Table 1.
Ref | Study design | N°Lesions, pan-creatic | Rose | Needles (G), FNA vs FNB | Overall diagnostic yield | Sample adequacy | Comments |
[4] | RCT | (56) | Yes | 22 vs 22 Procore | Equivalent | Equivalent | |
[29] | Meta-analysis (11 observational study and 4 RCTs) | 1024 (mainly pancreatic and lymph nodes) | #6 NO #9 Yes | 19 (only one study); 22 and 25 G vs 22 | Equivalent | Equivalent | in the absence of ROSE, FNB was associated with better diagnostic adequacy (P = 0.02) and FNB required less passes |
[50] | RCT | 194 (100) | No | 22 vs 22 Procore | 84 vs 90 | Equivalent | Lower n° of passes for FNB vs FNA needle (2 vs 3) |
[51] | RCT | 377 (249) | Yes | 22 vs 22 Procore | Equivalent | 81.7 vs 92.6 | |
[52] | RCT | (36) | No | 22 vs 22 Procore | Equivalent | Equivalent | 1.1 passes needed for FNB vs 1.83 passes for FNA (P < 0.05) |
[53] | Meta-analysis (8 RCT) | 921 | No | 22, 25, and 19 (only one study) G vs 22 | Equivalent | Equivalent | Few passes for FNB |
[54] | Retrospective | 42 (12) | Yes | 22 or 25 | Equivalent | Equivalent | |
[55] | Retrospective | (87) | No | 22 vs 22 Franseen | Equivalent | Equivalent | |
[56] | Retrospective | (76) | No | 22 vs 25 | 32.4 vs 60 | Equivalent | |
[57] | RCT | (214) | No | 25 vs 25 Procore | Equivalent | 69.4 vs 81 | |
[58] | RCT | (116) | Yes | 22, 25 vs 22, 25 Procore | Equivalent | Equivalent | Few passes for FNB |
[59] | Meta-analysis (7 comparative studies and 4 single cohort studies) | 896 (pancreatic and lymph nodes) | Only in 4 studies | 22 and 25 | Equivalent | Equivalent | |
[60] | RCT | 140 (73) | YES | 19, 22, 25 | 67 vs 90 | Equivalent | Diagnostic yield only for pancreatic masses was equivalent |
[61] | Prospective comparative | 145 (69) | No | 22 vs 22 Procore | Equivalent | Equivalent | Few passes for FNB |
[62] | RCT | 58 (16) | No | 22 vs 22 Procore | Equivalent | Equivalent | Few passes for FNB |
[63] | RCT (13 centers) | 608 (312) | In 7 centers | 25 vs 20 Procore | 44 vs 77 | Equivalent |
RCT: Randomized clinical trial; FNB: Fine needle biopsy; FNA: Fine needle aspiration; ROSE: Rapid on site evaluation