Randomized Study of Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration (EBUS-TBNA) Versus Transesophageal Endoscopic Ultrasound With Bronchoscope-Guided Fine Needle Aspiration (EUS-B-FNA) for the Diagnosis of Lesions Adjacent to Both the Trachea/Bronchus and Esophagus

CHEST Journal ◽  
2013 ◽  
Vol 144 (4) ◽  
pp. 822A
Author(s):  
Masahide Oki ◽  
Hideo Saka ◽  
Chiyoe Kitagawa ◽  
Yoshihito Kogure ◽  
Misaki Ryuge ◽  
...  
Keyword(s):  
Endoscopic Ultrasound ◽  
Fine Needle Aspiration ◽  
Randomized Study ◽  
Needle Aspiration ◽  
Endobronchial Ultrasound ◽  
Ultrasound Guided ◽  
Transbronchial Needle Aspiration ◽  
Fine Needle

scholarly journals Endobronchial ultrasound in diagnosing sarcoidosis

2013 ◽  
Vol 66 (suppl. 1) ◽  
pp. 22-25
Author(s):  
Milan Savic ◽  
Mihailo Stjepanovic ◽  
Violeta Mihailovic-Vucinic ◽  
Branislav Gvozdenovic ◽  
Snezana Filipovic ◽  
...  
Keyword(s):  
Surgical Procedures ◽  
Endoscopic Ultrasound ◽  
Fine Needle Aspiration ◽  
Thoracoscopic Surgery ◽  
Needle Aspiration ◽  
Endobronchial Ultrasound ◽  
Ultrasound Guided ◽  
Transbronchial Needle Aspiration ◽  
Fine Needle ◽  
Diagnostic Step

Introduction. The diagnosis of sarcoidosis can be established when there is a compatible clinical-radiological picture together with pathohistological evidence of noncaseating epitheloid cell granulomas. Novelties in Diagnosis of Sarcoidosis. Pathohistological specimens can be obtained by conventional bronchoscopy with endobronchial and transbronchial lung biopsy, bronchoalveolar lavage, surgical procedures like cervical mediastinoscopy, diagnostic thoracotomy, video-assisted thoracoscopic surgery, and recently introduced endoscopic ultrasound techniques (endoscopic ultrasound-guided fine-needle aspiration and endobronchial ultrasound-guided transbronchial needle aspiration). Endobronchial ultrasound-guided transbronchial needle aspiration and endoscopic ultrasound-guided fine-needle aspiration have given a great contribution to diagnosis of sarcoidosis and present next diagnostic step after negative bronchoscopy. Conclusion. Reduction of surgical procedures in diagnosis of sarcoidosis, can be expected (first of all mediastinoscopy) by introducing endobronchial ultrasound-guided transbronchial needle aspiration and endoscopic ultrasound-guided fine-needle aspiration.

scholarly journals Evaluation and Comparison of Performance Parameters and Impact of Telepathology and Operator Experience on Endobronchial and Endoscopic Ultrasound-Guided Fine-Needle Aspiration

2020 ◽  
Author(s):  
Meghan M Hupp ◽  
Subhan Khan ◽  
H Erhan Dincer ◽  
J Shawn Mallery ◽  
Michael T Shyne ◽  
...  
Keyword(s):  
Endoscopic Ultrasound ◽  
Fine Needle Aspiration ◽  
Diagnostic Yield ◽  
Management Training ◽  
Needle Aspiration ◽  
Endobronchial Ultrasound ◽  
Training Methods ◽  
Ultrasound Guided ◽  
Fine Needle ◽  
Operator Experience

Abstract Objectives Endobronchial ultrasound- and endoscopic ultrasound-guided fine-needle aspiration (EBUS-/EUS-FNA) are minimally invasive techniques of diagnosing and staging malignancies. The procedures are difficult to master, requiring specific feedback for optimizing yield. Methods Over 2 years, EBUS-/EUS-FNA cases were gathered using the institutional pathology database. Patient and specimen characteristics were collected from the pathology database and electronic medical record. Results In 2 years, 789 unique FNA specimens were collected (356 EBUS and 433 EUS specimens). The cohort and each subgroup had excellent performance, which was enhanced by telepathology. The discrepancy rate was satisfactorily low. Hematolymphoid neoplasms are overrepresented in discrepant EBUS cases. The malignancy rates of cytology diagnostic categories were comparable to the literature. Conclusions Using diagnostic yield and concordance results allow for comprehensive evaluation of the entire process of EBUS-/EUS-FNAs. This study’s findings can influence patient management, training methods, and interpretation of results, while also acting as a model for others to investigate their own sources of inadequacy, discrepancy, and training gaps.

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