Efficacy of ultrasound-guided fine-needle aspiration performed by surgeons newly trained in thyroid ultrasound

Head Neck. 2017 Mar;39(3):439-442. doi: 10.1002/hed.24603. Epub 2016 Oct 5.

Abstract

Background: There are a growing number of thyroid ultrasound courses to train endocrinologists, pathologists, and surgeons to perform ultrasound-guided fine-needle aspiration (FNA). However, there are limited data to support the efficacy of ultrasound-guided FNA performed by nonradiologists.

Methods: We compared the efficacy of ultrasound-guided FNA performed by surgeons newly trained in thyroid ultrasound with that of the same technique performed by 1 experienced radiologist. The ratio of nondiagnostic examinations was used to compare the 2 groups.

Results: A total of 197 ultrasound-guided FNAs were performed on 172 women (95.53%) and 8 men (4.47%) over a 12-month period. The efficacy of ultrasound-guided FNA did not differ between groups. A nondiagnostic report was found in 23% and 25.7% of the examinations performed by the radiologist and surgeons, respectively.

Conclusion: The efficacy of ultrasound-guided FNAs performed by our 2 surgeons was similar to that of our radiologist. © 2016 Wiley Periodicals, Inc. Head Neck 39: 439-442, 2017.

Keywords: endocrine surgical procedures; fine-needle aspiration; image-guided biopsy; thyroid; thyroid neoplasms.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Biopsy, Fine-Needle / methods
  • Clinical Competence*
  • Cohort Studies
  • Education, Medical, Graduate
  • Female
  • Humans
  • Image-Guided Biopsy / methods*
  • Male
  • Middle Aged
  • Prospective Studies
  • Radiologists / education
  • Surgeons / education
  • Thyroid Neoplasms / diagnostic imaging
  • Thyroid Neoplasms / pathology*
  • Thyroid Nodule / diagnostic imaging
  • Thyroid Nodule / pathology*
  • Ultrasonography, Doppler / methods