EUS Needle Identification Comparison and Evaluation study (with videos)

Shou jiang Tang, Andreas S. 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 & 49 others 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, 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

Research output: Contribution to journalArticle

8 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 languageEnglish (US)
Pages (from-to)424-433
Number of pages10
JournalGastrointestinal Endoscopy
Volume84
Issue number3
DOIs
StatePublished - Sep 1 2016

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Needles
Endoscopic Ultrasound-Guided Fine Needle Aspiration
Equipment and Supplies
Polymers

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Gastroenterology

Cite this

Tang, S. J., Vilmann, A. S., Saftoiu, A., Wang, W., Streba, C. T., Fink, P. P., ... Vilmann, P. (2016). EUS Needle Identification Comparison and Evaluation study (with videos). Gastrointestinal Endoscopy, 84(3), 424-433. https://doi.org/10.1016/j.gie.2016.01.068

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

In: Gastrointestinal Endoscopy, Vol. 84, No. 3, 01.09.2016, p. 424-433.

Research output: Contribution to journalArticle

Tang, SJ, 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, KDC, 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, 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. https://doi.org/10.1016/j.gie.2016.01.068
Tang SJ, Vilmann AS, Saftoiu A, Wang W, Streba CT, Fink PP et al. EUS Needle Identification Comparison and Evaluation study (with videos). Gastrointestinal Endoscopy. 2016 Sep 1;84(3):424-433. https://doi.org/10.1016/j.gie.2016.01.068
Tang, Shou jiang ; Vilmann, Andreas S. ; Saftoiu, Adrian ; Wang, Wanmei ; Streba, Costin Teodor ; Fink, Peter P. ; Griswold, Michael ; Wu, Ruonan ; Dietrich, Christoph F. ; Jenssen, Christian ; Hocke, Michael ; Kantowski, Marcus ; Pohl, Jürgen ; Fockens, Paul ; Annema, Jouke T. ; van der Heijden, Erik H F M ; Havre, Roald Flesland ; Pham, Khanh Do Cong ; Kunda, Rastislav ; Deprez, Pierre H. ; Mariana, Jinga ; Vazquez-Sequeiros, Enrique ; Larghi, Alberto ; Buscarini, Elisabetta ; Fusaroli, Pietro ; Lahav, Maor ; Puri, Rajesh ; Garg, Pramod Kumar ; Sharma, Malay ; Maluf-Filho, Fauze ; Sahai, Anand ; Brugge, William R. ; Lee, Linda S. ; Aslanian, Harry R. ; Wang, Andrew Y. ; Shami, Vanessa M. ; Markowitz, Arnold ; Siddiqui, Ali A. ; Mishra, Girish ; Scheiman, James M. ; Isenberg, Gerard ; Siddiqui, Uzma D. ; Shah, Raj J. ; Buxbaum, James ; Watson, Rabindra R. ; Willingham, Field F. ; Bhutani, Manoop S. ; Levy, Michael J. ; Harris, Cynthia ; Wallace, Michael B. ; Nolsøe, Christian Pállson ; Lorentzen, Torben ; Bang, Niels ; Sørensen, Sten Mellerup ; Gilja, Odd Helge ; D'Onofrio, Mirko ; Piscaglia, Fabio ; Gritzmann, Norbert ; Radzina, Maija ; Sparchez, Zeno Adrian ; Sidhu, Paul S. ; Freeman, Simon ; McCowan, Timothy C. ; de Araujo, Cyrillo Rodrigues ; Patel, Akash ; Ali, Mohammad Adel ; Campbell, Garth ; Chen, Edward ; Vilmann, Peter. / EUS Needle Identification Comparison and Evaluation study (with videos). In: Gastrointestinal Endoscopy. 2016 ; Vol. 84, No. 3. pp. 424-433.
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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.",
author = "Tang, {Shou jiang} and Vilmann, {Andreas S.} 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 Niels Bang 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",
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TY - JOUR

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

AU - Tang, Shou jiang

AU - Vilmann, Andreas S.

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, 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.

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