge, {William R} and Lee, {Linda S} and Aslanian, {Harry R} and Wang, {Andrew Y} and Shami, {Vanessa M} and Arnold Markowitz and Siddiqui, {Ali A} and Girish Mishra and Scheiman, {James M} and Gerard Isenberg and Siddiqui, {Uzma D} and Shah, {Raj J} and James Buxbaum and Watson, {Rabindra R} and Willingham, {Field F} and Bhutani, {Manoop S} and Levy, {Michael J} and Cynthia Harris and Wallace, {Michael B} and Nols{\o}e, {Christian P{\'a}llson} and Torben Lorentzen and {Bang S{\o}rensen}, Niels and S{\o}rensen, {Sten Mellerup} and Gilja, {Odd Helge} and Mirko D'Onofrio and Fabio Piscaglia and Norbert Gritzmann and Maija Radzina and Sparchez, {Zeno Adrian} and Sidhu, {Paul S} and Simon Freeman and McCowan, {Timothy C} and {de Araujo}, {Cyrillo Rodrigues} and Akash Patel and Ali, {Mohammad Adel} and Garth Campbell and Edward Chen and Peter Vilmann",

year = "2016",

month = sep,

day = "1",

doi = "10.1016/j.gie.2016.01.068",

language = "English",

volume = "84",

pages = "424--433.e2",

journal = "Gastrointestinal Endoscopy",

issn = "0016-5107",

publisher = "Mosby Inc.",

number = "3",

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TY - JOUR

T1 - EUS Needle Identification Comparison and Evaluation study (with videos)

AU - Tang, Shou-Jiang

AU - Vilmann, Andreas Slot

AU - Saftoiu, Adrian

AU - Wang, Wanmei

AU - Streba, Costin Teodor

AU - Fink, Peter P

AU - Griswold, Michael

AU - Wu, Ruonan

AU - Dietrich, Christoph F

AU - Jenssen, Christian

AU - Hocke, Michael

AU - Kantowski, Marcus

AU - Pohl, Jürgen

AU - Fockens, Paul

AU - Annema, Jouke T

AU - van der Heijden, Erik H F M

AU - Havre, Roald Flesland

AU - Pham, Khanh Do-Cong

AU - Kunda, Rastislav

AU - Deprez, Pierre H

AU - Mariana, Jinga

AU - Vazquez-Sequeiros, Enrique

AU - Larghi, Alberto

AU - Buscarini, Elisabetta

AU - Fusaroli, Pietro

AU - Lahav, Maor

AU - Puri, Rajesh

AU - Garg, Pramod Kumar

AU - Sharma, Malay

AU - Maluf-Filho, Fauze

AU - Sahai, Anand

AU - Brugge, William R

AU - Lee, Linda S

AU - Aslanian, Harry R

AU - Wang, Andrew Y

AU - Shami, Vanessa M

AU - Markowitz, Arnold

AU - Siddiqui, Ali A

AU - Mishra, Girish

AU - Scheiman, James M

AU - Isenberg, Gerard

AU - Siddiqui, Uzma D

AU - Shah, Raj J

AU - Buxbaum, James

AU - Watson, Rabindra R

AU - Willingham, Field F

AU - Bhutani, Manoop S

AU - Levy, Michael J

AU - Harris, Cynthia

AU - Wallace, Michael B

AU - Nolsøe, Christian Pállson

AU - Lorentzen, Torben

AU - Bang Sørensen, Niels

AU - Sørensen, Sten Mellerup

AU - Gilja, Odd Helge

AU - D'Onofrio, Mirko

AU - Piscaglia, Fabio

AU - Gritzmann, Norbert

AU - Radzina, Maija

AU - Sparchez, Zeno Adrian

AU - Sidhu, Paul S

AU - Freeman, Simon

AU - McCowan, Timothy C

AU - de Araujo, Cyrillo Rodrigues

AU - Patel, Akash

AU - Ali, Mohammad Adel

AU - Campbell, Garth

AU - Chen, Edward

AU - Vilmann, Peter

PY - 2016/9/1

Y1 - 2016/9/1

N2 - 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.

AB - 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.

KW - Journal Article

U2 - 10.1016/j.gie.2016.01.068

DO - 10.1016/j.gie.2016.01.068

M3 - Journal article

C2 - 26873530

SN - 0016-5107

VL - 84

SP - 424-433.e2

JO - Gastrointestinal Endoscopy

JF - Gastrointestinal Endoscopy

IS - 3

ER -

EUS Needle Identification Comparison and Evaluation study (with videos)

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