Table 1. Characteristics of included studies.
Study, year and country | Design | Location of lesions | Inclusion criteria | Exclusion criteria | n | Males | Age, years | ROSE | Suction | Fanning | Follow-up |
Bang, 2012 (USA) 19 | Randomized trial | Pancreas | All patients referred for solid pancreatic lesions on CT scan | Cystic pancreatic lesions, coagulopathy, lesions not seen on EUS | 56 | 31 | 65 | Yes | No | Yes | 6 months |
Hucl, 2013 (India) 20 | Prospective | Pancreas & lymph nodes | Consecutive patients with pancreatic masses or peri-intestinal nodes | Lesion not seen on EUS | 145 | 80 | 48 | No | Yes | No | 6 months |
Witt, 2013 (USA) 21 | Retrospective | Pancreas, gastric, mediastinal and pelvic nodes | First 18 patients undergoing EUS guided FNB for various lesions. Site matched controls undergoing EUS-FNA | NR | 36 | NR | NR | Yes | Yes | No | 3.3 months |
Kim, 2014 (Korea) 22 | Randomized trial | Subepithelial lesions | Hypoechoic mass in submucosa and/or proper muscle layers, > 2 cm in size | Tumors not located in submucosa and/or proper muscle layers, cystic lesion, overlying vessel, platelet < 50 000, PT > 50 %, lipoma on EUS | 22 | 10 | 56.3 | No | Yes | No | NR |
Vanbiervliet, 2014 (France) 23 | Randomized trial | Pancreas | Pancreatic mass on CT scan, dilated CBD and or dilated PD | Cystic lesions, uncorrectable coagulopathy, pregnancy | 80 | 49 | 67.1 | No | Yes | Yes | 6.4 months |
Lee, 2014 (Korea) 24 | Randomized trial | Pancreas | Solid pancreatic mass on CT or MRI, age > 18 years | Cystic mass, INR > 1.5, platelets < 80 000 | 116 | 77 | 64.9 | Yes | Yes | No | 6 months |
Strand, 2014 (USA) 25 | Prospective | Pancreas | Age 18 – 90 years, solid pancreatic mass on CT scan | Cystic lesion, no mass seen on EUS, uncorrectable coagulopathy | 32 | 13 | 67.7 | Yes | Yes | No | NR |
Lin, 2014 (USA) 26 | Prospective | Pancreas, lymph nodes, gastric, mediastinal nodes, liver lesions | All patients referred for EUS guided biopsy underwent both FNA and FNB | Core biopsy not performed if cystic lesions, < 1 cm lesion, overlying vascular structures precluding biopsy | 26 | 25 | 66.8 | Yes | Yes | NR | 12 months |
Mavrogenis, 2015 (Belgium) 27 | Prospective | Pancreas, lymph nodes | All patients > 18 years old with pancreatic lesions or lymphadenopathy referred for EUS sampling | Cystic lesion, age < 18 years, pregnancy, INR > 1.5, platelet < 50 000 | 28 | 9 | 69 (med) | No | Yes | No | 7 months |
Berzosa, 2015 (USA) 28 | Retrospective | Pancreas | Patients with solid pancreatic lesions on CT scan undergoing EUS sampling | NR | 61 | 35 | 61 | Yes | NR | No | 6 months |
Alatawi, 2015 (France) 29 | Prospective | Pancreas | Solid pancreatic tumors > 2 cm size on CT or MRI | Cystic lesions, patients with biliary stents | 100 | 63 | 68.4 | No | Yes | Yes | NR |
Yang, 2015 (Korea) 30 | Retrospective | Pancreas | Solid pancreatic lesions in consecutive patients undergoing EUS | NR | 76 | 35 | 62.4 | No | Yes | Yes | 6 months |
Dwyer, 2016 (USA) 31 | Retrospective | Pancreas, gastric and colon submucosal mass, pelvic and perirectal masses | All EUS guided biopsies of solid intraabdominal masses | NR | 58 | 32 | 63 | Yes | NR | NR | NR |
Kandel, 2016 (USA) 32 | Retrospective | Pancreas, liver, subepithelial lesions, lymph nodes | Consecutive patients undergoing EUS-FNB were matched with random controls undergoing EUS-FNA ratio of 1:3 | NR | 156 | 84 | 66 | Yes | NR | NR | NR |
Rodrigues-Pinto, 2016 (USA) 33 | Retrospective | Pancreas, lymph nodes, submucosal lesions | NR | NR | 33 | 15 | 65 | Yes | Yes | NR | NR |
NR, not reported; CBD, common bile duct; PD, pancreatic duct; INR, international normalized ratio; PT, prothrombin time; EUS, endoscopic ultrasound; FNB, fine-needle biopsy; FNA, fine-needle aspiration; ROSE, rapid onsite evaluation.