{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T18:19:10Z","timestamp":1774981150937,"version":"3.50.1"},"reference-count":85,"publisher":"MDPI AG","issue":"12","license":[{"start":{"date-parts":[[2020,11,25]],"date-time":"2020-11-25T00:00:00Z","timestamp":1606262400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Research on Measures for Intractable Diseases\u201d Project, a matching fund subsidy from the Ministry of Health Labor and Welfare, Japan","award":["20FC1040(2402-102)"],"award-info":[{"award-number":["20FC1040(2402-102)"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diagnostics"],"abstract":"<jats:p>Autoimmune pancreatitis (AIP) is characterized by enlargement of the pancreas and irregular narrowing of the main pancreatic duct. It is often associated with IgG4-related sclerosing cholangitis (IgG4-SC), in which the bile duct narrows. Although characteristic irregular narrowing of the pancreatic duct caused by endoscopic retrograde cholangiopancreatography is noted in AIP, it is difficult to differentiate between localized AIP and pancreatic carcinoma based on imaging of the pancreatic duct. While stenosis of the bile duct in IgG4-SC is characterized by longer-length stenosis than in cholangiocarcinoma, differentiation based on bile duct imaging alone is challenging. Endoscopic ultrasound (EUS) can characterize hypoechoic enlargement of the pancreas or bile duct wall thickening in AIP and IgG4-SC, and diagnosis using elastography and contrast-enhanced EUS are being evaluated. The utility of EUS-guided fine needle aspiration for the histological diagnosis of AIP has been reported and is expected to improve diagnostic performance for AIP. Findings in the bile duct wall from endoscopic retrograde cholangiopancreatography followed by intraductal ultrasonography are useful in differentiating IgG4-SC from cholangiocarcinoma. Diagnoses based on endoscopic ultrasonography play a central role in the diagnosis of AIP.<\/jats:p>","DOI":"10.3390\/diagnostics10121005","type":"journal-article","created":{"date-parts":[[2020,11,25]],"date-time":"2020-11-25T08:59:15Z","timestamp":1606294755000},"page":"1005","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["The Diagnosis of Autoimmune Pancreatitis Using Endoscopic Ultrasonography"],"prefix":"10.3390","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6341-5199","authenticated-orcid":false,"given":"Atsushi","family":"Kanno","sequence":"first","affiliation":[{"name":"Department of Medicine, Division of Gastroenterology, Jichi Medical University, Shimotsuke 329-0498, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eriko","family":"Ikeda","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Gastroenterology, Jichi Medical University, Shimotsuke 329-0498, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kozue","family":"Ando","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Gastroenterology, Jichi Medical University, Shimotsuke 329-0498, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroki","family":"Nagai","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Gastroenterology, Jichi Medical University, Shimotsuke 329-0498, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tetsuro","family":"Miwata","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Gastroenterology, Jichi Medical University, Shimotsuke 329-0498, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuki","family":"Kawasaki","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Gastroenterology, Jichi Medical University, Shimotsuke 329-0498, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yamato","family":"Tada","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Gastroenterology, Jichi Medical University, Shimotsuke 329-0498, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kensuke","family":"Yokoyama","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Gastroenterology, Jichi Medical University, Shimotsuke 329-0498, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Norikatsu","family":"Numao","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Gastroenterology, Jichi Medical University, Shimotsuke 329-0498, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jun","family":"Ushio","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Gastroenterology, Jichi Medical University, Shimotsuke 329-0498, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kiichi","family":"Tamada","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Gastroenterology, Jichi Medical University, Shimotsuke 329-0498, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6673-5630","authenticated-orcid":false,"given":"Alan Kawarai","family":"Lefor","sequence":"additional","affiliation":[{"name":"Department of Surgery, Jichi Medical University, Shimotsuke 329-0498, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hironori","family":"Yamamoto","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Gastroenterology, Jichi Medical University, Shimotsuke 329-0498, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2020,11,25]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1561","DOI":"10.1007\/BF02285209","article-title":"Chronic pancreatitis caused by an autoimmune abnormality. Proposal of the concept of autoimmune pancreatitis","volume":"40","author":"Yoshida","year":"1995","journal-title":"Dig. Dis. Sci."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"21","DOI":"10.3109\/s10165-011-0571-z","article-title":"Comprehensive diagnostic criteria for IgG4-related disease(IgG4-RD), 2011","volume":"22","author":"Umehara","year":"2012","journal-title":"Mod. Rheumatol."},{"key":"ref_3","unstructured":"Members of the Criteria Committee for Autoimmune Pancreatitis of the Japan Pancreas Society (2002). Diagnostic criteria for autoimmune pancreatitis by the Japan Pancreas Society (2002). Suizo, 17, 585\u2013587."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"626","DOI":"10.1007\/s00535-006-1868-0","article-title":"Clinical diagnostic criteria of autoimmune pancreatitis: Revised proposal","volume":"41","author":"Okazaki","year":"2006","journal-title":"J. Gastroenterol."},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"The Japan Pancreas Society, the Ministry of Health and Welfare Investigation Research Team for Intractable Pancreatic Disease (2012). Clinical diagnostic criteria for autoimmune pancreatitis 2011 (proposal). Suizou, 27, 17\u201325.","DOI":"10.2958\/suizo.27.17"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"352","DOI":"10.1097\/MPA.0b013e3182142fd2","article-title":"International Consensus Diagnostic Criteria for Autoimmune Pancreatitis: Guidelines of the International Association of Pancreatology","volume":"40","author":"Shimosegawa","year":"2011","journal-title":"Pancreas"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"549","DOI":"10.1097\/MPA.0b013e3181e4d9e5","article-title":"Histopathologic and clinical subtypes of autoimmune pancreatitis: The Honolulu consensus document","volume":"39","author":"Chari","year":"2010","journal-title":"Pancreas"},{"key":"ref_8","unstructured":"The Japan Pancreas Society, the Ministry of Health and Welfare Investigation Research Team for Intractable Pancreatic Disease (2018). Clinical diagnostic criteria for autoimmune pancreatitis 2018 (proposal). Suizou, 33, 902\u2013913."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"2679","DOI":"10.1111\/j.1572-0241.2003.08727.x","article-title":"Clinical and imaging features of autoimmune pancreatitis with focal pancreatic swelling or mass formation: Comparison with so-called tumor-forming pancreatitis and pancreatic carcinoma","volume":"98","author":"Wakabayashi","year":"2003","journal-title":"Am. J. Gastroenterol."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"2332","DOI":"10.3748\/wjg.v17.i18.2332","article-title":"Utility of pancreatography for diagnosing autoimmune pancreatitis","volume":"17","author":"Takuma","year":"2011","journal-title":"World J. Gastroenterol."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"666","DOI":"10.1136\/gut.2010.207951","article-title":"Endoscopic retrograde pancreatography criteria to diagnose autoimmune pancreatitis: An international multicentre study","volume":"60","author":"Sugumar","year":"2011","journal-title":"Gut"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"706","DOI":"10.1053\/j.gastro.2007.12.009","article-title":"Immunoglobulin G4-associated cholangitis: Clinical profile and response to therapy","volume":"134","author":"Ghazale","year":"2008","journal-title":"Gastroenterology"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"536","DOI":"10.1007\/s00534-012-0521-y","article-title":"Clinical diagnostic criteria of IgG4-related sclerosing cholangitis 2012","volume":"19","author":"Ohara","year":"2012","journal-title":"J. Hepatobiliary Pancreat. Sci."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1097\/01.mpa.0000202941.85955.07","article-title":"Schematic classification of sclerosing cholangitis with autoimmune pancreatitis by cholangiography","volume":"32","author":"Nakazawa","year":"2006","journal-title":"Pancreas"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"937","DOI":"10.1016\/S0016-5107(04)02229-1","article-title":"Cholangiography can discriminate sclerosing cholangitis with autoimmune pancreatitis from primary sclerosing cholangitis","volume":"60","author":"Nakazawa","year":"2004","journal-title":"Gastrointest. Endosc."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"1648","DOI":"10.1111\/j.1440-1746.2010.06346.x","article-title":"IgG4-related sclerosing cholangitis and autoimmune pancreatitis: Histological assessment of biopsies from Vater\u2019s ampulla and the bile duct","volume":"25","author":"Kawakami","year":"2010","journal-title":"J. Gastroenterol. Hepatol."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"1147","DOI":"10.1007\/s00535-009-0108-9","article-title":"Endoscopic transpapillary intraductal ultrasonography and biopsy in the diagnosis of IgG4-related sclerosing cholangitis","volume":"44","author":"Naitoh","year":"2009","journal-title":"J. Gastroenterol."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1016\/j.gie.2009.08.008","article-title":"Endoscopic evaluation of factors contributing to intrapancreatic biliary stricture in autoimmune pancreatitis","volume":"71","author":"Hirano","year":"2010","journal-title":"Gastrointest. Endosc."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"463","DOI":"10.1002\/hep.21700","article-title":"Immunoglobin G4-hepatopathy: Association of immunoglobin G4-bearing plasma cells in liver with autoimmune pancreatitis","volume":"46","author":"Umemura","year":"2007","journal-title":"Hepatology"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"1287","DOI":"10.1038\/modpathol.2009.94","article-title":"IgG4-associated cholangitis: A comparative histological and immunophenotypic study with primary sclerosing cholangitis on liver biopsy material","volume":"22","author":"Deshpande","year":"2009","journal-title":"Mod. Pathol."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"269","DOI":"10.1007\/s00535-010-0319-0","article-title":"Small bile duct involvement in IgG4-related sclerosing cholangitis: Liver biopsy and cholangiography correlation","volume":"46","author":"Naitoh","year":"2011","journal-title":"J. Gastroenterol."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"1204","DOI":"10.1016\/j.gie.2008.08.013","article-title":"Differentiating sclerosing cholangitis caused by autoimmune pancreatitis and primary sclerosing cholangitis according to endoscopic duodenal papillary features","volume":"68","author":"Kubota","year":"2008","journal-title":"Gastrointest. Endosc."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"326","DOI":"10.1136\/gut.50.3.326","article-title":"Endoscopic transpapillary bile duct biopsy with the combination of intraductal ultrasonography in the diagnosis of biliary strictures","volume":"50","author":"Tamada","year":"2002","journal-title":"Gut"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"645","DOI":"10.1016\/j.gie.2012.04.458","article-title":"The role of endoscopy in the diagnosis of autoimmune pancreatitis","volume":"76","author":"Moon","year":"2012","journal-title":"Gastrointest. Endosc."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"1551","DOI":"10.1007\/s00330-014-3548-4","article-title":"Pancreatic duct \u201cIcicle sign\u201d on MRI for distinguishing autoimmune pancreatitis from pancreatic ductal adenocarcinoma in the proximal pancreas","volume":"25","author":"Kim","year":"2015","journal-title":"Eur. Radiol."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1007\/s00330-014-3371-y","article-title":"Pancreatic duct abnormalities in focal autoimmune pancreatitis: MR\/MRCP imaging findings","volume":"25","author":"Negrelli","year":"2015","journal-title":"Eur. Radiol."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"1214","DOI":"10.1007\/s11547-009-0452-0","article-title":"Autoimmune pancreatitis: Imaging findings on contrast-enhanced, M.R.; MRCP and dynamic secretin-enhanced MRCP","volume":"114","author":"Carbognin","year":"2009","journal-title":"Radiol. Med."},{"key":"ref_28","first-page":"1852","article-title":"Difference from bile duct cancer and relationship between bile duct wall thickness and serum IgG\/IgG4 levels in IgG4-related sclerosing cholangitis","volume":"61","author":"Kuwatani","year":"2014","journal-title":"Hepatogastroenterology"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"960","DOI":"10.1016\/j.gie.2009.12.004","article-title":"IgG4 immunostaining of duodenal papillary biopsy specimens may be useful for supporting a diagnosis of autoimmune pancreatitis","volume":"71","author":"Moon","year":"2010","journal-title":"Gastrointest. Endosc."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"154","DOI":"10.1007\/s00535-008-2294-2","article-title":"Diagnosis of autoimmune pancreatitis using endoscopic ultrasonography","volume":"44","author":"Hoki","year":"2009","journal-title":"J. Gastroenterol."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"927","DOI":"10.1016\/S0016-5107(04)02230-8","article-title":"EUS findings in patients with autoimmune pancreatitis","volume":"60","author":"Farrell","year":"2004","journal-title":"Gastrointest. Endosc."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1007\/s00534-011-0392-7","article-title":"Endoscopic ultrasonographic study of autoimmune pancreatitis and the effect of steroid therapy","volume":"19","author":"Okabe","year":"2012","journal-title":"J. Hepatobiliary Pancreat. Sci."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"759","DOI":"10.1111\/j.1440-1746.2010.06559.x","article-title":"Utility of contrast-enhanced ultrasonography with Sonazoid in radiofrequency ablation for hepatocellular carcinoma","volume":"26","author":"Masuzaki","year":"2011","journal-title":"J. Gastroenterol. Hepatol."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"824","DOI":"10.1016\/j.ultrasmedbio.2007.11.006","article-title":"Physicochemical characteristics of Sonazoid, a new contrast agent for ultrasound imaging","volume":"34","author":"Sontum","year":"2008","journal-title":"Ultrasound Med. Biol."},{"key":"ref_35","first-page":"71","article-title":"Contrast-enhanced ultrasonography of the pancreas","volume":"8","author":"Martone","year":"2007","journal-title":"JOP"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1097\/MPA.0b013e31816c908b","article-title":"Resectable pancreatic adenocarcinoma: Depiction of tumoral margins at contrast-enhanced ultrasonography","volume":"37","author":"Faccioli","year":"2008","journal-title":"Pancreas"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"560","DOI":"10.1159\/000225960","article-title":"Contrast-enhanced ultrasonography of the pancreas","volume":"9","author":"Faccioli","year":"2009","journal-title":"Pancreatology"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"203","DOI":"10.7150\/ijms.5.203","article-title":"Contrast-enhanced ultrasonograpic findings in pancreatic tumors","volume":"5","author":"Recaldini","year":"2008","journal-title":"Int. J. Med. Sci."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"222","DOI":"10.1007\/s00261-004-0229-9","article-title":"Pancreatic carcinoma versus chronic focal pancreatitis: Contrast-enhanced power Doppler ultrasonography findings","volume":"30","author":"Scialpi","year":"2005","journal-title":"Abdom. Imaging"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"144","DOI":"10.1111\/j.1572-0241.2005.40726.x","article-title":"Usefulness of contrast-enhanced transabdominal ultrasonography in the diagnosis of intraductal papillary mucinous tumors of the pancreas","volume":"100","author":"Itoh","year":"2005","journal-title":"Am. J. Gastroenterol."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"1903","DOI":"10.1053\/j.gastro.2009.08.049","article-title":"Quantitative perfusion analysis of transabdominal contrast-enhanced ultrasonography of pancreatic masses and carcinomas","volume":"137","author":"Kersting","year":"2009","journal-title":"Gastroenterology"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1016\/j.gie.2007.07.045","article-title":"A novel perfusion imaging technique of the pancreas: Contrast-enhanced harmonic EUS (with video)","volume":"67","author":"Kitano","year":"2008","journal-title":"Gastrointest. Endosc."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"590","DOI":"10.1016\/j.cgh.2008.02.030","article-title":"Improved differentiation of pancreatic tumors using contrast-enhanced endoscopic ultrasound","volume":"6","author":"Dietrich","year":"2008","journal-title":"Clin. Gastroenterol. Hepatol."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1055\/s-0030-1256022","article-title":"Contrast-enhanced endoscopic ultrasound in the diagnosis of autoimmune pancreatitis","volume":"43","author":"Hocke","year":"2011","journal-title":"Endoscopy"},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"645","DOI":"10.1016\/j.gie.2011.03.1246","article-title":"Techniques of image enhancement in EUS (with videos)","volume":"74","author":"Fusaroli","year":"2011","journal-title":"Gastrointest. Endosc."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"246","DOI":"10.3748\/wjg.v12.i2.246","article-title":"Contrast-enhanced endoscopic ultrasound in discrimination between focal pancreatitis and pancreatic cancer","volume":"12","author":"Hocke","year":"2006","journal-title":"World J. Gastroenterol."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"853","DOI":"10.3109\/00365521.2012.679686","article-title":"Novel quantitative perfusion analysis with contrast-enhanced harmonic EUS for differentiation of autoimmune pancreatitis from pancreatic carcinoma","volume":"47","author":"Imazu","year":"2012","journal-title":"Scand. J. Gastroenterol."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"578","DOI":"10.1016\/j.gie.2012.09.035","article-title":"EUS elastography for diagnosis of solid pancreatic masses: A meta-analysis","volume":"77","author":"Mei","year":"2013","journal-title":"Gastrointest. Endosc."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"718","DOI":"10.1055\/s-0029-1214866","article-title":"Real-time tissue elastography in the diagnosis of autoimmune pancreatitis","volume":"41","author":"Dietrich","year":"2009","journal-title":"Endoscopy"},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"467","DOI":"10.1016\/S0016-5107(04)02802-0","article-title":"EUS-guided trucut biopsy in establishing autoimmune pancreatitis as the cause of obstructive jaundice","volume":"61","author":"Levy","year":"2005","journal-title":"Gastrointest. Endosc."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"316","DOI":"10.1016\/j.cgh.2011.09.032","article-title":"Use of samples from endoscopic ultrasound-guided 19-gauge fine-needle aspiration in diagnosis of autoimmune pancreatitis","volume":"10","author":"Iwashita","year":"2012","journal-title":"Clin. Gastroenterol. Hepatol."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"397","DOI":"10.1055\/s-2004-814316","article-title":"Comparison of EUS-guided 19-gauge Trucut needle biopsy with EUS-guided fine-needle aspiration","volume":"36","author":"Varadarajulu","year":"2004","journal-title":"Endoscopy"},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"3883","DOI":"10.3748\/wjg.v18.i29.3883","article-title":"Endoscopic ultrasound-guided fine needle aspiration in the differentiation of type 1 and type 2 autoimmune pancreatitis","volume":"18","author":"Ishikawa","year":"2012","journal-title":"World J. Gastroenterol."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"594","DOI":"10.1016\/j.gie.2012.05.014","article-title":"Diagnosis of autoimmune pancreatitis by EUS-FNA by using a 22-gauge needle based on the International Consensus Diagnostic Criteria","volume":"76","author":"Kanno","year":"2012","journal-title":"Gastrointest. Endosc."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1016\/j.gie.2016.01.016","article-title":"Prospective multicenter study on the usefulness of EUS-guided FNA biopsy for the diagnosis of autoimmune pancreatitis","volume":"84","author":"Morishima","year":"2016","journal-title":"Gastrointest. Endosc."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"797","DOI":"10.1016\/j.gie.2016.03.1511","article-title":"Diagnosis of autoimmune pancreatitis by EUS-guided FNA using a 22-gauge needle: A prospective multicenter study","volume":"84","author":"Kanno","year":"2016","journal-title":"Gastrointest. Endosc."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"1034","DOI":"10.1016\/j.gie.2016.03.1405","article-title":"EUS-guided fine needle biopsy sampling using a novel fork-tip needle: A case control study","volume":"84","author":"Kandel","year":"2016","journal-title":"Gastrointest. Endosc."},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"338","DOI":"10.1111\/den.12769","article-title":"Endoscopic ultrasonography-guided biopsy using a Franseen needle design: Initial assessment","volume":"29","author":"Bang","year":"2017","journal-title":"Dig. Endosc."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"514","DOI":"10.1111\/pin.12563","article-title":"Microscopic findings in EUS-guided fine needle (SharkCore) biopsies with type 1 and type 2 autoimmune pancreatitis","volume":"67","author":"Detlefsen","year":"2017","journal-title":"Pathol. Int."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"168","DOI":"10.1016\/j.pan.2018.01.003","article-title":"Endoscopic ultrasound guided 22 gauge core needle biopsy for the diagnosis of Autoimmune pancreatitis","volume":"18","author":"Bhattacharya","year":"2018","journal-title":"Pancreatology"},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1016\/j.gie.2019.10.012","article-title":"Comparison of a 22-gauge Franseen-tip needle with a 20-gauge forward-bevel needle for the diagnosis of type 1 autoimmune pancreatitis: A prospective, randomized, controlled, multicenter study (COMPAS study)","volume":"91","author":"Kurita","year":"2020","journal-title":"Gastrointest. Endosc."},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"1311","DOI":"10.1016\/j.gie.2017.02.003","article-title":"Diagnosis of autoimmune pancreatitis using new, flexible EUS core biopsy needles: Report of 2 cases","volume":"85","author":"Runge","year":"2017","journal-title":"Gastrointest. Endosc."},{"key":"ref_63","doi-asserted-by":"crossref","unstructured":"Yoon, S.B., Moon, S.H., Song, T.J., Kim, J.H., and Kim, M.H. (2020). Endoscopic ultrasound-guided fine needle aspiration versus biopsy for diagnosis of autoimmune pancreatitis: A systematic review and comparative meta-analysis. Dig. Endosc.","DOI":"10.1111\/den.13866"},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1055\/s-0032-1325992","article-title":"The diagnostic accuracy of 22-gauge and 25-gauge needles in endoscopic ultrasound-guided fine needle aspiration of solid pancreatic lesions: A meta-analysis","volume":"45","author":"Madhoun","year":"2013","journal-title":"Endoscopy"},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"1739","DOI":"10.1038\/ajg.2010.108","article-title":"The prospective randomized, controlled trial of endoscopic ultrasound-guided fine-needle aspiration using 22G and 19G aspiration needles for solid pancreatic or peripancreatic masses","volume":"105","author":"Song","year":"2010","journal-title":"Am. J. Gastroenterol."},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"445","DOI":"10.1055\/s-0032-1326268","article-title":"Randomized trial comparing fanning with standard technique for endoscopic ultrasound-guided fine-needle aspiration of solid pancreatic mass lesions","volume":"45","author":"Bang","year":"2013","journal-title":"Endoscopy"},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1016\/j.gie.2011.02.015","article-title":"A prospective, single-blind, randomized, controlled trial of EUS-guided FNA with and without a stylet","volume":"74","author":"Rastogi","year":"2011","journal-title":"Gastrointest. Endosc."},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"1578","DOI":"10.1007\/s10620-013-3019-9","article-title":"Slow pull versus suction in endoscopic ultrasound-guided fine-needle aspiration of pancreatic solid masses","volume":"59","author":"Nakai","year":"2014","journal-title":"Dig. Dis. Sci."},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"1401","DOI":"10.1016\/j.gie.2014.11.023","article-title":"\u201dWet suction technique (WEST)\u201d: A novel way to enhance the quality of EUS-FNA aspirate. Results of a prospective, single-blind, randomized, controlled trial using a 22-gauge needle for EUS-FNA of solid lesions","volume":"81","author":"Attam","year":"2015","journal-title":"Gastrointest. Endosc."},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"1030","DOI":"10.1016\/j.gie.2014.04.012","article-title":"High and low negative pressure suction techniques in EUS-guided fine-needle tissue acquisition by using 25-gauge needles: A multicenter, prospective, randomized, controlled trial","volume":"80","author":"Kudo","year":"2014","journal-title":"Gastrointest. Endosc."},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"1705","DOI":"10.1038\/ajg.2011.119","article-title":"Influence of on-site cytopathology evaluation on the diagnostic accuracy of endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) of solid pancreatic masses","volume":"106","author":"Abdulkader","year":"2011","journal-title":"Am. J. Gastroenterol."},{"key":"ref_72","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1016\/j.gie.2014.08.040","article-title":"Macroscopic on-site quality evaluation of biopsy specimens to improve the diagnostic accuracy during EUS-guided FNA using a 19-gauge needle for solid lesions: A single-center prospective pilot study (MOSE study)","volume":"81","author":"Iwashita","year":"2015","journal-title":"Gastrointest. Endosc."},{"key":"ref_73","doi-asserted-by":"crossref","first-page":"1433","DOI":"10.1007\/s00432-012-1268-1","article-title":"Diagnostic accuracy of endoscopic ultrasound-guided fine-needle aspiration for solid pancreatic lesion: A systematic review","volume":"138","author":"Chen","year":"2012","journal-title":"J. Cancer Res. Clin. Oncol."},{"key":"ref_74","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1016\/j.gie.2011.08.049","article-title":"EUS-guided FNA for diagnosis of solid pancreatic neoplasms: A meta-analysis","volume":"75","author":"Hewitt","year":"2012","journal-title":"Gastrointest. Endosc."},{"key":"ref_75","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1097\/MPA.0b013e3182546e79","article-title":"How good is endoscopic ultrasound-guided fine-needle aspiration in diagnosing the correct etiology for a solid pancreatic mass? A meta-analysis and systematic review","volume":"42","author":"Puli","year":"2013","journal-title":"Pancreas"},{"key":"ref_76","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1016\/j.hbpd.2018.01.010","article-title":"Diagnostic yield of EUS-FNA of small (15 mm) solid pancreatic lesions using a 25-gauge needle","volume":"17","author":"Bernardoni","year":"2018","journal-title":"Hepatobiliary Pancreat. Dis. Int."},{"key":"ref_77","doi-asserted-by":"crossref","first-page":"301","DOI":"10.1016\/j.gie.2012.02.051","article-title":"Contrast-enhanced EUS for differential diagnosis of pancreatic mass lesions: A meta-analysis","volume":"76","author":"Gong","year":"2012","journal-title":"Gastrointest. Endosc."},{"key":"ref_78","doi-asserted-by":"crossref","first-page":"921","DOI":"10.1007\/s00535-011-0404-z","article-title":"EUS-FNA for suspected malignant biliary strictures after negative endoscopic transpapillary brush cytology and forceps biopsy","volume":"46","author":"Ohshima","year":"2011","journal-title":"J. Gastroenterol."},{"key":"ref_79","doi-asserted-by":"crossref","first-page":"242","DOI":"10.1007\/s00535-010-0298-1","article-title":"Endoscopic nasobiliary drainage is the most suitable preoperative biliary drainage method in the management of patients with hilar cholangiocarcinoma","volume":"46","author":"Kawakami","year":"2011","journal-title":"J. Gastroenterol."},{"key":"ref_80","doi-asserted-by":"crossref","first-page":"1615","DOI":"10.1111\/j.1440-1746.2007.05037.x","article-title":"Usefulness of transpapillary bile duct brushing cytology and forceps biopsy for improved diagnosis in patients with biliary strictures","volume":"22","author":"Kitajima","year":"2007","journal-title":"J. Gastroenterol. Hepatol."},{"key":"ref_81","doi-asserted-by":"crossref","first-page":"520","DOI":"10.1016\/S0016-5107(95)70004-8","article-title":"Endoscopic retrograde forceps biopsy and brush cytology of biliary strictures: A prospective study","volume":"42","author":"Pugliese","year":"1995","journal-title":"Gastrointest. Endosc."},{"key":"ref_82","first-page":"465","article-title":"Endoscopic transpapillary bile duct biopsy without sphincterotomy for diagnosing biliary strictures: A prospective comparative study with bile and brush cytology","volume":"91","author":"Sugiyama","year":"1996","journal-title":"Am. J. Gastroenterol."},{"key":"ref_83","doi-asserted-by":"crossref","first-page":"587","DOI":"10.1067\/mge.2001.118715","article-title":"The combination of stricture dilation, endoscopic needle aspiration, and biliary brushings significantly improves diagnostic yield from malignant bile duct strictures","volume":"54","author":"Farrell","year":"2001","journal-title":"Gastrointest. Endosc."},{"key":"ref_84","doi-asserted-by":"crossref","first-page":"565","DOI":"10.1016\/S0016-5107(95)70012-9","article-title":"Value of endobiliary brush cytology and biopsies for the diagnosis of malignant bile duct stenosis: Results of a prospective study","volume":"42","author":"Ponchon","year":"1995","journal-title":"Gastrointest. Endosc."},{"key":"ref_85","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1002\/cncr.21842","article-title":"Pancreatic and bile duct brushing cytology in 1000 cases: Review of findings and comparison of preparation methods","volume":"108","author":"Volmar","year":"2006","journal-title":"Cancer"}],"container-title":["Diagnostics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2075-4418\/10\/12\/1005\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T10:37:07Z","timestamp":1760179027000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2075-4418\/10\/12\/1005"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,11,25]]},"references-count":85,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2020,12]]}},"alternative-id":["diagnostics10121005"],"URL":"https:\/\/doi.org\/10.3390\/diagnostics10121005","relation":{},"ISSN":["2075-4418"],"issn-type":[{"value":"2075-4418","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,11,25]]}}}