A CT-vezérelt vékonytu-aspirációs citológiai vizsgálat minoségbiztosítása a tüdodaganatok diagnosztikájában

Translated title of the contribution: Quality assurance of rapid on-site evaluation of CT-guided fi ne-needle aspiration cytology of lung nodules

M. Bak, Judit Hidvégi, Judit Andi, Mária Bahéry, Eszter Kovács, Ferenc Schneider, Szilárd Kostic, Ferenc Rényi-Vámos, János Szoke, T. Nyári, Mária Godény, M. Kásler

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Introduction: The methods available for the diagnosis of lung cancer include radiologic, cytologic and pathologic procedures. Aims: The aim of this study was to determine the quality assurance of CT guided fine needle aspiration cytology of lung nodules. Methods: Cytology results were rated to 4 categories (positive; suspicious; negative; not representative). All cytology reports were compared with the final histology diagnosis. Results: A total of 128 patients underwent CT-guided percutaneous fine-needle aspiration biopsy cytology (63 males; 65 females; mean age 62.8 years). Smears were adequate in 99 cases and inadequate in 29 cases. The average diameter of the nodules was 3.28 cm. Thirty three (25.6%) of the cases were histologically verified and 2 falsely negative and 2 falsely positive cases were detected. The sensitivity and the positive predictive value were 88.8% and 88.8%, respectively. Pneumothorax developed in 7 (5.4%) cases. Conclusion: These results suggest that CT-guided transthoracic fine needle aspiration cytology has a high diagnostic accuracy and an acceptable complication rate. The auditing valves of the results meet the proposed threshold values.

Original languageHungarian
Pages (from-to)28-32
Number of pages5
JournalOrvosi Hetilap
Volume154
Issue number1
DOIs
Publication statusPublished - Jan 1 2013

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Needles
Cell Biology
Lung
Fine Needle Biopsy
Pneumothorax
Lung Neoplasms
Histology

ASJC Scopus subject areas

  • Medicine(all)

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A CT-vezérelt vékonytu-aspirációs citológiai vizsgálat minoségbiztosítása a tüdodaganatok diagnosztikájában. / Bak, M.; Hidvégi, Judit; Andi, Judit; Bahéry, Mária; Kovács, Eszter; Schneider, Ferenc; Kostic, Szilárd; Rényi-Vámos, Ferenc; Szoke, János; Nyári, T.; Godény, Mária; Kásler, M.

In: Orvosi Hetilap, Vol. 154, No. 1, 01.01.2013, p. 28-32.

Research output: Contribution to journalArticle

Bak, M, Hidvégi, J, Andi, J, Bahéry, M, Kovács, E, Schneider, F, Kostic, S, Rényi-Vámos, F, Szoke, J, Nyári, T, Godény, M & Kásler, M 2013, 'A CT-vezérelt vékonytu-aspirációs citológiai vizsgálat minoségbiztosítása a tüdodaganatok diagnosztikájában', Orvosi Hetilap, vol. 154, no. 1, pp. 28-32. https://doi.org/10.1556/OH.2013.29519
Bak, M. ; Hidvégi, Judit ; Andi, Judit ; Bahéry, Mária ; Kovács, Eszter ; Schneider, Ferenc ; Kostic, Szilárd ; Rényi-Vámos, Ferenc ; Szoke, János ; Nyári, T. ; Godény, Mária ; Kásler, M. / A CT-vezérelt vékonytu-aspirációs citológiai vizsgálat minoségbiztosítása a tüdodaganatok diagnosztikájában. In: Orvosi Hetilap. 2013 ; Vol. 154, No. 1. pp. 28-32.
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abstract = "Introduction: The methods available for the diagnosis of lung cancer include radiologic, cytologic and pathologic procedures. Aims: The aim of this study was to determine the quality assurance of CT guided fine needle aspiration cytology of lung nodules. Methods: Cytology results were rated to 4 categories (positive; suspicious; negative; not representative). All cytology reports were compared with the final histology diagnosis. Results: A total of 128 patients underwent CT-guided percutaneous fine-needle aspiration biopsy cytology (63 males; 65 females; mean age 62.8 years). Smears were adequate in 99 cases and inadequate in 29 cases. The average diameter of the nodules was 3.28 cm. Thirty three (25.6{\%}) of the cases were histologically verified and 2 falsely negative and 2 falsely positive cases were detected. The sensitivity and the positive predictive value were 88.8{\%} and 88.8{\%}, respectively. Pneumothorax developed in 7 (5.4{\%}) cases. Conclusion: These results suggest that CT-guided transthoracic fine needle aspiration cytology has a high diagnostic accuracy and an acceptable complication rate. The auditing valves of the results meet the proposed threshold values.",
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AU - Hidvégi, Judit

AU - Andi, Judit

AU - Bahéry, Mária

AU - Kovács, Eszter

AU - Schneider, Ferenc

AU - Kostic, Szilárd

AU - Rényi-Vámos, Ferenc

AU - Szoke, János

AU - Nyári, T.

AU - Godény, Mária

AU - Kásler, M.

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N2 - Introduction: The methods available for the diagnosis of lung cancer include radiologic, cytologic and pathologic procedures. Aims: The aim of this study was to determine the quality assurance of CT guided fine needle aspiration cytology of lung nodules. Methods: Cytology results were rated to 4 categories (positive; suspicious; negative; not representative). All cytology reports were compared with the final histology diagnosis. Results: A total of 128 patients underwent CT-guided percutaneous fine-needle aspiration biopsy cytology (63 males; 65 females; mean age 62.8 years). Smears were adequate in 99 cases and inadequate in 29 cases. The average diameter of the nodules was 3.28 cm. Thirty three (25.6%) of the cases were histologically verified and 2 falsely negative and 2 falsely positive cases were detected. The sensitivity and the positive predictive value were 88.8% and 88.8%, respectively. Pneumothorax developed in 7 (5.4%) cases. Conclusion: These results suggest that CT-guided transthoracic fine needle aspiration cytology has a high diagnostic accuracy and an acceptable complication rate. The auditing valves of the results meet the proposed threshold values.

AB - Introduction: The methods available for the diagnosis of lung cancer include radiologic, cytologic and pathologic procedures. Aims: The aim of this study was to determine the quality assurance of CT guided fine needle aspiration cytology of lung nodules. Methods: Cytology results were rated to 4 categories (positive; suspicious; negative; not representative). All cytology reports were compared with the final histology diagnosis. Results: A total of 128 patients underwent CT-guided percutaneous fine-needle aspiration biopsy cytology (63 males; 65 females; mean age 62.8 years). Smears were adequate in 99 cases and inadequate in 29 cases. The average diameter of the nodules was 3.28 cm. Thirty three (25.6%) of the cases were histologically verified and 2 falsely negative and 2 falsely positive cases were detected. The sensitivity and the positive predictive value were 88.8% and 88.8%, respectively. Pneumothorax developed in 7 (5.4%) cases. Conclusion: These results suggest that CT-guided transthoracic fine needle aspiration cytology has a high diagnostic accuracy and an acceptable complication rate. The auditing valves of the results meet the proposed threshold values.

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