Cytotechnologist performance for detecting nuclear atypia in indeterminate thyroid fine needle aspirates

Christopher VandenBussche, Christina Adams, Syed Z Ali, Matthew T. Olson

Research output: Contribution to journalArticle

Abstract

Introduction: The thyroid gland is arguably the fastest growing anatomic site for fine needle aspiration (FNA). With the increase of thyroid cases, a reevaluation of cytotechnologist screening quality metrics in terms of thyroid FNA is called for. We present our institutional cytotechnologist performance at screening for nuclear atypia by applying established quality metrics. Materials and Methods: Information on 8,814 consecutive thyroid cytopathology cases over a 10-year period was retrieved from computerized records. A subsample of cases categorized either as atypia of uncertain significance with nuclear atypia or suspicious for malignancy with features suspicious for papillary thyroid carcinoma. The cytotechnologist and cytopathologist diagnoses were compared using step discrepancies and Δ-ratios. Results: Overall discrepancy between the cytotechnologist and cytopathologist diagnoses existed in

Original languageEnglish (US)
Pages (from-to)239-247
Number of pages9
JournalActa Cytologica
Volume58
Issue number3
DOIs
StatePublished - 2014

Fingerprint

Needles
Thyroid Gland
Fine Needle Biopsy
Neoplasms

Keywords

  • Cytotechnologist screening
  • Fine needle aspiration
  • Nuclear atypia
  • Papillary thyroid carcinoma
  • Thyroid gland

ASJC Scopus subject areas

  • Pathology and Forensic Medicine
  • Histology

Cite this

Cytotechnologist performance for detecting nuclear atypia in indeterminate thyroid fine needle aspirates. / VandenBussche, Christopher; Adams, Christina; Ali, Syed Z; Olson, Matthew T.

In: Acta Cytologica, Vol. 58, No. 3, 2014, p. 239-247.

Research output: Contribution to journalArticle

@article{32e3c1cd56e84da880a935a83e7dc6b5,
title = "Cytotechnologist performance for detecting nuclear atypia in indeterminate thyroid fine needle aspirates",
abstract = "Introduction: The thyroid gland is arguably the fastest growing anatomic site for fine needle aspiration (FNA). With the increase of thyroid cases, a reevaluation of cytotechnologist screening quality metrics in terms of thyroid FNA is called for. We present our institutional cytotechnologist performance at screening for nuclear atypia by applying established quality metrics. Materials and Methods: Information on 8,814 consecutive thyroid cytopathology cases over a 10-year period was retrieved from computerized records. A subsample of cases categorized either as atypia of uncertain significance with nuclear atypia or suspicious for malignancy with features suspicious for papillary thyroid carcinoma. The cytotechnologist and cytopathologist diagnoses were compared using step discrepancies and Δ-ratios. Results: Overall discrepancy between the cytotechnologist and cytopathologist diagnoses existed in",
keywords = "Cytotechnologist screening, Fine needle aspiration, Nuclear atypia, Papillary thyroid carcinoma, Thyroid gland",
author = "Christopher VandenBussche and Christina Adams and Ali, {Syed Z} and Olson, {Matthew T.}",
year = "2014",
doi = "10.1159/000362681",
language = "English (US)",
volume = "58",
pages = "239--247",
journal = "Acta Cytologica",
issn = "0001-5547",
publisher = "Science Printers and Publishers Inc.",
number = "3",

}

TY - JOUR

T1 - Cytotechnologist performance for detecting nuclear atypia in indeterminate thyroid fine needle aspirates

AU - VandenBussche, Christopher

AU - Adams, Christina

AU - Ali, Syed Z

AU - Olson, Matthew T.

PY - 2014

Y1 - 2014

N2 - Introduction: The thyroid gland is arguably the fastest growing anatomic site for fine needle aspiration (FNA). With the increase of thyroid cases, a reevaluation of cytotechnologist screening quality metrics in terms of thyroid FNA is called for. We present our institutional cytotechnologist performance at screening for nuclear atypia by applying established quality metrics. Materials and Methods: Information on 8,814 consecutive thyroid cytopathology cases over a 10-year period was retrieved from computerized records. A subsample of cases categorized either as atypia of uncertain significance with nuclear atypia or suspicious for malignancy with features suspicious for papillary thyroid carcinoma. The cytotechnologist and cytopathologist diagnoses were compared using step discrepancies and Δ-ratios. Results: Overall discrepancy between the cytotechnologist and cytopathologist diagnoses existed in

AB - Introduction: The thyroid gland is arguably the fastest growing anatomic site for fine needle aspiration (FNA). With the increase of thyroid cases, a reevaluation of cytotechnologist screening quality metrics in terms of thyroid FNA is called for. We present our institutional cytotechnologist performance at screening for nuclear atypia by applying established quality metrics. Materials and Methods: Information on 8,814 consecutive thyroid cytopathology cases over a 10-year period was retrieved from computerized records. A subsample of cases categorized either as atypia of uncertain significance with nuclear atypia or suspicious for malignancy with features suspicious for papillary thyroid carcinoma. The cytotechnologist and cytopathologist diagnoses were compared using step discrepancies and Δ-ratios. Results: Overall discrepancy between the cytotechnologist and cytopathologist diagnoses existed in

KW - Cytotechnologist screening

KW - Fine needle aspiration

KW - Nuclear atypia

KW - Papillary thyroid carcinoma

KW - Thyroid gland

UR - http://www.scopus.com/inward/record.url?scp=84902300575&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84902300575&partnerID=8YFLogxK

U2 - 10.1159/000362681

DO - 10.1159/000362681

M3 - Article

C2 - 24943222

AN - SCOPUS:84902300575

VL - 58

SP - 239

EP - 247

JO - Acta Cytologica

JF - Acta Cytologica

SN - 0001-5547

IS - 3

ER -