Correlation of rapid on-site evaluation with final diagnosis in the evaluation of renal lesions

Bookhout, Christine; Maygarden, Susan J.; Scanga, Lori

doi:10.1016/j.jasc.2016.04.006

Cited by 8 publications

(11 citation statements)

References 20 publications

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“…Recently, there has been a general trend away from using FNA and toward using core biopsy 43 . Our institution moved to using mainly core biopsy for our organ‐based interventional radiology service over 2 decades ago.…”

Section: Pathology: Fna and Core Biopsymentioning

confidence: 99%

“…Recently, there has been a general trend away from using FNA and toward using core biopsy. 43 Our institution moved to using mainly core biopsy for our organ-based interventional radiology service over 2 decades ago. The AUA comments that FNA is acceptable, but core biopsy is the preferred choice whenever feasible to yield more tissue for analysis.…”

Section: Diagnostic Yield and Accuracymentioning

confidence: 99%

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Role of renal mass biopsy for diagnosis and management: Review of current trends and future directions

Choy

Nayar

Lin

2023

Cancer Cytopathology

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The frequency of detection of renal masses has increased over recent decades, causing a concurrent increase in early intervention by surgery. Growing recognition that this approach was contributing to overtreatment led to the broader use of preoperative renal mass biopsy (RMB) by core biopsy and/or fine‐needle aspiration. Because more options for management, such as active surveillance and personalized therapy, are becoming increasingly available, a diagnosis by RMB is becoming a valuable tool for risk stratification and clinical decision making. Guidelines from various professional organizations have outlined situations in which RMB should be used, and it has been shown to be safe and effective. Rapid on‐site evaluation (ROSE) using touch preparations of core biopsy or fine‐needle aspiration smears provides an immediate assessment of adequacy and appropriate triage. ROSE also ensures sufficient material to perform immunohistochemistry and molecular studies for more accurate characterization of renal masses and personalized treatment. The integral role of cytopathology laboratories in precision medicine can also be successfully used in optimizing the workup of RMB from ROSE to final diagnosis, prognostication, and personalized management of kidney tumors. Herein, the authors review their extensive experience working together with interventional radiology and urology colleagues to use core biopsy and ROSE at the time of RMB for diagnosis and management of these lesions.

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Section: Pathology: Fna and Core Biopsymentioning

confidence: 99%

Section: Diagnostic Yield and Accuracymentioning

confidence: 99%

Role of renal mass biopsy for diagnosis and management: Review of current trends and future directions

Choy

Nayar

Lin

2023

Cancer Cytopathology

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“…An immediate assessment of adequacy is indicated to ensure diagnostic material is obtained prior to tissue ablation, which precludes further sampling. Furthermore, an accurate preliminary ROSE diagnosis may be critical in the case of concomitant lesion ablation 13 …”

Section: Introductionmentioning

confidence: 99%

“…12 Rapid On-Site Evaluation (ROSE) has been increasingly used in the diagnostic workup of renal lesions. 13,14 The goals of ROSE are to confirm an adequate diagnostic specimen obtained at the time of the procedure and to triage samples if indicated. In addition, preliminary ROSE diagnoses can be helpful for rapid clinical decisions during the procedure.…”

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confidence: 99%

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Rapid on‐site evaluation in percutaneous core needle biopsies of renal masses: Cytologic‐histologic concordance and diagnostic challenges

Hojat

Ravish

Azabdaftari

et al. 2023

Diagnostic Cytopathology

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Background Image‐guided fine needle aspirations (FNAs) and core needle biopsies (CNBs) play the critical role in diagnosis of renal lesions. Rapid on‐site evaluation (ROSE) can potentially increase the adequacy rate and improve diagnostic yield, while providing additional information for rapid clinical decisions. The aim of this study is to evaluate the diagnostic utility of ROSE in obtaining adequate tissue for diagnosis of renal lesions in our institution. Methods We retrospectively reviewed all percutaneous renal CNB cases with available ROSE interpretations for a 11‐year period. The ROSE interpretations and CNB diagnoses was compared and the concordance rate was calculated accordingly. The discrepant cases were re‐reviewed and the possible causes for discrepancy were analyzed. Results A total of 189 cases were identified. Definitive diagnoses were rendered in 164 (87%) cases on the final CNBs, including primary renal lesions in 151 cases and metastatic malignancies in 13 cases. At the time of ROSE, samples were deemed to be adequate in the majority of cases (83%). The calculated concordance rate between ROSE interpretations and CNB final diagnoses was 84.6%. Sampling issue and scant tumor cells were the main causes for the discordance between ROSE interpretations and CNB diagnoses. Conclusion Our study showed a relatively high‐concordance rate of 84.6% between ROSE interpretations and CNB final diagnoses, suggesting that ROSE is a valuable tool for procurement of adequate renal CNB samples for diagnosis.

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Magnetic resonance imaging–guided renal biopsy shows high safety and diagnostic yield: a tertiary cancer center experience

Abdelsalam,

Lu,

Baiomy

et al. 2024

Eur Radiol

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Correlation of rapid on-site evaluation with final diagnosis in the evaluation of renal lesions

Cited by 8 publications

References 20 publications

Role of renal mass biopsy for diagnosis and management: Review of current trends and future directions

Role of renal mass biopsy for diagnosis and management: Review of current trends and future directions

Rapid on‐site evaluation in percutaneous core needle biopsies of renal masses: Cytologic‐histologic concordance and diagnostic challenges

Magnetic resonance imaging–guided renal biopsy shows high safety and diagnostic yield: a tertiary cancer center experience

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