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CC BY 4.0 · Journal of Digestive Endoscopy
DOI: 10.1055/s-0045-1812865
Narrative Review

Recent Advances in Endoscopic Ultrasound-Guided Tissue Acquisition

Autor*innen

  • Panotpol Termsinsuk 

    1   Division of Gastroenterology and Hepatology, School of Internal Medicine, Institute of Medicine, Suranaree University of Technology, Nakhon Ratchasima, Thailand

  • Nonthalee Pausawasdi 

    2   Division of Gastroenterology, Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand

Funding None.
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Abstract

Endoscopic ultrasound-guided tissue acquisition (EUS-TA) constitutes a pivotal technique in the histopathological evaluation of intra-abdominal and mediastinal lesions. Recent advances enhance the diagnostic yield and clinical utility of EUS-TA. These include the advent of through-the-needle accessories, the integration of molecular and genomic profiling, the implementation of image-enhanced acquisition techniques, and the application of artificial intelligence-assisted image interpretation. Furthermore, the incorporation of digital pathology and telecytology platforms in conjunction with rapid on-site evaluation provides additional value for improving real-time diagnostic assessment. These innovations underscore the evolving role of EUS-TA as a highly adaptable and precision-oriented tool toward individualized patient care in the precision medicine era.

Keywords

endoscopic ultrasound - tissue acquisition - through-the-needle biopsy - molecular profiling - image-enhanced EUS - rapid on-site evaluation - telecytology

Authors' Contributions

Conceptualization: N.P.; literature search, data extraction: P.T., writing—original draft preparation: P.T.; writing—review and editing: N.P. All authors contributed to the manuscript revision, read, and approved of the submitted version.




Publikationsverlauf

Artikel online veröffentlicht:
31. Oktober 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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