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Please use this identifier to cite or link to this item: http://repository.li.mahidol.ac.th/dspace/handle/123456789/34167
Title: Accuracy of cytotechnologist evaluation of specimen adequacy and screening interpretation of malignancy in fine-needle aspiration of the liver
Authors: Aadil Ahmed
Anna B. Novak
Aisha Farhat Sheerin
Thiraphon Boonyaarunnate
Syed Z. Ali
Matthew T. Olson
Johns Hopkins University
Mahidol University
Keywords: Medicine
Issue Date: 7-Nov-2014
Citation: Acta Cytologica. Vol.58, No.4 (2014), 367-372
Abstract: © 2014 S. Karger AG, Basel. Objective: To evaluate the performance of cytotechnologists in assessing the adequacy and accuracy of the preliminary diagnosis for fine-needle aspirates of the liver. Study Design: We retrospectively analyzed 10 years of data and found 589 cases of ultrasound-guided fine-needle aspiration (FNA) of the liver with on-site evaluation of adequacy (OSEA). All the OSEA were performed by the cytopathologist because OSEA of liver FNA is not performed by cytotechnologists at our institution at present. After OSEA, the material was seen by cytotechnologists who rendered an adequacy assessment and preliminary diagnosis. We calculated the adequacy and accuracy statistics and compared the performance of the cytotechnologists with the OSEA and final interpretation. Results: There was no statistically significant difference in adequacy downgrade rate for cytotechnologist versus cytopathologist assessment during the study period (5 vs. 3%, p = 0.06). A total agreement of 88% was noted in overall diagnosis with 97% agreement in malignant cases. Conclusion: Cytotechnologists assess the adequacy of liver FNA accurately and there is therefore potential for them to perform OSEA for liver FNA.
URI: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=84908567750&origin=inward
http://repository.li.mahidol.ac.th/dspace/handle/123456789/34167
ISSN: 19382650
00015547
Appears in Collections:Scopus 2011-2015

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