Abstract
| Original language | English |
|---|---|
| Pages (from-to) | 3-11 |
| Number of pages | 9 |
| Journal | Sonography |
| Volume | 5 |
| Issue number | 1 |
| DOIs | |
| Publication status | Published - Mar 2018 |
| Externally published | Yes |
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Evaluation of a dedicated ultrasound fine needle aspiration service for thyroid nodules. / Tan, Chelsea; Lavender, Ilona; Naismith, Amanda ; Nguyen, Qui ; Ptasznik, Ronnie; Nandurkar, Dee; Wong, Jennifer ; Kumar, Beena; Fuller, Peter J.; Coombs, Peter Robert; Mond, Michael.
In: Sonography, Vol. 5, No. 1, 03.2018, p. 3-11.Research output: Contribution to journal › Article › Research › peer-review
TY - JOUR
T1 - Evaluation of a dedicated ultrasound fine needle aspiration service for thyroid nodules
AU - Tan, Chelsea
AU - Lavender, Ilona
AU - Naismith, Amanda
AU - Nguyen, Qui
AU - Ptasznik, Ronnie
AU - Nandurkar, Dee
AU - Wong, Jennifer
AU - Kumar, Beena
AU - Fuller, Peter J.
AU - Coombs, Peter Robert
AU - Mond, Michael
PY - 2018/3
Y1 - 2018/3
N2 - Introduction: We studied whether: (1) a quality‐focused thyroid fine needle aspiration (FNA) service reduced the non‐diagnostic (ND) rate of FNA; (2) the implementation of thyroid FNA selection criteria resulted in higher proportion of Bethesda V and VI cytology and malignant histopathology; and (3) impact of radiologist's level of experience on ND rates.Method: The imaging and pathology computer databases were retrospectively searched for all patients who had thyroid FNAs at our hospitals from July 2004 to December 2016.Results: Three hundred thirty‐eight and 609 patients in pre‐thyroid and post‐thyroid service groups, respectively, were evaluated. The ND rate of 36.7% in pre‐thyroid service was significantly higher than post‐thyroid service at 14.6% (p < 0.0001). The rates of Bethesda V and VI cytology in the pre‐thyroid service group did not differ significantly from the post‐thyroid group (p = 0.266; p = 0.069). There was no significant difference in the histopathologic malignancy rates between the two groups (p = 0.531). There was no significant difference in the ND rates of radiologists with varying experience (p = 0.873).Discussion: On‐site cytology improved the ND rate of ultrasound‐guided thyroid FNA. Implementation of FNA selection criteria did not alter the rates of Bethesda V and VI cytology and malignant histopathology. The experience of radiologists did not significantly influence ND rates.
AB - Introduction: We studied whether: (1) a quality‐focused thyroid fine needle aspiration (FNA) service reduced the non‐diagnostic (ND) rate of FNA; (2) the implementation of thyroid FNA selection criteria resulted in higher proportion of Bethesda V and VI cytology and malignant histopathology; and (3) impact of radiologist's level of experience on ND rates.Method: The imaging and pathology computer databases were retrospectively searched for all patients who had thyroid FNAs at our hospitals from July 2004 to December 2016.Results: Three hundred thirty‐eight and 609 patients in pre‐thyroid and post‐thyroid service groups, respectively, were evaluated. The ND rate of 36.7% in pre‐thyroid service was significantly higher than post‐thyroid service at 14.6% (p < 0.0001). The rates of Bethesda V and VI cytology in the pre‐thyroid service group did not differ significantly from the post‐thyroid group (p = 0.266; p = 0.069). There was no significant difference in the histopathologic malignancy rates between the two groups (p = 0.531). There was no significant difference in the ND rates of radiologists with varying experience (p = 0.873).Discussion: On‐site cytology improved the ND rate of ultrasound‐guided thyroid FNA. Implementation of FNA selection criteria did not alter the rates of Bethesda V and VI cytology and malignant histopathology. The experience of radiologists did not significantly influence ND rates.
U2 - 10.1002/sono.12135
DO - 10.1002/sono.12135
M3 - Article
VL - 5
SP - 3
EP - 11
JO - Sonography
JF - Sonography
SN - 2054-6750
IS - 1
ER -