The Influence of Rapid Onsite Evaluation on the Adequacy Rate of Fine-Needle Aspiration Cytology
Tóm tắt
Rapid onsite evaluation (ROSE) has the potential to improve the adequacy rates of fine-needle aspiration (FNA) cytology. Studies have obtained variable results on the influence of ROSE. We conducted a systematic review and meta-analysis of studies on the influence of ROSE on FNA adequacy. We synthesized evidence across all anatomic locations. We only included studies that contained a control arm and compared cohorts with ROSE against cohorts without ROSE at a single location. We screened 2,179 studies and identified 25 studies that met our inclusion criteria. On average, ROSE improves the adequacy rate by 12%, but there was considerable variability across studies. The adequacy rate with ROSE depends on the non-ROSE adequacy rate. Sixty-five percent of the variability in the adequacy rate with ROSE was found to occur because of differences in the adequacy rate without ROSE. Studies with high non-ROSE adequacy rates showed low improvement after ROSE was implemented. Studies must account for the effect of the non-ROSE adequacy rate to determine the effect of ROSE on FNA adequacy rates.
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Tài liệu tham khảo
Schmidt, 2012, Methods specification for diagnostic test accuracy studies in fineneedle aspiration cytology: a survey of reporting practice, Am J Clin Pathol, 137, 132, 10.1309/AJCPQX1KBJ2PZJFK
Moller, 2009, EUS-guided FNA of solid pancreatic masses: high yield of 2 passes with combined histologic-cytologic analysis, Gastrointest Endosc, 70, 60, 10.1016/j.gie.2008.10.008
Cleveland, 2010, An evaluation of risk factors for inadequate cytology in EUS-guided FNA of pancreatic tumors and lymph nodes, Gastrointest Endosc, 71, 1194, 10.1016/j.gie.2010.01.029
LeBlanc, 2004, Optimal number of EUS-guided fine needle passes needed to obtain a correct diagnosis, Gastrointest Endosc, 59, 475, 10.1016/S0016-5107(03)02863-3
Sakamoto, 2009, Prospective comparative study of the EUS guided 25-gauge FNA needle with the 19-gauge Trucut needle and 22-gauge FNA needle in patients with solid pancreatic masses, J Gastroenterol Hepatol, 24, 384, 10.1111/j.1440-1746.2008.05636.x
Iqbal, 2009, Endoscopic ultrasound-guided fine-needle aspiration using 22- and 25-gauge needles alternately, Endoscopy, 41, E87, 10.1055/s-0028-1103444
Imazu, 2009, A prospective comparison of EUS-guided FNA using 25-gauge and 22-gauge needles, Gastroenterol Res Pract, 2009, 546390, 10.1155/2009/546390
Siddiqui, 2010, Endoscopic ultrasoundguided fine needle aspiration of pancreatic masses in a veteran population: comparison of results with 22- and 25-gauge needles, Pancreas, 39, 685, 10.1097/MPA.0b013e3181c5c597
Ljung, 2001, Diagnostic accuracy of fine-needle aspiration biopsy is determined by physician training in sampling technique, Cancer, 93, 263, 10.1002/cncr.9040
Choi, 2011, Factors affecting inadequate sampling of ultrasound-guided fine-needle aspiration biopsy of thyroid nodules, Clin Endocrinol, 74, 776, 10.1111/j.1365-2265.2011.04011.x
Klapman, 2003, Clinical impact of on-site cytopathology interpretation on endoscopic ultrasound-guided fine needle aspiration, Am J Gastroenterol, 98, 1289, 10.1111/j.1572-0241.2003.07472.x
Iglesias-Garcia, 2011, Influence of on-site cytopathology evaluation on the diagnostic accuracy of endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) of solid pancreatic masses, Am J Gastroenterol, 106, 1705, 10.1038/ajg.2011.119
Deeks, 2009, Cochrane Handbook for Systematic Reviews of Diagnostic Test Accuracy, Version 1.0.0
Leeflang, 2008, Systematic reviews of diagnostic test accuracy, Ann Int Med, 149, 889, 10.7326/0003-4819-149-12-200812160-00008
Azabdaftari, 2010, Efficacy of on-site specimen adequacy evaluation of image-guided fine and core needle biopsies, Acta Cytol, 54, 132, 10.1159/000324997
Davenport, 1990, Rapid on-site evaluation of transbronchial aspirates, Chest, 98, 59, 10.1378/chest.98.1.59
Diette, 2000, Utility of on-site cytopathology assessment for bronchoscopic evaluation of lung masses and adenopathy, Chest, 117, 1186, 10.1378/chest.117.4.1186
Dray, 2000, Improved fine needle aspiration (FNA) cytology results with a near patient diagnosis service for breast lesions, Cytopathology, 11, 32, 10.1046/j.1365-2303.2000.00216.x
Ghofrani, 2006, The value of onsite adequacy assessment of thyroid fine-needle aspirations is a function of operator experience, Cancer, 108, 110, 10.1002/cncr.21715
Hamill, 2002, Improved breast cytology results with near patient FNA diagnosis, Acta Cytol, 46, 19, 10.1159/000326710
Iglesias, 2009, Endoscopic ultrasound in the diagnosis and staging of pancreatic cancer, Rev Esp Enferm Dig, 101, 631
Jamil, 2009, Onsite cytopathology improves yield in endobronchial ultrasound (EBUS) guided fine needle aspiration of mediastinal lymph nodes: a prospective blinded study, Gastrointest Endosc, 69, AB332, 10.1016/j.gie.2009.03.958
Jing, 2008, The clinical and diagnostic impact of using standard criteria of adequacy assessment and diagnostic terminology on thyroid nodule fine needle aspiration, Diagn Cytopathol, 36, 161, 10.1002/dc.20762
Kucuk, 2004, Computed tomographyguided transthoracic fine-needle aspiration in diagnosis of lung cancer: a comparison of single-pass needle and multiplepass coaxial needle systems and the value of immediate cytological assessment, Respirology, 9, 392, 10.1111/j.1440-1843.2004.00607.x
Lachman, 1995, On-site adequacy assessments for image-directed fine needle aspirations: a study of 341 cases, Conn Med, 59, 657
Moberly, 2010, Ultrasound-guided needle aspiration: impact of immediate cytologic review, Laryngoscope, 120, 1979, 10.1002/lary.21061
O'Malley, 2002, US-guided fineneedle aspiration biopsy of thyroid nodules: adequacy of cytologic material and procedure time with and without immediate cytologic analysis, Radiology, 222, 383, 10.1148/radiol.2222010201
Padhani, 1997, The value of immediate cytologic evaluation for needle aspiration lung biopsy, Invest Radiol, 32, 453, 10.1097/00004424-199708000-00004
Parikh, 2009, Effectiveness of ultrasoundguided thyroid FNA with on-site pathology, Thyroid, 19, S41
Raab, 2006, Effectiveness of Toyota process redesign in reducing thyroid gland fine-needle aspiration error, Am J Clin Pathol, 126, 585, 10.1309/NJQ1L7KA10UKV93Q
Redman, 2006, The impact of assessing specimen adequacy and number of needle passes for fine-needle aspiration biopsy of thyroid nodules, Thyroid, 16, 55, 10.1089/thy.2006.16.55
Saleh, 1996, Positive economic and diagnostic accuracy impacts of on-site evaluation of fine needle aspiration biopsies by pathologists, Acta Cytol, 40, 1227, 10.1159/000333985
Santambrogio, 1997, CT-guided fine-needle aspiration cytology of solitary pulmonary nodules: a prospective, randomized study of immediate cytologic evaluation, Chest, 112, 423, 10.1378/chest.112.2.423
Trisolini, 2011, Rapid on-site evaluation of transbronchial aspirates in the diagnosis of hilar and mediastinal adenopathy: a randomized trial, Chest, 139, 395, 10.1378/chest.10-1521
Virayavanich, 2011, CT-guided biopsy of bone and soft-tissue lesions: role of on-site immediate cytologic evaluation, J Vasc Interv Radiol, 22, 1024, 10.1016/j.jvir.2011.03.019
Yarmus, 2011, A randomized prospective trial of the utility of rapid on-site evaluation of transbronchial needle aspirate specimens, J Bronchol Interv Pulmonol, 18, 121, 10.1097/LBR.0b013e31821707ee
Zhu, 2007, How important is on-site adequacy assessment for thyroid FNA? An evaluation of 883 cases, Diagn Cytopathol, 35, 183, 10.1002/dc.20552
Akalin, 2008, Rapid cell blocks improve accuracy of breast FNAs beyond that provided by conventional cell blocks regardless of immediate adequacy evaluation, Diagn Cytopathol, 36, 523, 10.1002/dc.20846