{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T12:25:01Z","timestamp":1763727901299,"version":"build-2065373602"},"reference-count":31,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2021,2,4]],"date-time":"2021-02-04T00:00:00Z","timestamp":1612396800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diagnostics"],"abstract":"<jats:p>Recent advances in endoscopic ultrasound (EUS), particularly EUS-guided tissue acquisition, may have affected EUS procedural performance as measured by current American Society for Gastrointestinal Endoscopy (ASGE)\/American College of Gastroenterology (ACG) quality indicators. Our study aims to assess how these quality metrics are met in clinical practice. We retrospectively analyzed 732 EUS procedures; data collected were procedural indications, technical aspects and outcomes, completeness of documentation, and malignancy staging. EUS was performed in 660 patients for a variety of indications. All ASGE\/ACG EUS procedural quality metrics were met or exceeded. Intervention was successful in 97.7% (715\/732) of cases, with complication rate of 0.4% (3\/732). EUS outcomes changed clinical management in 58.7% of all cases and in 91.2% of malignancy work-up cases; in 26.0% of suspected choledocholithiasis cases, endoscopic retrograde cholangiopancreatography (ERCP) was avoided after EUS. Locoregional EUS staging was accurate in 61\/65 (93.8%) cases of non-metastatic disease and in 15\/22 (68.2%) cases of metastatic disease. Pancreatic mass malignancy detection rate with EUS-guided fine needle aspiration (FNA) or fine needle biopsy (FNB) was 75.8%, with a sensitivity of 96.2%; a significant increase in detection rate from 46.2% (6\/13) to 95.0% (19\/20) (p = 0.0026) was observed with a transition to the predominant use of FNB for tissue acquisition. All ASGE\/ACG EUS quality metrics were met or exceeded for EUS procedures performed for a wide variety of indications in a diverse patient population. EUS was instrumental in changing clinical management, with a low complication rate. The malignancy detection rate in pancreatic masses significantly increased with FNB use.<\/jats:p>","DOI":"10.3390\/diagnostics11020242","type":"journal-article","created":{"date-parts":[[2021,2,4]],"date-time":"2021-02-04T12:02:10Z","timestamp":1612440130000},"page":"242","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Endoscopic Ultrasound Quality Metrics in Clinical Practice"],"prefix":"10.3390","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6201-7092","authenticated-orcid":false,"given":"Lawrence","family":"Ku","sequence":"first","affiliation":[{"name":"Division of Gastroenterology, Harbor-UCLA Medical Center, Torrance, CA 90502, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Linda A.","family":"Hou","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology, Harbor-UCLA Medical Center, Torrance, CA 90502, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Viktor E.","family":"Eysselein","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology, Harbor-UCLA Medical Center, Torrance, CA 90502, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sofiya","family":"Reicher","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology, Harbor-UCLA Medical Center, Torrance, CA 90502, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2021,2,4]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"447","DOI":"10.1055\/s-2002-31988","article-title":"Clinical impact of endoscopic ultrasonography at a county hospital","volume":"34","author":"Ainsworth","year":"2002","journal-title":"Endoscopy"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"399","DOI":"10.1016\/S0016-5107(05)01631-7","article-title":"Prospective study of the clinical impact of EUS","volume":"62","author":"Chong","year":"2005","journal-title":"Gastrointest. 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