Endobronchial ultrasound-guided transbronchial needle aspiration combined with either endoscopic ultrasound-guided fine-needle aspiration or endoscopic ultrasound using the EBUS scope-guided fine-needle aspiration for diagnosing and staging mediastinal diseases: a systematic review and meta-analysis
Combining EBUS-TBNA with EUS-FNA was associated with slightly better diagnostic accuracy than combining it with Eus-B-Fna. Evidence suggests that the combination of EBus- TBNA with either EUS.FNA or EUS:FNA provides relatively high accuracy for diagnosing mediastinal diseases. The combination with E US-F NA may be slightly better, however, according to our analysis.

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