Wyse Jonathan, Rubino Maria, Iglesias Garcia Julio, Sahai Anand V
Division of Gastroenterology, Jewish General Hospital, McGill University, Canada.
Digestivo, Hospital clínico universitario de Santiago, España .
Rev Esp Enferm Dig. 2017 Apr;109(4):279-283. doi: 10.17235/reed.2017.4473/2016.
Endoscopic ultrasound guided fine needle aspiration (EUS-FNA) has become an essential tool in the management of multiple diseases. Its accuracy is related to different aspects of the technique, one of the most important being the experience and interaction of the endosonographer and pathologist. Certain studies over the past years have highlighted the importance of having rapid on-site evaluation (ROSE) of samples obtained at the time of EUS-FNA. We have reviewed the role of ROSE, performed by the same endosonographer, a cytotechnologist and an expert cytopathologist. The available data suggest that ROSE (either by the endosonographer, the cytotechnologist, or the cytopathologist) improves sample adequacy and diagnostic yield, with the best option to have ROSE performed by an expert cytopathologist. However, if non-ROSE accuracy is already very high, any improvement is harder to achieve.
内镜超声引导下细针穿刺抽吸术（EUS-FNA）已成为多种疾病管理中的一项重要工具。其准确性与该技术的不同方面相关，其中最重要的一个方面是内镜超声检查医师与病理学家的经验及互动。过去几年的某些研究强调了对EUS-FNA时获取的样本进行快速现场评估（ROSE）的重要性。我们回顾了由同一位内镜超声检查医师、细胞技术专家和专业细胞病理学家进行ROSE的作用。现有数据表明，ROSE（由内镜超声检查医师、细胞技术专家或细胞病理学家进行）可提高样本充足率和诊断率，最佳选择是由专业细胞病理学家进行ROSE。然而，如果非ROSE准确性已经非常高，就更难实现进一步提高了。
