Evidence map›Paper›PMID 36304177›Full record

ArticleDEN open2023

Diagnostic yield of liquid-based cytology in serial pancreatic juice aspiration cytological examination.

Koh Kitagawa, Akira Mitoro, Fumimasa Tomooka, Shohei Asada, Yukihisa Fujinaga, Norihisa Nishimura, Kosuke Kaji, Hideto Kawaratani, Takemi Akahane, Takahiro Ozutsumi and 17 more

Open access · goldAbstract read
In one paragraph

Article in DEN open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.2field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 11 citations in OpenAlex.

  1. Review
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  6. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

27 authors at 1 institution in 1 country.

Koh KitagawaDepartment of Gastroenterology Nara Medical University Nara Japan.ORCID https://orcid.org/0000-0001-5794-1512
Akira MitoroDivision of Endoscopy Nara Medical University Nara Japan.
Fumimasa TomookaDepartment of Gastroenterology Nara Medical University Nara Japan.
Shohei AsadaDepartment of Gastroenterology Nara Medical University Nara Japan.
Yukihisa FujinagaDepartment of Gastroenterology Nara Medical University Nara Japan.
Norihisa NishimuraDepartment of Gastroenterology Nara Medical University Nara Japan.
Kosuke KajiDepartment of Gastroenterology Nara Medical University Nara Japan.
Hideto KawarataniDepartment of Gastroenterology Nara Medical University Nara Japan.
Takemi AkahaneDepartment of Gastroenterology Nara Medical University Nara Japan.
Takahiro OzutsumiDepartment of Gastroenterology Nara Medical University Nara Japan.
Miki KanekoDepartment of Gastroenterology Nara Medical University Nara Japan.
Yuki FujimotoDepartment of Gastroenterology Nara Medical University Nara Japan.
Yuki TsujiDepartment of Gastroenterology Nara Medical University Nara Japan.
Masahide EnomotoDepartment of Gastroenterology Nara Medical University Nara Japan.
Soichi TakedaDepartment of Gastroenterology Nara Medical University Nara Japan.
Koji MurataDepartment of Gastroenterology Nara Medical University Nara Japan.
Takahiro KuboDepartment of Gastroenterology Nara Medical University Nara Japan.
Satoshi IwaiDepartment of Gastroenterology Nara Medical University Nara Japan.
Aritoshi KoizumiDepartment of Gastroenterology Nara Medical University Nara Japan.
Akihiko ShibamotoDepartment of Gastroenterology Nara Medical University Nara Japan.
Junya SuzukiDepartment of Gastroenterology Nara Medical University Nara Japan.
Misako TanakaDepartment of Gastroenterology Nara Medical University Nara Japan.
Takuya MatsudaDepartment of Gastroenterology Nara Medical University Nara Japan.
Nobuyuki YoriokaDepartment of Gastroenterology Nara Medical University Nara Japan.
Hiroyuki MasudaDepartment of Gastroenterology Nara Medical University Nara Japan.
Masayoshi TakamiDepartment of Gastroenterology Nara Medical University Nara Japan.
Hitoshi YoshijiDepartment of Gastroenterology Nara Medical University Nara Japan.
Nara Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Serial pancreatic juice aspiration cytological examination (SPACE) via endoscopic retrograde cholangiopancreatography is a useful diagnostic method for early-stage pancreatic cancer, such as carcinoma in situ that are difficult to diagnose by endoscopic ultrasound-guided fine needle aspiration (EUS-FNA). However, the diagnostic accuracy of SPACE is low, which is attributed to problems regarding specimen treatment. Hence, we evaluated the diagnostic efficacy of liquid-based cytology (LBC) in pancreatic juice cytology for pancreatic cancer. Methods: We retrospectively analyzed 24 patients with suspected pancreatic cancer that was difficult to diagnose by endoscopic ultrasound-guided fine needle aspiration who underwent SPACE using LBC between April 2017 and April 2021. Results: The most common reason for performing SPACE was localized stenosis of the main pancreatic duct without a mass. Eleven patients were diagnosed with malignancy after surgical resection, nine of whom had pancreatic ductal adenocarcinoma. Ten patients were diagnosed as benign after a follow-up of more than 1 year. The nine cases of malignancy were diagnosed before surgical resection by SPACE using LBC, with a sensitivity of 81.8% and specificity of 100%. The overall diagnostic accuracy was 91.7%. A total of 152 LBC examinations were performed via SPACE, with an adequate sample collection rate of 88.9%. No adverse events, including acute pancreatitis, occurred after endoscopic retrograde cholangiopancreatography. Conclusion: SPACE with LBC offers good diagnostic efficacy in patients with pancreatic cancer that is difficult to diagnose by endoscopic ultrasound-guided fine needle aspiration.

Indexed as

ENPDERCPliquid‐based cytologypancreatic cancerpancreatic juice cytology

Identifiers

PMID36304177
PMCPMC9593257
OpenAlexW4307585178

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.