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Ultrasound Training Phantoms for Pathologist Performed Ultrasound-Guided Fine Needle Aspiration
Journal of the American Society of Cytopathology (2016) 5, S1eS83
Available online at www.sciencedirect.com
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ANNUAL MEETING 2016 EDUCATION PST01 Ultrasound Training Phantoms for Pathologist Performed UltrasoundGuided Fine Needle Aspiration Sara Monaco, MD, Juan Xing, MD, Russell Silowash, DO, Jacqueline Cuda, BS, SCT(ASCP), Liron Pantanowitz, MD. University of Pittsburgh Medical Center, Pittsburgh, PA Introduction: Successful implementation of a pathologist performed ultrasound-guided fine needle aspiration (USG FNA) service requires appropriate education, training and practice for pathologists and trainees performing these procedures. Our institution investigated and compared a variety of different ultrasound training models (phantoms) for practicing USG FNA.
Materials and Methods: Two types of phantoms were created using rubber caulk and ballistics gel, which were compared to commercially available phantoms using different material (e.g. gel wax). Several parameters including cost, ultrasound transmission and durability were evaluated. Results: Four (Figure 1; top panel Z ballistics gel model; lower panel Zgel wax phantom) were investigated. Table 1 summarizes their differences. Handmade phantoms using rubber caulk instead of ballistics gel were hard to dry, had more of an uneven surface, and generated an inferior ultrasound image. Conclusion: For our USG FNA training purposes, ballistics gel provided the most cost-effective way to create our own phantoms and was superior to other less expensive options. Although commercial phantoms provide superior durability and ultrasound transmission, inexpensive handcrafted options are available for teaching USG FNA.
PST02 Ultrasound-Guided Thyroid Fine Needle Aspiration (USG-TFNA) Performance by Cytopathologists in Comparison to Other Specialty Practices Oana Rafael, MD, Melissa Klein, BS, CT(ASCP), Melissa M. Serbonich, CT(ASCP), Bhumika Vadalia, BS, MBA, Kasturi Das, MD, Cecilia Gimenez, MD. Northwell Health System, Roslyn, NY
Table 1
Figure 1
Introduction: In-office performance of ultrasound-guided thyroid FNA (USG-TFNA) has increased in recent years. Our institution’s FNA Clinic has resulted in cytopathologists being proficient in USG-TFNA performance, alongside other practitioners: radiologists, endocrinologists and head and neck (H&N) surgeons. This study aims to compare the performance of USG-TFNA by cytopathologists to other providers. Materials and Methods: Specific Radiology, Endocrinology and H&N Surgery specialty practices were compared to our Cytopathology FNA Clinic data. Seventy-four consecutive thyroid FNAs starting from July 1st 2015 were retrospectively retrieved from our laboratory database. Reports were reviewed for final specimen adequacy, The Bethesda System (TBS) diagnostic category and any follow-up correlation data. Atypia of undetermined significance (AUS) cases were reviewed and categorized based upon morphologic criteria vs. technique. Results: The diagnostic rate of each TBS category and AUS: Malignancy ratio by practice is compared to the overall laboratory rates (Table 1). The cytopathologists, endocrinologists and radiologists’ non-diagnostic rates were all 1.4%. The H&N surgeons’ inadequate rate was 6.8%, comparable to the lab rate of 6.6%. The cytopathologists’ and H&N surgeons’ AUS rates were 8.1%, the endocrinologists’ was 10.8%, and the radiologists’ AUS rate was 23%, compared to a 9.8% laboratory AUS rate. The cytopathologists’ malignancy rate was 8.1%, while H&N surgeons’ and radiologists’ rates were 2.7% each, compared to a 4.4% lab rate. AUS
2213-2945/$36 Ó 2016 Published by Elsevier Inc. on behalf of the American Society of Cytopathology. http://dx.doi.org/10.1016/j.jasc.2016.07.004
Available online at www.sciencedirect.com
ScienceDirect journal homepage: www.jascyto.org/
ANNUAL MEETING 2016 EDUCATION PST01 Ultrasound Training Phantoms for Pathologist Performed UltrasoundGuided Fine Needle Aspiration Sara Monaco, MD, Juan Xing, MD, Russell Silowash, DO, Jacqueline Cuda, BS, SCT(ASCP), Liron Pantanowitz, MD. University of Pittsburgh Medical Center, Pittsburgh, PA Introduction: Successful implementation of a pathologist performed ultrasound-guided fine needle aspiration (USG FNA) service requires appropriate education, training and practice for pathologists and trainees performing these procedures. Our institution investigated and compared a variety of different ultrasound training models (phantoms) for practicing USG FNA.
Materials and Methods: Two types of phantoms were created using rubber caulk and ballistics gel, which were compared to commercially available phantoms using different material (e.g. gel wax). Several parameters including cost, ultrasound transmission and durability were evaluated. Results: Four (Figure 1; top panel Z ballistics gel model; lower panel Zgel wax phantom) were investigated. Table 1 summarizes their differences. Handmade phantoms using rubber caulk instead of ballistics gel were hard to dry, had more of an uneven surface, and generated an inferior ultrasound image. Conclusion: For our USG FNA training purposes, ballistics gel provided the most cost-effective way to create our own phantoms and was superior to other less expensive options. Although commercial phantoms provide superior durability and ultrasound transmission, inexpensive handcrafted options are available for teaching USG FNA.
PST02 Ultrasound-Guided Thyroid Fine Needle Aspiration (USG-TFNA) Performance by Cytopathologists in Comparison to Other Specialty Practices Oana Rafael, MD, Melissa Klein, BS, CT(ASCP), Melissa M. Serbonich, CT(ASCP), Bhumika Vadalia, BS, MBA, Kasturi Das, MD, Cecilia Gimenez, MD. Northwell Health System, Roslyn, NY
Table 1
Figure 1
Introduction: In-office performance of ultrasound-guided thyroid FNA (USG-TFNA) has increased in recent years. Our institution’s FNA Clinic has resulted in cytopathologists being proficient in USG-TFNA performance, alongside other practitioners: radiologists, endocrinologists and head and neck (H&N) surgeons. This study aims to compare the performance of USG-TFNA by cytopathologists to other providers. Materials and Methods: Specific Radiology, Endocrinology and H&N Surgery specialty practices were compared to our Cytopathology FNA Clinic data. Seventy-four consecutive thyroid FNAs starting from July 1st 2015 were retrospectively retrieved from our laboratory database. Reports were reviewed for final specimen adequacy, The Bethesda System (TBS) diagnostic category and any follow-up correlation data. Atypia of undetermined significance (AUS) cases were reviewed and categorized based upon morphologic criteria vs. technique. Results: The diagnostic rate of each TBS category and AUS: Malignancy ratio by practice is compared to the overall laboratory rates (Table 1). The cytopathologists, endocrinologists and radiologists’ non-diagnostic rates were all 1.4%. The H&N surgeons’ inadequate rate was 6.8%, comparable to the lab rate of 6.6%. The cytopathologists’ and H&N surgeons’ AUS rates were 8.1%, the endocrinologists’ was 10.8%, and the radiologists’ AUS rate was 23%, compared to a 9.8% laboratory AUS rate. The cytopathologists’ malignancy rate was 8.1%, while H&N surgeons’ and radiologists’ rates were 2.7% each, compared to a 4.4% lab rate. AUS
2213-2945/$36 Ó 2016 Published by Elsevier Inc. on behalf of the American Society of Cytopathology. http://dx.doi.org/10.1016/j.jasc.2016.07.004