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EUS-guided biopsies versus surgical specimens for establishing patient-derived pancreatic cancer organoids: A systematic review and meta-analysis

Simon Ezban Grützmeier*, Hafsa Mahad Mahamud Sodal, Bojan Kovacevic, Peter Vilmann, John Gásdal Karstensen, Pia Klausen

*Corresponding author for this work
7 Citations (Scopus)

Abstract

BACKGROUND AND AIMS: Patient-derived tumor organoids (PDTOs) are a promising new disease model in pancreatic cancer for use in personalized medicine. However, the overall success rate (SR) of establishing these cultures from EUS-guided biopsies is unknown.

METHODS: We searched relevant database publications reporting SRs of PDTO establishment from pancreatic cancer. The primary outcome was SR stratified on tissue acquisition method (EUS-guided biopsies, percutaneous biopsies, and surgical specimens).

RESULTS: Twenty-four studies were identified that included 1053 attempts at establishing PDTOs. Overall SR was 63% (95% confidence interval [CI], 54%-72%). Pooled SRs of PDTO establishment from EUS-guided biopsies, percutaneous biopsies, and surgical specimens were 60% (95% CI, 43%-76%), 36% (95% CI, 14%-61%), and 62% (95% CI, 48%-75%), respectively, and did not differ significantly (P = .1975).

CONCLUSION: The SR of PDTO establishment from EUS-guided biopsies is comparable to that from surgical specimens. Both techniques are suitable for tissue acquisition for PDTOs in clinical and research settings. (PROSPERO registration number: CRD42023425121.).

Original languageEnglish
JournalGastrointestinal Endoscopy
Volume100
Issue number4
Pages (from-to)750-755
Number of pages6
ISSN0016-5107
DOIs
Publication statusPublished - Oct 2024

Keywords

  • Endoscopic Ultrasound-Guided Fine Needle Aspiration/methods
  • Endosonography/methods
  • Humans
  • Image-Guided Biopsy/methods
  • Organoids/pathology
  • Pancreatic Neoplasms/pathology
  • Ultrasonography, Interventional/methods

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