Rapid On-Site Evaluation With Telecytology Significantly Reduced Unsatisfactory Rates of Thyroid Fine-Needle Aspiration|: A Case-Control Study

Objectives: We evaluated telecytology rapid on-site evaluation (ROSE) for thyroid ultrasound-guided fine-needle aspiration. To the best of our knowledge, this study is the first case-control clinical trial of thyroid telecytology. Methods: We introduced on-site ROSE in our institution's thyroid...

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Published in:American journal of clinical pathology 2020-03, Vol.153 (3), p.342-345
Main Authors: Lin, Diana M, Tracht, Jessica, Rosenblum, Frida, Kouba, Erik, Bahl, Deepti, Patel, Anish, Eltoum, Isam-Eldin
Format: Article
Language:English
Subjects:
Biopsy
Biopsy, Needle
Diagnosis, Ultrasonic
Methods
Onsite
Thyroid
Thyroid gland
Ultrasonic imaging
Ultrasound
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container_issue 3
container_start_page 342
container_title American journal of clinical pathology
container_volume 153
creator Lin, Diana M
Tracht, Jessica
Rosenblum, Frida
Kouba, Erik
Bahl, Deepti
Patel, Anish
Eltoum, Isam-Eldin
description Objectives: We evaluated telecytology rapid on-site evaluation (ROSE) for thyroid ultrasound-guided fine-needle aspiration. To the best of our knowledge, this study is the first case-control clinical trial of thyroid telecytology. Methods: We introduced on-site ROSE in our institution's thyroid clinic for 6 months, followed by telecytology for 12 months. Our institution's ultrasound clinic, where ROSE is not provided, was used as a control group for each period. Results: Both groups had similar initial unsatisfactory rates (thyroid clinic: 8.8%; ultrasound clinic: 8.0%) before the study began. The thyroid clinic's unsatisfactory rate was significantly reduced to 1.6% after on-site ROSE (P = .001) and to 3.8% after telecytology ROSE (P = .010), with no significant difference between on-site and telecytology ROSE periods (P > .05). The ultrasound clinic's unsatisfactory rate was unchanged for both periods. Concordance between telecytology ROSE and final adequacy was 97% ([kappa] = 0.699). Conclusions: Telecytology ROSE reduces unsatisfactory rates for ultrasound-guided fine-needle aspiration without compromising patient care. Key Words: Telecytology; Thyroid; Adequacy; Rapid on-site evaluation (ROSE); Fine-needle aspiration
doi_str_mv 10.1093/AJCP/AQZ164
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To the best of our knowledge, this study is the first case-control clinical trial of thyroid telecytology. Methods: We introduced on-site ROSE in our institution's thyroid clinic for 6 months, followed by telecytology for 12 months. Our institution's ultrasound clinic, where ROSE is not provided, was used as a control group for each period. Results: Both groups had similar initial unsatisfactory rates (thyroid clinic: 8.8%; ultrasound clinic: 8.0%) before the study began. The thyroid clinic's unsatisfactory rate was significantly reduced to 1.6% after on-site ROSE (P = .001) and to 3.8% after telecytology ROSE (P = .010), with no significant difference between on-site and telecytology ROSE periods (P &gt; .05). The ultrasound clinic's unsatisfactory rate was unchanged for both periods. Concordance between telecytology ROSE and final adequacy was 97% ([kappa] = 0.699). Conclusions: Telecytology ROSE reduces unsatisfactory rates for ultrasound-guided fine-needle aspiration without compromising patient care. Key Words: Telecytology; Thyroid; Adequacy; Rapid on-site evaluation (ROSE); Fine-needle aspiration</description><identifier>ISSN: 0002-9173</identifier><identifier>EISSN: 1943-7722</identifier><identifier>DOI: 10.1093/AJCP/AQZ164</identifier><language>eng</language><publisher>Chicago: Oxford University Press</publisher><subject>Biopsy ; Biopsy, Needle ; Diagnosis, Ultrasonic ; Methods ; Onsite ; Thyroid ; Thyroid gland ; Ultrasonic imaging ; Ultrasound</subject><ispartof>American journal of clinical pathology, 2020-03, Vol.153 (3), p.342-345</ispartof><rights>COPYRIGHT 2020 Oxford University Press</rights><rights>American Society for Clinical Pathology, 2019. All rights reserved. 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To the best of our knowledge, this study is the first case-control clinical trial of thyroid telecytology. Methods: We introduced on-site ROSE in our institution's thyroid clinic for 6 months, followed by telecytology for 12 months. Our institution's ultrasound clinic, where ROSE is not provided, was used as a control group for each period. Results: Both groups had similar initial unsatisfactory rates (thyroid clinic: 8.8%; ultrasound clinic: 8.0%) before the study began. The thyroid clinic's unsatisfactory rate was significantly reduced to 1.6% after on-site ROSE (P = .001) and to 3.8% after telecytology ROSE (P = .010), with no significant difference between on-site and telecytology ROSE periods (P &gt; .05). The ultrasound clinic's unsatisfactory rate was unchanged for both periods. Concordance between telecytology ROSE and final adequacy was 97% ([kappa] = 0.699). Conclusions: Telecytology ROSE reduces unsatisfactory rates for ultrasound-guided fine-needle aspiration without compromising patient care. 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1943-7722
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subjects Biopsy
Biopsy, Needle
Diagnosis, Ultrasonic
Methods
Onsite
Thyroid
Thyroid gland
Ultrasonic imaging
Ultrasound
title Rapid On-Site Evaluation With Telecytology Significantly Reduced Unsatisfactory Rates of Thyroid Fine-Needle Aspiration|: A Case-Control Study
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