Ultrasound-guided thyroid nodule fine-needle biopsies — comparison of sample adequacy with different sampling techniques, different needle sizes, and with/without onsite cytological analysis

  Wstęp: Celem niniejszego badania było porównanie diagnostycznej wydajności próbek guzków tarczycy otrzymanych metodą biopsji aspiracyjnej lub kapilarnej, wykonanej za pomocą igieł nr 22 lub nr 27 z lub bez analizy cytologicznej przeprowadzonej na miejscu. Materiały i metody: Czterystu pacjentów z guzkami tarczycy poddano biopsji cienkoigłowej pod kontrolą USG. Pacjentów podzielono na osiem grup, według wielkości zastosowanych igieł (nr 22 vs. nr 27), techniki biopsji (aspiracyjnej kontra kapilarnej), a także przeprowadzonej lub nie analizy cytologicznej na miejscu. Wskaźniki wydajności próbek obliczono dla każdej grupy i podgrupy oraz porównano je za pomocą testu chi-kwadrat. Wyniki: W grupie wszystkich ocenianych guzków (n = 400), wskaźnik wydajności był znacznie wyższy w grupie badanej techniką kapilarną niż w grupie badanej metodą aspiracyjną (97% vs. 91,5%, p = 0,032). Wskaźnik wydajności był również wyższy, gdy przeprowadzono analizę cytologiczną na miejscu niż gdy jej nie przeprowadzono (97% vs. 91,5%, p = 0,032). Wśród guzków litych (n = 205), wskaźnik wydajności również osiągnął wyższą wartość w grupie badanej techniką kapilarną względem grupy badanej techniką aspiracyjną (98,9% vs. 89,7%, p = 0,008), oraz gdy przeprowadzono analizę cytologiczną na miejscu (97,9% vs. 89,6%, p = 0,014). Inaczej niż dla powyższych wyników, wskaźnik wydajności był podobny dla igieł nr 22 i nr 27 (94,2% vs. 93,1%, p = 0,733). Wnioski: Wyniki optymalne uzyskano techniką kapilarną oraz wykonując analizę cytologiczną na miejscu. Technika kapilarna oraz analiza cytologiczna na miejscu powinny stanowić preferowane podejście w biopsji guzków tarczycy, optymalizując wskaźnik wydajności oraz samopoczucie pacjenta. (Endokrynol Pol 2015; 66 (4): 295–300)    Introduction: The aim of this study was to compare the diagnostic adequacy of thyroid samples obtained by aspiration or capillary biopsy techniques, with 22 or 27 gauge needles, and with or without onsite cytological analysis (OCA). Material and methods: Four hundred patients with thyroid nodules underwent ultrasound (US)-guided fine-needle biopsies. Patients were divided into eight groups according to needle size (22 vs. 27 gauge), biopsy technique (aspiration vs. capillary), and whether or not OCA was performed. Sample adequacy rates were calculated for each group and subgroups and compared using chi-square tests. Results: When all nodes were evaluated (n = 400), the adequacy rate was significantly greater with the capillary than with the aspiration technique (97% vs. 91.5%, p = 0.032) and when OCA was than was not performed (97% vs. 91.5%, p = 0.032). When only solid nodules were evaluated (n = 205) the adequacy rate was also significantly greater with the capillary than with the aspiration technique (98.9% vs. 89.7%, p = 0.008) and when OCA was than was not performed (97.9% vs. 89.6%, p = 0.014). In contrast, the adequacy rate was similar for 22 and 27 gauge needles (94.2% vs. 93.1%, p = 0.733). Conclusions: Optimal results were obtained with the capillary technique and OCA. The capillary technique and OCA should be the preferred approach in thyroid nodule biopsy, optimising adequacy rates and patient comfort. (Endokrynol Pol 2015; 66 (4): 295–300)

Ultrasound-guided thyroid nodule fine-needle biopsies--comparison of sample adequacy with different sampling techniques, different needle sizes, and with/without onsite cytological analysis.

The aim of this study was to compare the diagnostic adequacy of thyroid samples obtained by aspiration or capillary biopsy techniques, with 22 or 27 gauge needles, and with or without on-site cytological analysis (OCA)

Ultrasound-guided thyroid nodule fine-needle biopsies - comparison of sample adequacy with different sampling techniques, different needle sizes, and with/without onsite cytological analysis

Introduction: The aim of this study was to compare the diagnostic adequacy of thyroid samples obtained by aspiration or capillary biopsy techniques, with 22 or 27 gauge needles, and with or without onsite cytological analysis (OCA). Material and methods: Four hundred patients with thyroid nodules underwent ultrasound (US)-guided fine-needle biopsies. Patients were divided into eight groups according to needle size (22 vs. 27 gauge), biopsy technique (aspiration vs. capillary), and whether or not OCA was performed. Sample adequacy rates were calculated for each group and subgroups and compared using chi-square tests. Results: When all nodes were evaluated (n = 400), the adequacy rate was significantly greater with the capillary than with the aspiration technique (97\% vs. 91.5\%, p = 0.032) and when OCA was than was not performed (97\% vs. 91.5\%, p = 0.032). When only solid nodules were evaluated (n = 205) the adequacy rate was also significantly greater with the capillary than with the aspiration technique (98.9\% vs. 89.7\%, p = 0.008) and when OCA was than was not performed (97.9\% vs. 89.6\%, p = 0.014). In contrast, the adequacy rate was similar for 22 and 27 gauge needles (94.2\% vs. 93.1\%, p = 0.733). Conclusions: Optimal results were obtained with the capillary technique and OCA. The capillary technique and OCA should be the preferred approach in thyroid nodule biopsy, optimising adequacy rates and patient comfort

Obstetric Ultrasonography in Postgraduate Radiology Training A National Survey Study

This article presents the findings of a survey conducted in Turkey to evaluate the competencies and training experiences of radiology residents and specialists in obstetric ultrasound. The study highlights deficiencies in postgraduate training, including a low number of patients cared for, insufficient rotation time, and a lack of theoretical courses. Specialists considered themselves more competent compared to residents. Continuous medical training was identified as an important factor for acquiring competencies. The study emphasizes the need for improved obstetric ultrasound training in radiology residency programs and ongoing education for specialists.  Understanding and teaching professionalism in medicine is crucial for medical schools and healthcare systems. Professionalism encompasses ethical behavior, communication skills, and commitment to patient care. It ensures trust, integrity, and accountability in healthcare. By integrating professionalism into the medical curriculum, medical students can develop the necessary skills and values to become competent and compassionate healthcare professionals, ultimately improving patient outcomes and the overall quality of healthcare delivery. </p