Interobserver variability in inconclusive diagnostic categories of thyroid fine needle aspiration cytology: An urban-based tertiary hospital experience

Sripodok, Supasan; Benjakul, Nontawat

doi:10.1016/j.anndiagpath.2022.152083

Cited by 3 publications

(1 citation statement)

References 21 publications

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“…Concordance between the two types of institutions was observed only for benign cytology diagnoses. Overall, this evidence highlighted that thyroid cytological diagnosis varies among institutions with different expertise and case workloads, notably for the indeterminate category; in this setting, it is not surprising that when thyroid samples are evaluated by an additional second cytopathologist, the final consensus diagnosis features accuracy and thus a better clinical management 26,27 …”

Section: Discussionmentioning

confidence: 98%

Interobserver variability in cytopathology: How much do we agree?

Acanfora,

Carillo,

Dello Iacovo

et al. 2024

Cytopathology

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Interobserver variability remains a major challenge for cytopathologists despite the development of standardized reporting and classification systems. Indeed, whereas moderate‐to‐good interobserver agreement is generally achievable when the differential diagnosis between benign and malignant entities is straightforward, high levels of variability make the diagnostic interpretation of atypical and suspicious samples not consistent. This review explores the landscape of interobserver agreement in cytopathology across different anatomical sites.

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Section: Discussionmentioning

confidence: 98%

Interobserver variability in cytopathology: How much do we agree?

Acanfora,

Carillo,

Dello Iacovo

et al. 2024

Cytopathology

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Non-Diagnostic Fine Needle Aspiration of Thyroid Nodules: Review of Pre-disposing Factors

Idrees,

Rashied,

Kim

2024

Endocrine Practice

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Educational exchange in thyroid core needle biopsy diagnosis: enhancing pathological interpretation through guideline integration and peer learning

Harahap,

Jung

2024

J Pathol Transl Med

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Background: While fine needle aspiration cytology (FNAC) plays an essential role in the screening of thyroid nodules, core needle biopsy (CNB) acts as an alternative method to address FNAC limitations. However, diagnosing thyroid CNB samples can be challenging due to variations in background and levels of experience. Effective training is indispensable to mitigate this challenge. We aim to evaluate the impact of an educational program on improving the accuracy of CNB diagnostics.Methods: The 2-week observational program included a host mentor pathologist with extensive experience and a visiting pathologist. The CNB classification by The Practice Guidelines Committee of the Korean Thyroid Association was used for the report. Two rounds of reviewing the case were carried out, and the level of agreement between the reviewers was analyzed.Results: The first-round assessment showed a concordance between two pathologists for 247 thyroid CNB specimens by 84.2%, with a kappa coefficient of 0.74 (indicating substantial agreement). This finding was attributed to the discordance in the use of categories III and V. After peer learning, the two pathologists evaluated 30 new cases, which showed an overall improvement in the level of agreement. The percentage of agreement between pathologists on thyroid CNB diagnosis was 86.7%, as measured by kappa coefficient of 0.80.Conclusions: This educational program, consisting of guided mentorship and peer learning, can substantially enhance the diagnostic accuracy of thyroid CNB. It is useful in promoting consistent diagnostic standards and contributes to the ongoing development of global pathology practices.

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Interobserver variability in inconclusive diagnostic categories of thyroid fine needle aspiration cytology: An urban-based tertiary hospital experience

Cited by 3 publications

References 21 publications

Interobserver variability in cytopathology: How much do we agree?

Interobserver variability in cytopathology: How much do we agree?

Non-Diagnostic Fine Needle Aspiration of Thyroid Nodules: Review of Pre-disposing Factors

Educational exchange in thyroid core needle biopsy diagnosis: enhancing pathological interpretation through guideline integration and peer learning

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