Table 1.
|
EUS-FNA
|
EUS-FNB
|
Recommended needle caliber | 22-25G | 22G or thicker |
Recommended negative pressure | Suction or wet suction | Stylet retraction |
Recommended puncture technique | Fanning or DKM | Fanning or torque |
Recommended number of needle passes | 1-3 times for histological diagnosis, depending on site and size | Three times for NGS |
Diagnostic accuracy | FNB ≥ FNA | |
Tissue volume | FNB ≥ FNA | |
Suitability for NGS | FNB ≥ FNA | |
MOSE | Recommended for use in combination | Recommended for use in combination |
Complications | Rare | Rare |
Cost-effectiveness | FNB ≥ FNA |
DKM: Door knocking method; G: Gauge; EUS: Endoscopic ultrasound; FNA: Fine-needle aspiration; FNB: Fine-needle biopsy; MOSE: Macroscopic on-site evaluation; NGS: Next-generation sequencing.