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Accuracy and Quality Assessment of EUS-FNA : A Single-Center Large Cohort of Biopsies
المؤلفون المشاركون
Epelbaum, Ron
Kamal, Yassin
Lachter, Jesse
Keren, Ruth
Kluger, Yoram
Malkin, Leonid
Bluen, Benjamin Ephraim
Khamaysi, Iyad
المصدر
Diagnostic and Therapeutic Endoscopy
العدد
المجلد 2012، العدد 2012 (31 ديسمبر/كانون الأول 2012)، ص ص. 1-7، 7ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2012-10-31
دولة النشر
مصر
عدد الصفحات
7
التخصصات الرئيسية
الملخص EN
Introduction.
Thorough quality control (QC) study with systemic monitoring and evaluation is crucial to optimizing the effectiveness of EUS-FNA.
Methods.
Retrospective analysis was composed of investigating consecutive patient files that underwent EUS-FNA.
QC specifically focused on diagnostic accuracy, impacts on preexisting diagnoses, and case management.
Results.
268 patient files were evaluated.
EUS-FNA cytology helped establish accurate diagnoses in 92.54% (248/268) of patients.
Sensitivity, specificity, PPV, NPV, and accuracy were 83%, 100%, 100%, 91.6%, and 94%, respectively.
The most common biopsy site was the pancreas (68%).
The most accurate location for EUS-FNA was the esophagus, 13/13 (100%), followed by the pancreas (89.6%).
EUS-FNA was least informative for abdominal lymph nodes (70.5%).
After FNA and followup, eight false negatives for tumors were found (3%), while 7.5% of samples still lacked a definitive diagnosis.
Discussion.
QC suggests that the diagnostic accuracy of EUS-FNA might be improved further by (1) taking more FNA passes from suspected lesions, (2) optimizing needle selection (3) having an experienced echo-endoscopist available during the learning curve, and (4) having a cytologist present during the procedure.
QC also identified remediable reporting errors.
In conclusion, QC study is valuable in identifying weaknesses and thereby augmenting the effectiveness of EUS-FNA.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Bluen, Benjamin Ephraim& Lachter, Jesse& Khamaysi, Iyad& Kamal, Yassin& Malkin, Leonid& Keren, Ruth…[et al.]. 2012. Accuracy and Quality Assessment of EUS-FNA : A Single-Center Large Cohort of Biopsies. Diagnostic and Therapeutic Endoscopy،Vol. 2012, no. 2012, pp.1-7.
https://search.emarefa.net/detail/BIM-448876
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Bluen, Benjamin Ephraim…[et al.]. Accuracy and Quality Assessment of EUS-FNA : A Single-Center Large Cohort of Biopsies. Diagnostic and Therapeutic Endoscopy No. 2012 (2012), pp.1-7.
https://search.emarefa.net/detail/BIM-448876
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Bluen, Benjamin Ephraim& Lachter, Jesse& Khamaysi, Iyad& Kamal, Yassin& Malkin, Leonid& Keren, Ruth…[et al.]. Accuracy and Quality Assessment of EUS-FNA : A Single-Center Large Cohort of Biopsies. Diagnostic and Therapeutic Endoscopy. 2012. Vol. 2012, no. 2012, pp.1-7.
https://search.emarefa.net/detail/BIM-448876
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-448876
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
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