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. Author manuscript; available in PMC: 2024 Dec 17.
Published in final edited form as: Gastrointest Endosc. 2023 Dec 11;99(6):962–970. doi: 10.1016/j.gie.2023.12.008

TABLE 3.

Representative 65-year-old American Society of Anesthesiologists III patient with a 3.1-cm unilocular side-branch traductal papillary mucinous neoplasm with 3 mm growth over the past year followed for 5 years using the Fukuoka, American College of Gastroenterology (ACG), and ChARM Post-treatment Reduced Radiographic Surveillance protocols

Unit Unit cost, $ Total, $
Arm 1—following Fukuoka guidelines
  6 EUS 2309.18 13,855.08
  7 MRI 472.87 3310.09
  Total imaging 17,165.17
  7 clinic visits 174.79 1223.53
  Total 18,388.70
Arm 2—following ACG guidelines
  4 EUS 2309.18 9236.72
  4 MRI 472.87 1891.48
  Total imaging 11,128.20
  4 clinic visits 174.79 699.16
  Total 11,827.36
Arm 3—following ChARM protocol
  1 EUS-FNI 2309.18 4618.36
  4 MRI 472.87 1891.48
  Total imaging 6509.84
  4 clinic visits 174.79 699.16
  Total 7209.00
Control arm—following Fukuoka guidelines for 2-3 cm
  3 EUS-FNI 2309.18 6927.54
  4 MRI 472.87 1891.48
  Total imaging 8819.02
  4 clinic visits 174.79 699.16
  Total 9518.18

Control arm assumes a 2.5-cm cyst followed under the corresponding Fukuoka guidelines for a cyst of 2-3 cm.

EUS-FNI, Endoscopic ultrasound–guided fine-needle injection; MRI, magnetic resonance imaging.