{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T12:11:52Z","timestamp":1778760712060,"version":"3.51.4"},"reference-count":49,"publisher":"Elsevier BV","issue":"6","license":[{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["academicradiology.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Academic Radiology"],"published-print":{"date-parts":[[2026,6]]},"DOI":"10.1016\/j.acra.2026.02.033","type":"journal-article","created":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T20:15:18Z","timestamp":1775247318000},"page":"2613-2625","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparative Evaluation of Four-Group Matched Design: Transoral Versus Percutaneous Core Needle Biopsy with Conventional Ultrasound and Contrast-Enhanced Ultrasound Guidance for Oropharyngeal and Adjacent Space Lesions"],"prefix":"10.1016","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2061-3181","authenticated-orcid":false,"given":"Yuping","family":"Shen","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Man","family":"Lu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiulong","family":"Dai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bo","family":"Tan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuting","family":"Fan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fawei","family":"He","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ting","family":"Wei","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"issue":"10","key":"10.1016\/j.acra.2026.02.033_bib1","doi-asserted-by":"crossref","first-page":"1401","DOI":"10.1001\/jamaoncol.2023.2960","article-title":"The Global, Regional, and National Burden of Adult Lip, Oral, and pharyngeal cancer in 204 countries and territories: a systematic analysis for the Global Burden of Disease Study 2019","volume":"9","author":"Cunha","year":"2023","journal-title":"JAMA Oncol"},{"issue":"17","key":"10.1016\/j.acra.2026.02.033_bib2","doi-asserted-by":"crossref","first-page":"18153","DOI":"10.1002\/cam4.6391","article-title":"Disease burden, risk factors, and trends of lip, oral cavity, pharyngeal cancers: a global analysis","volume":"12","author":"Huang","year":"2023","journal-title":"Cancer Med"},{"issue":"8","key":"10.1016\/j.acra.2026.02.033_bib3","doi-asserted-by":"crossref","DOI":"10.3390\/pathogens12080984","article-title":"HPV and other risk factors involved in pharyngeal neoplasm-clinical and morphopathological correlations in the Southwestern Region of Romania","volume":"12","author":"Mogoant\u0103","year":"2023","journal-title":"Pathogens"},{"issue":"1","key":"10.1016\/j.acra.2026.02.033_bib4","doi-asserted-by":"crossref","first-page":"2192","DOI":"10.1186\/s12889-022-14654-z","article-title":"Global trend and risk factors of the disease burden for pharynx and larynx cancers between 1990 and 2019: a systematic analysis of the global burden of disease study 2019","volume":"22","author":"Huang","year":"2022","journal-title":"BMC Public Health"},{"issue":"9","key":"10.1016\/j.acra.2026.02.033_bib5","doi-asserted-by":"crossref","first-page":"2407","DOI":"10.1007\/s00405-020-05979-9","article-title":"A review of the 8th edition of the AJCC staging system for oropharyngeal cancer according to HPV status","volume":"277","author":"Machczy\u0144ski","year":"2020","journal-title":"Eur Arch Otorhinolaryngol"},{"key":"10.1016\/j.acra.2026.02.033_bib6","doi-asserted-by":"crossref","DOI":"10.1016\/j.oraloncology.2020.105042","article-title":"Reprint of \"Squamous cell carcinoma of the oral cavity, larynx, oropharynx and hypopharynx: EHNS-ESMO-ESTRO Clinical Practice Guidelines for diagnosis, treatment and follow-up\"","volume":"113","author":"Machiels","year":"2021","journal-title":"Oral Oncol"},{"key":"10.1016\/j.acra.2026.02.033_bib7","first-page":"1456","article-title":"Alcohol drinking and head and neck cancer risk: the joint effect of intensity and duration","volume":"123","author":"Di Credico","year":"2020","journal-title":"Br\u00a0J\u00a0Cancer"},{"issue":"5","key":"10.1016\/j.acra.2026.02.033_bib8","first-page":"359","article-title":"HPV-related carcinoma of the oropharynx: challenges on small biopsy specimens","volume":"9","author":"Palsgrove","year":"2020","journal-title":"J\u00a0Am\u00a0Soc\u00a0Cytopathol"},{"key":"10.1016\/j.acra.2026.02.033_bib9","article-title":"Transoral endoscopic ultrasound-guided fine-needle biopsy of a tumor of the parapharyngeal space","volume":"53","author":"P\u00f3lkowski","year":"2020","journal-title":"Endoscopy"},{"key":"10.1016\/j.acra.2026.02.033_bib10","doi-asserted-by":"crossref","first-page":"1222","DOI":"10.1177\/02841851241265707","article-title":"Diagnostic accuracy of imaging-guided biopsy of peripheral pulmonary lesions: a systematic review","volume":"65","author":"Magnini","year":"2024","journal-title":"Acta Radiol"},{"issue":"1","key":"10.1016\/j.acra.2026.02.033_bib11","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0191590","article-title":"Diagnosis of small pulmonary lesions by transbronchial lung biopsy with radial endobronchial ultrasound and virtual bronchoscopic navigation versus CT-guided transthoracic needle biopsy: a systematic review and meta-analysis","volume":"13","author":"Han","year":"2018","journal-title":"PLoS ONE"},{"key":"10.1016\/j.acra.2026.02.033_bib12","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1007\/s00408-023-00596-9","article-title":"Solitary lung nodule: CT-guided transthoracic biopsy vs transbronchial biopsy with endobronchial ultrasound and flexible bronchoscope, a meta-analysis of randomized controlled trials","volume":"201","author":"Ho","year":"2023","journal-title":"Lung"},{"issue":"1","key":"10.1016\/j.acra.2026.02.033_bib13","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1186\/s40644-019-0240-6","article-title":"Accuracy and complications of CT-guided pulmonary core biopsy in small nodules: a single-center experience","volume":"19","author":"Huang","year":"2019","journal-title":"Cancer Imaging"},{"issue":"5","key":"10.1016\/j.acra.2026.02.033_bib14","doi-asserted-by":"crossref","first-page":"1277","DOI":"10.1002\/hed.25552","article-title":"Classification of tumors by imaging diagnosis and preoperative fine-needle aspiration cytology in 120 patients with tumors in the parapharyngeal space","volume":"41","author":"Matsuki","year":"2019","journal-title":"Head Neck"},{"issue":"1","key":"10.1016\/j.acra.2026.02.033_bib15","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1016\/j.ijom.2020.05.007","article-title":"Navigation-guided core needle biopsy for skull base and parapharyngeal lesions: a five-year experience","volume":"50","author":"Zhu","year":"2021","journal-title":"Int J Oral Maxillofac Surg"},{"issue":"8-Sup1","key":"10.1016\/j.acra.2026.02.033_bib16","doi-asserted-by":"crossref","first-page":"7069","DOI":"10.1158\/1538-7445.AM2025-7069","article-title":"Abstract 7069: HPV-related oropharyngeal cancer: circulating and salivary DNA-based biomarkers for early diagnosis and recurrence monitoring","volume":"85","author":"Bouska","year":"2025","journal-title":"Cancer Res"},{"key":"10.1016\/j.acra.2026.02.033_bib17","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1186\/s13046-024-03137-1","article-title":"The landscape of circulating tumor HPV DNA and TTMV-HPVDNA for surveillance of HPV-oropharyngeal carcinoma: systematic review and meta-analysis","volume":"43","author":"Campo","year":"2024","journal-title":"J Exp Clin Cancer Res"},{"key":"10.1016\/j.acra.2026.02.033_bib18","doi-asserted-by":"crossref","DOI":"10.1016\/j.oraloncology.2025.107445","article-title":"Analytical and clinical performance validation of HPV-SEQ, a novel NGS-based liquid biopsy platform for detection and quantification of human papilloma virus circulating tumor DNA","volume":"167","author":"Eickelschulte","year":"2025","journal-title":"Oral Oncology"},{"issue":"5","key":"10.1016\/j.acra.2026.02.033_bib19","article-title":"Transoral ultrasound-guided core biopsy for minimally invasive sampling of hard-to-access oropharyngeal cancers","volume":"171","author":"Chen","year":"2024","journal-title":"Otolaryngol Head Neck Surg Off J Am Acad Otolaryngol Head Neck Surg"},{"issue":"1","key":"10.1016\/j.acra.2026.02.033_bib20","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1186\/s12880-022-00784-8","article-title":"Comparative study on efficacy and safety of ultrasound guided transoral and transcutaneous core needle biopsy in patients with oral masses","volume":"22","author":"Wei","year":"2021","journal-title":"BMC Med Imaging"},{"issue":"11","key":"10.1016\/j.acra.2026.02.033_bib21","first-page":"1960","article-title":"Diagnostic accuracy and scope of intraoperative transoral ultrasound and transoral ultrasound-guided fine-needle aspiration of retropharyngeal masses","volume":"40","author":"Vu","year":"2019","journal-title":"AJNR Am J Neuroradiol"},{"key":"10.1016\/j.acra.2026.02.033_bib22","doi-asserted-by":"crossref","first-page":"602","DOI":"10.1177\/0194599820945953","article-title":"Time and cost of ultrasound-guided fine-needle aspiration biopsy\/core-needle biopsy for primary Laryngohypopharyngeal Squamous cell carcinoma","volume":"164","author":"Ahn","year":"2020","journal-title":"Otolaryngol Head Neck Surg"},{"key":"10.1016\/j.acra.2026.02.033_bib23","article-title":"Advances in the clinical diagnosis of lung cancer using contrast-enhanced ultrasound","volume":"12","author":"Huang","year":"2025","journal-title":"Front Med"},{"key":"10.1016\/j.acra.2026.02.033_bib24","doi-asserted-by":"crossref","first-page":"1052862","DOI":"10.3389\/fendo.2023.1052862","article-title":"Contrast-enhanced ultrasound combined targeted microbubbles for diagnosis of highly aggressive papillary thyroid carcinoma","volume":"14","author":"Ma","year":"2023","journal-title":"Front Endocrinol"},{"issue":"1","key":"10.1016\/j.acra.2026.02.033_bib25","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1016\/j.ultrasmedbio.2023.09.016","article-title":"Response evaluation using contrast-enhanced ultrasound for unresectable advanced hepatocellular carcinoma treated with tyrosine kinase inhibitors plus anti-PD-1 antibody therapy","volume":"50","author":"Zhao","year":"2023","journal-title":"Ultrasound Med Biol"},{"issue":"48","key":"10.1016\/j.acra.2026.02.033_bib26","doi-asserted-by":"crossref","first-page":"33181","DOI":"10.1021\/acsnano.4c11805","article-title":"Assessing therapeutic nanoparticle accumulation in tumors using nanobubble-based contrast-enhanced ultrasound imaging","volume":"18","author":"Cooley","year":"2024","journal-title":"ACS Nano"},{"issue":"12","key":"10.1016\/j.acra.2026.02.033_bib27","first-page":"912","article-title":"Beyond the throat: imaging of parapharyngeal space lesions","volume":"79","author":"Rai","year":"2024","journal-title":"Clin\u00a0Radiol"},{"key":"10.1016\/j.acra.2026.02.033_bib28","doi-asserted-by":"crossref","first-page":"5292","DOI":"10.3390\/cancers15215292","article-title":"Transoral ultrasound in the outpatient clinic for the diagnostic work-up of oropharyngeal cancer: a feasibility study","volume":"15","author":"Garset-Zamani","year":"2023","journal-title":"Cancers"},{"key":"10.1016\/j.acra.2026.02.033_bib29","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1016\/j.oraloncology.2017.12.012","article-title":"Reader performance in the ultrasonographic evaluation of oropharyngeal carcinoma","volume":"77","author":"Faraji","year":"2018","journal-title":"Oral Oncol"},{"key":"10.1016\/j.acra.2026.02.033_bib30","first-page":"180","article-title":"Ultrasound fusion\u2013guided core needle biopsy for deep head and neck space lesions: technical feasibility, histopathologic yield, and safety","volume":"44","author":"Li","year":"2023","journal-title":"Am\u00a0J\u00a0Neuroradiol"},{"key":"10.1016\/j.acra.2026.02.033_bib31","first-page":"E194","article-title":"Endoscopic ultrasound-guided fine-needle aspiration to diagnose a recurrent nasopharyngeal carcinoma in the parapharyngeal space","volume":"55","author":"Zhang","year":"2022","journal-title":"Endoscopy"},{"issue":"7","key":"10.1016\/j.acra.2026.02.033_bib32","doi-asserted-by":"crossref","first-page":"2375","DOI":"10.1002\/lary.32053","article-title":"Office-based drainage of a parapharyngeal abscess with surgeon-performed transoral ultrasound","volume":"135","author":"Sj\u00f6lander","year":"2025","journal-title":"Laryngoscope"},{"key":"10.1016\/j.acra.2026.02.033_bib33","doi-asserted-by":"crossref","first-page":"109579","DOI":"10.1016\/j.radonc.2023.109579","article-title":"Endonasopharyngeal ultrasound and magnetic resonance imaging features of recurrent retropharyngeal nodes in nasopharyngeal carcinoma patients: a radiologic-histopathologic study","volume":"183","author":"Tan","year":"2023","journal-title":"Radiother Oncol J Eur Soc Ther Radiol Oncol"},{"key":"10.1016\/j.acra.2026.02.033_bib34","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1016\/j.oraloncology.2018.01.016","article-title":"Evaluating oropharyngeal carcinoma with transcervical ultrasound, CT, and MRI","volume":"78","author":"Faraji","year":"2018","journal-title":"Oral Oncol"},{"key":"10.1016\/j.acra.2026.02.033_bib35","doi-asserted-by":"crossref","DOI":"10.1016\/j.oraloncology.2020.104872","article-title":"Selection of the surgical approach for lesions with parapharyngeal space involvement: a single-center experience on 153 cases","volume":"109","author":"Lombardi","year":"2020","journal-title":"Oral Oncol"},{"issue":"1","key":"10.1016\/j.acra.2026.02.033_bib36","doi-asserted-by":"crossref","first-page":"159","DOI":"10.2307\/2529310","article-title":"The measurement of observer agreement for categorical data","volume":"33","author":"Landis","year":"1977","journal-title":"Biometrics"},{"key":"10.1016\/j.acra.2026.02.033_bib37","article-title":"Beyond the throat: imaging of parapharyngeal space lesions","author":"Rai","year":"2024","journal-title":"Clin\u00a0Radiol"},{"key":"10.1016\/j.acra.2026.02.033_bib38","first-page":"102","article-title":"Diagnosis and management of parapharyngeal space tumor","volume":"46","author":"Rahman","year":"2021","journal-title":"Adv Health Sci Res"},{"key":"10.1016\/j.acra.2026.02.033_bib39","doi-asserted-by":"crossref","first-page":"721","DOI":"10.1148\/radiol.212317","article-title":"A multicenter randomized controlled study of contrast-enhanced us versus us-guided biopsy of focal liver lesions","author":"Wu","year":"2022","journal-title":"Radiology"},{"key":"10.1016\/j.acra.2026.02.033_bib40","first-page":"6830","article-title":"The benefit of contrast-enhanced ultrasound in biopsies for focal liver lesions: a retrospective study of 820 cases","volume":"32","author":"Huang","year":"2022","journal-title":"Eur\u00a0Radiol"},{"issue":"12","key":"10.1016\/j.acra.2026.02.033_bib41","doi-asserted-by":"crossref","first-page":"3210","DOI":"10.1016\/j.ultrasmedbio.2020.09.001","article-title":"Contrast-enhanced ultrasound guided transoral core needle biopsy: a novel, safe and well-tolerated procedure for obtaining high-quality tissue in patients with oral cancer","volume":"46","author":"Wei","year":"2020","journal-title":"Ultrasound Med Biol"},{"issue":"1","key":"10.1016\/j.acra.2026.02.033_bib42","article-title":"Diagnostic accuracy of ultrasound-guided core needle biopsy versus incisional biopsy in soft tissue sarcoma: an institutional experience","volume":"11","author":"Cernakova","year":"2021","journal-title":"Sci\u00a0Rep"},{"issue":"3","key":"10.1016\/j.acra.2026.02.033_bib43","doi-asserted-by":"crossref","first-page":"651","DOI":"10.1007\/s12105-021-01401-w","article-title":"Diagnostic accuracy and post-procedural complications associated with ultrasound-guided core needle biopsy in the preoperative evaluation of parotid tumors","volume":"16","author":"Jering","year":"2022","journal-title":"Head Neck Pathol"},{"issue":"10","key":"10.1016\/j.acra.2026.02.033_bib44","doi-asserted-by":"crossref","first-page":"2154","DOI":"10.1016\/j.ultrasmedbio.2022.06.013","article-title":"Comparison of the diagnostic accuracy of percutaneous fistula contrast-enhanced ultrasound combined with transrectal 360\u00b0 3-d imaging and conventional transrectal ultrasound in complex Anal Fistula","volume":"48","author":"Gou","year":"2022","journal-title":"Ultrasound Med Biol"},{"key":"10.1016\/j.acra.2026.02.033_bib45","first-page":"475","article-title":"Ultrasound-guided needle insertion robotic system for percutaneous puncture","volume":"16","author":"Wang","year":"2021","journal-title":"Int\u00a0J\u00a0Computer Assisted Radiol\u00a0Surg"},{"key":"10.1016\/j.acra.2026.02.033_bib46","doi-asserted-by":"crossref","first-page":"1299","DOI":"10.1002\/jum.15794","article-title":"Transoral access guided by endocavitary ultrasound for percutaneous biopsy of C2 Tumor","volume":"41","author":"Elkis","year":"2022","journal-title":"J Ultrasound Med"},{"key":"10.1016\/j.acra.2026.02.033_bib47","doi-asserted-by":"crossref","first-page":"5659","DOI":"10.3390\/cancers13225659","article-title":"Accuracy and safety of ultrasound-guided core needle biopsy of soft tissue tumors in an outpatient setting: a sarcoma center analysis of 392 consecutive patients","volume":"13","author":"Weigl","year":"2021","journal-title":"Cancers"},{"key":"10.1016\/j.acra.2026.02.033_bib48","doi-asserted-by":"crossref","first-page":"1206","DOI":"10.3390\/pharmaceutics13081206","article-title":"An updated overview of the emerging role of patch and film-based buccal delivery systems","volume":"13","author":"Jacob","year":"2021","journal-title":"Pharmaceutics"},{"key":"10.1016\/j.acra.2026.02.033_bib49","article-title":"Salivary amylase-responsive buccal tablets wipe out chemotherapy-rooted refractory oral mucositis","volume":"11","author":"Zhang","year":"2024","journal-title":"Adv Sci"}],"container-title":["Academic Radiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1076633226001248?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1076633226001248?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T11:46:28Z","timestamp":1778759188000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1076633226001248"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6]]},"references-count":49,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["S1076633226001248"],"URL":"https:\/\/doi.org\/10.1016\/j.acra.2026.02.033","relation":{},"ISSN":["1076-6332"],"issn-type":[{"value":"1076-6332","type":"print"}],"subject":[],"published":{"date-parts":[[2026,6]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Comparative Evaluation of Four-Group Matched Design: Transoral Versus Percutaneous Core Needle Biopsy with Conventional Ultrasound and Contrast-Enhanced Ultrasound Guidance for Oropharyngeal and Adjacent Space Lesions","name":"articletitle","label":"Article Title"},{"value":"Academic Radiology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.acra.2026.02.033","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Association of Academic Radiology. Published by Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}