A New Device for Fine-Needle Aspiration Cytology Consisting of a Vibrating Linear Resonant Actuator.

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Abstrakt

Tytuł:: A New Device for Fine-Needle Aspiration Cytology Consisting of a Vibrating Linear Resonant Actuator.
Autorzy:: Taguchi A; Department of Otolaryngology, Tenri Hospital, Nara, Japan.; Department of Otolaryngology, Head and Neck Surgery, Japan Red Cross Osaka Hospital, Osaka, Japan.
Kojima T; Department of Otolaryngology, Tenri Hospital, Nara, Japan.
Okanoue Y; Department of Otolaryngology, Tenri Hospital, Nara, Japan.
Kagoshima H; Department of Otolaryngology, Tenri Hospital, Nara, Japan.; Department of Otolaryngology, Head and Neck Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Hasebe K; Department of Otolaryngology, Tenri Hospital, Nara, Japan.
Yamamoto H; Department of Otolaryngology, Tenri Hospital, Nara, Japan.
Hori R; Department of Otolaryngology, Tenri Hospital, Nara, Japan.
Źródło:: The Laryngoscope [Laryngoscope] 2021 Apr; Vol. 131 (4), pp. E1393-E1399. Date of Electronic Publication: 2020 Oct 01.
Typ publikacji:: Comparative Study; Journal Article
Język:: English
Imprint Name(s):: Publication: <2009- >: Philadelphia, PA : Wiley-Blackwell
Original Publication: St. Louis, Mo. : [s.n., 1896-
MeSH Terms:: Biopsy, Fine-Needle/*instrumentation
Thyroid Neoplasms/*pathology
Thyroid Nodule/*pathology
Vibration/*adverse effects
Adenoma/diagnosis ; Aged ; Biomechanical Phenomena/physiology ; Biopsy, Fine-Needle/statistics & numerical data ; Comparative Effectiveness Research/statistics & numerical data ; Cytodiagnosis/classification ; Cytodiagnosis/methods ; Equipment Design/statistics & numerical data ; Female ; Humans ; Male ; Middle Aged ; Prospective Studies ; Thyroid Cancer, Papillary/diagnosis
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Morita M, Hori R, Fujimura S, et al. Application of a novel vibrating device for fine-needle aspiration cytology. J Otol Rhinol 2017;6(6). https://doi.org/10.4172/2324-8785.1000325.
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Baloch ZW, Tam D, Langer J, Mandel S, Livolsi VA, Gupta PK. Ultrasound-guided fine-needle aspiration biopsy of the thyroid: role of on-site assessment and multiple cytologic preparations. Diagn Cytopathol 2000;23:425-429. https://doi.org/10.1002/1097-0339(200012)23:6<425::aid-dc14>3.0.co;2-3.
Dong YJ, Mao MJ, Zhan WW, et al. Size and ultrasound features affecting results of ultrasound-guided fine-needle aspiration of thyroid nodules. J Ultrasound Med 2018;37:1367-1377. https://doi.org/10.1002/jum.14472.
de Koster EJ, Kist JW, Vriens MR, Borel Rinkes IHM, Valk GD, de Keizer B. Thyroid ultrasound-guided fine-needle aspiration: the positive influence of on-site adequacy assessment and number of needle passes on diagnostic cytology rate. Acta Cytol 2016;60:39-45. https://doi.org/10.1159/000444917.
Polyzos S, Anastasilakis A. Rare potential complications of thyroid fine needle biopsy. Hippokratia 2011;15:116-119.
Haugen BR, Alexander EK, Bible KC, et al. 2015 American Thyroid Association management guidelines for adult patients with thyroid nodules and differentiated thyroid cancer: the American Thyroid Association guidelines task force on thyroid nodules and differentiated thyroid cancer. Thyroid 2016;26:1-133. https://doi.org/10.1089/thy.2015.0020.
Pastorello RG, Destefani C, Pinto PH, et al. The impact of rapid on-site evaluation on thyroid fine-needle aspiration biopsy: a 2-year cancer center institutional experience. Cancer Cytopathol 2018;126:846-852. https://doi.org/10.1002/cncy.22051.
Cibas ES, Ali SZ. The Bethesda system for reporting thyroid cytopathology. Am J Clin Pathol 2009;132:658-665. https://doi.org/10.1309/AJCPPHLWMI3JV4LA.
Renshaw AA. Should “atypical follicular cells” in thyroid fine-needle aspirates be subclassified? Cancer Cytopathol 2010;118:186-189. https://doi.org/10.1002/cncy.20091.
Contributed Indexing:: Keywords: Fine-needle aspiration cytology; inadequacy rate; linear resonant actuator; vibration
Entry Date(s):: Date Created: 20201001 Date Completed: 20210405 Latest Revision: 20210405
Update Code:: 20240105
DOI:: 10.1002/lary.29143
PMID:: 33001466
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Objective: To evaluate the efficacy of a new device for fine-needle aspiration cytology (FNAC) consisting of a vibrating linear resonant actuator (LRA).
Study Design: Prospective clinical study.
Methods: The LRA frequency was optimized by visualization of the needle motion using a high-speed camera. The FNAC device consists of a vibrating motor fixed to the stopper of a 5-ml syringe and piston. Upon insertion of the syringe needle into a thyroid nodule (with the stopper attached to the syringe piston), sufficient negative pressure with 1-ml suction was maintained. Subsequently, samples were obtained using vibration generated by an LRA or an eccentric rotating mass (ERM). Surgically resected thyroid specimens from 10 patients were evaluated. The number of follicular groups required for adequate diagnosis and the number of larger follicular groups were counted. Next, 254 thyroid nodules from 187 patients were also evaluated by FNAC. The inadequacy rate was determined, and final cytology was classified according to thyroid Bethesda categories.
Results: The optimized LRA frequency was 155 Hz. Both the LRA and ERM devices resulted in sufficient amounts of diagnostic material and achieved low inadequacy rates. The number of large follicular groups obtained was significantly greater with the LRA device compared with the ERM device.
Conclusions: The vibrating device using an LRA for thyroid FNAC resulted in sufficient amounts of thyroid follicular groups and achieved low inadequacy rates. In addition, the LRA device allowed for collection of larger follicular groups sufficient to diagnose appropriate thyroid Bethesda categories.
Level of Evidence: 2 Laryngoscope, 131:E1393-E1399, 2021.
(@ 2020 The American Laryngological, Rhinological and Otological Society, Inc.)

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