Medina Chamorro Flor Marina, Calle José Abella, Stein Juliana Escobar, Merchancano Lina, Mendoza Briñez Andrés Mauricio, Pulido Wilches Andrés Arturo
Department of Radiology and Diagnostic Imaging, Fundación Valle del Lili, Cali, Colombia.
Department of Pathology, Fundación Valle del Lili, Cali, Colombia.
Curr Probl Diagn Radiol. 2018 Jul-Aug;47(4):220-224. doi: 10.1067/j.cpradiol.2017.06.009. Epub 2017 Jun 27.
To evaluate the effect of the implementation of the rapid on-site evaluation (ROSE) technique in ultrasound-guided fine-needle aspiration biopsy of thyroid nodules.
We conducted an observational and retrospective study approved by the Institutional Ethics Committee as an investigation without risk. Between January 2012 and December 2015, 892 ultrasound-guided fine-needle aspiration biopsy procedures were performed under ultrasound guidance. In our study, we included 522 procedures from 473 patients that were taken as part of an investigation of the thyroid nodule (average age: 56 ± 14; 84% were women). We compared the percentage of unsatisfactory samples in the procedures performed with and without the use of the ROSE technique, the cytology adequacy agreement with the cytopathology, and we also assessed the relationship with the number of years of experience of the radiologist.
The ROSE technique led to a decrease of 30.5% of unsatisfactory samples. By 2014, more than half of the procedures were performed with the ROSE technique, and the percentage of unsatisfactory samples decreased progressively each year. The technical implementation of ROSE improved the results of all radiologists; however, those radiologists with the least number of years of experience showed the greatest benefits from the implementation of the ROSE technique. The concordance between the ROSE technique and the cytopathology report was good (Cohen κ = 0.75).
In our experience, the implementation of the ROSE technique has helped to reduce the percentage of unsatisfactory samples, which improves the quality and safety of patient care.
评估快速现场评估（ROSE）技术在超声引导下甲状腺结节细针穿刺活检中的应用效果。
我们开展了一项经机构伦理委员会批准的观察性回顾性研究，属于无风险调查。2012年1月至2015年12月期间，在超声引导下进行了892例细针穿刺活检操作。在我们的研究中，纳入了473例患者的522例操作，这些操作是作为甲状腺结节调查的一部分（平均年龄：56±14岁；84%为女性）。我们比较了使用和未使用ROSE技术的操作中不满意样本的百分比、细胞病理学充分性与细胞病理学的一致性，还评估了与放射科医生经验年限的关系。
ROSE技术使不满意样本减少了30.5%。到2014年，超过一半的操作采用了ROSE技术，不满意样本的百分比逐年逐渐下降。ROSE技术的实施改善了所有放射科医生的结果；然而，经验年限最少的放射科医生从ROSE技术的实施中获益最大。ROSE技术与细胞病理学报告之间的一致性良好（Cohen κ = 0.75）。
根据我们的经验，ROSE技术的实施有助于降低不满意样本的百分比，从而提高患者护理的质量和安全性。
