The Influence of Rapid Onsite Evaluation on the Adequacy Rate of Fine-Needle Aspiration Cytology A Systematic Review and Meta-Analysis

被引：89
作者：
Schmidt, Robert L.
Witt, Benjamin L.
Lopez-Calderon, Leslie E.
Layfield, Lester J.
机构：
[1] Univ Utah, Sch Med, Dept Pathol, Salt Lake City, UT 84112 USA
[2] ARUP Labs, Salt Lake City, UT USA
来源：
AMERICAN JOURNAL OF CLINICAL PATHOLOGY | 2013年 / 139卷 / 03期
关键词：
Fine-needle aspiration (FNA); Rapid onsite evaluation (ROSE); Modeling; Adequacy; Meta-analysis; ON-SITE EVALUATION; EUS-GUIDED FNA; ENDOSCOPIC ULTRASOUND; DIAGNOSTIC-ACCURACY; SPECIMEN ADEQUACY; PANCREATIC MASSES; BIOPSY; IMPACT; UTILITY; PASSES;
D O I：
10.1309/AJCPEGZMJKC42VUP
中图分类号：
R36 [病理学];
学科分类号：
100104 ;
摘要：
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.
引用
收藏
页码：300 / 308
页数：9
相关论文
共 40 条
[1]   Rapid cell blocks improve accuracy of breast FNAs beyond that provided by conventional cell blocks regardless of immediate adequacy evaluation [J].
Akalin, A. ;
Lu, D. ;
Woda, B. ;
Moss, L. ;
Fischer, A. .
DIAGNOSTIC CYTOPATHOLOGY, 2008, 36 (07) :523-529
[2]  
[Anonymous], THYROID
[3]   Efficacy of On-Site Specimen Adequacy Evaluation of Image-Guided Fine and Core Needle Biopsies [J].
Azabdaftari, Gissou ;
Goldberg, S. Nahum ;
Wang, Helen H. .
ACTA CYTOLOGICA, 2010, 54 (02) :132-137
[4]   Factors affecting inadequate sampling of ultrasound-guided fine-needle aspiration biopsy of thyroid nodules [J].
Choi, Seon Hyeong ;
Han, Kyung Hwa ;
Yoon, Jung Hyun ;
Moon, Hee Jung ;
Son, Eun Ju ;
Youk, Ji Hyun ;
Kim, Eun-Kyung ;
Kwak, Jin Young .
CLINICAL ENDOCRINOLOGY, 2011, 74 (06) :776-782
[5]   An evaluation of risk factors for inadequate cytology in EUS-guided FNA of pancreatic tumors and lymph nodes [J].
Cleveland, Patrick ;
Gill, Kanwar Rupinder S. ;
Coe, Susan G. ;
Woodward, Timothy A. ;
Raimondo, Massimo ;
Jamil, Laith ;
Gross, Seth A. ;
Heckman, Michael G. ;
Crook, Julia E. ;
Wallace, Michael B. .
GASTROINTESTINAL ENDOSCOPY, 2010, 71 (07) :1194-1199
[6]   RAPID ON-SITE EVALUATION OF TRANSBRONCHIAL ASPIRATES [J].
DAVENPORT, RD .
CHEST, 1990, 98 (01) :59-61
[7]   Utility of on-site cytopathology assessment for bronchoscopic evaluation of lung masses and adenopathy [J].
Diette, GB ;
White, P ;
Terry, P ;
Jenckes, M ;
Rosenthal, D ;
Rubin, HR .
CHEST, 2000, 117 (04) :1186-1190
[8]   Improved fine needle aspiration (FNA) cytology results with a near patient diagnosis service for breast lesions [J].
Dray, M ;
Mayall, F ;
Darlington, A .
CYTOPATHOLOGY, 2000, 11 (01) :32-37
[9]   UTILITY OF IMMEDIATE ON-SITE CYTOPATHOLOGICAL PROCUREMENT AND EVALUATION IN FINE NEEDLE ASPIRATION BIOPSY OF HEAD AND NECK MASSES [J].
EISELE, DW ;
SHERMAN, ME ;
KOCH, WM ;
RICHTSMEIER, WJ ;
WU, AY ;
EROZAN, YS .
LARYNGOSCOPE, 1992, 102 (12) :1328-1330
[10]   The value of onsite adequacy assessment of thyroid fine-needle aspirations is a function of operator experience [J].
Ghofrani, M ;
Beckman, D ;
Rimm, DL .
CANCER CYTOPATHOLOGY, 2006, 108 (02) :110-113
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