1. Role of the cytopathologist during the procedure of fine-needle aspiration biopsy of thyroid nodules
- Author
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F. Feletti, L. Mellini, F. Pironi, A. Carnevale, and G. C. Parenti
- Subjects
Health services administration ,Patient care management ,Intersectoral collaboration ,Cost–benefit analysis ,Interventional radiology ,Medical physics. Medical radiology. Nuclear medicine ,R895-920 - Abstract
Abstract Purpose This study aimed to conduct a diagnostic and cost-effective analysis of the cytopathology assistance in the ultrasound (US)-guided fine-needle aspiration biopsy (FNAB) for characterising thyroid nodules. Materials and methods We reviewed the reports relative to 9061 US-guided FNABs for the histologic definition of the nature of thyroid nodules: 45.4% completed with the cytopathologist assistance and 54.6% by the radiologist alone. We also performed the cost-effectiveness analysis (CEA) of the procedure with and without the cytopathologist assistance. Results We found a significant positive correlation between the adoption/non-adoption of cytopathologist assistance and the number of indeterminate (TIR1) (Chi-square; z-score, Z = 10.22; critical value 5%, C = 1.96; p
- Published
- 2021
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