Teaching FNA techniques and ultrasound guided FNA

Rollins, Susan D.

doi:10.1002/cncy.22064

Cited by 14 publications

(8 citation statements)

References 4 publications

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“…We believe that our phantom serves as a valuable educational tool for thyroid FNA training that can supplement existing well-respected thyroid FNA courses and references. [15][16][17][18] To our knowledge, this is the first study to demonstrate both face and construct validity of a thyroid FNA phantom.…”

Section: Discussionmentioning

confidence: 99%

A low-cost phantom for ultrasound-guided thyroid fine-needle aspiration training: face and construct validity

Liao¹,

Mehta²,

Du³

et al. 2020

J Surg Simul

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Background: There are currently no formally validated training phantoms for teaching ultrasound-guided thyroid fineneedle aspiration (FNA). We designed and established face and construct validity of a low-cost phantom for ultrasoundguided thyroid fine-needle aspiration. Methods: We designed an affordable, gelatin-based thyroid FNA phantom. Participants included 9 medical students, 7 novice residents/fellows (55 thyroid FNAs), and 7 expert residents/fellows (55 thyroid FNAs). Participants performed 6 trials of thyroid FNA, which were scored on completion time, accuracy, and errors. Participants also completed questionnaires to assess the benefit and realism of the simulation. Results: Simulation scores at trial 1 significantly discriminated expert participants from novice participants (P = 0.028) and from medical students (P 5 0.001). Median novice resident/fellow participant scores increased with repeated trials and were no longer significantly different from expert scores by trial 2. The scores for this group were significantly better compared with medical student scores by trial 4. Between trial 1 and trial 6, significant score improvements were observed in both medical students (P = 0.018) and novice residents (P = 0.018). All participants found the phantom to be beneficial in learning thyroid FNA. Both attending endocrinologists and 6 of 7 expert participants found the ultrasound visualization of the phantom to be realistic. One of two attending endocrinologists and 5 of 7 expert participants found the haptic feedback to be realistic. Conclusion: We designed a low-cost thyroid FNA phantom that demonstrates face and construct validity. This phantom can be used to train procedural skills in a residency program and can also be used to evaluate skill acquisition.

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Section: Discussionmentioning

confidence: 99%

A low-cost phantom for ultrasound-guided thyroid fine-needle aspiration training: face and construct validity

Liao¹,

Mehta²,

Du³

et al. 2020

J Surg Simul

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“…Indeed, the role of the interventional cytopathologist had already been shaped in the 1950s-1960s of the past century at the Karolinska Institute in Sweden, where physicians like Frazen, Zajiceck, Lowagen and Pier Esposti advocated that the entire process of aspiration and cytological interpretation should be managed by the same person, because this approach results in higher diagnostic accuracy [34]. Recently, the palpation approach has been largely substituted by US-guidance to improve the aspiration of subclinical thyroid nodules [35][36][37]. In this regard, is still debated if the interpretation of US features by the interventional cytopathologist should be integrated in the FNA reporting system to "refine" the microscopic interpretation [38].…”

Section: Interventional Molecular Cytopathologymentioning

confidence: 99%

Molecular Testing of Thyroid Fine-Needle Aspiration: Local Issues and Solutions. An Interventional Cytopathologist Perspective

Bellevicine¹,

Sgariglia²,

Nacchio³

et al. 2021

JMP

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Molecular testing has acquired a relevant role for diagnostic and prognostic stratification of indeterminate thyroid nodules. Besides the available commercial solutions marketed in the United States, various local testing strategies have been developed in the last decade. In this setting, the modern interventional cytopathologist, the physician who performs the both aspirate and the morphologic interpretation plays a key role in the correct handling of fine-needle aspiration (FNA) samples not only for microscopy but also for molecular techniques. This review summarizes experiences with local approaches to the molecular testing of thyroid FNA, highlighting the role of the modern interventional cytopathologist.

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“…In a hospital‐based setting, the application of ultrasound (US)‐guided FNA has traditionally been the area of radiologists. However, an increase is noted in the number of publications indicating low rates of nondiagnostic aspirates and higher diagnostic value of US‐guided FNA performed by cytopathologists 1–3 . Nevertheless, there is not an agreed‐on method for making cytopathologists use US.…”

Section: The New Era Of Involving Cytopathologists Performing Their Omentioning

confidence: 99%

“…The New Era of Involving Cytopathologists Performing Their Own FNAs Under Ultrasound Guidance aspirates and higher diagnostic value of US-guided FNA performed by cytopathologists. [1][2][3] Nevertheless, there is not an agreed-on method for making cytopathologists use US. There are cytopathologists who seek help from a sonographer (who may not be present in every country), or there are those who take courses to learn and apply US themselves, especially in the United States and a few centers in Europe/Scandinavia/Norway.…”

mentioning

confidence: 99%

Organization of a Fine‐Needle Aspiration Clinic With Cytopathologist‐Radiologist Cooperation

Paksoy

Yazal²

2020

J of Ultrasound Medicine

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Teaching FNA techniques and ultrasound guided FNA

Cited by 14 publications

References 4 publications

A low-cost phantom for ultrasound-guided thyroid fine-needle aspiration training: face and construct validity

A low-cost phantom for ultrasound-guided thyroid fine-needle aspiration training: face and construct validity

Molecular Testing of Thyroid Fine-Needle Aspiration: Local Issues and Solutions. An Interventional Cytopathologist Perspective

Organization of a Fine‐Needle Aspiration Clinic With Cytopathologist‐Radiologist Cooperation

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