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

IF 1.7 Q3 PATHOLOGY Journal of Pathology and Translational Medicine Pub Date : 2024-09-01 Epub Date: 2024-07-24 DOI:10.4132/jptm.2024.06.24
Agnes Stephanie Harahap, Chan Kwon Jung
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Abstract

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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甲状腺核心针活检诊断中的教育交流:通过指南整合和同行学习加强病理解释。
背景:细针穿刺细胞学检查(FNAC)在甲状腺结节筛查中起着至关重要的作用,而核心针活检(CNB)则是解决 FNAC 检查局限性的替代方法。然而,由于背景和经验水平的差异,甲状腺核心针活检样本的诊断可能具有挑战性。要减轻这一挑战,有效的培训必不可少。我们旨在评估一项教育计划对提高 CNB 诊断准确性的影响:方法:为期两周的观察项目包括一名经验丰富的指导病理学家和一名客座病理学家。报告采用韩国甲状腺协会实践指南委员会的 CNB 分类。对病例进行了两轮评审,并分析了评审者之间的一致程度:第一轮评估显示,两位病理学家对 247 例甲状腺 CNB 标本的一致率为 84.2%,卡帕系数为 0.74(表示非常一致)。经过同行学习后,两位病理学家又对 30 个新病例进行了评估,结果表明两位病理学家的一致程度总体上有所提高。病理学家在甲状腺 CNB 诊断上的一致率为 86.7%,卡帕系数为 0.80:这项教育计划包括指导和同行学习,可大大提高甲状腺 CNB 诊断的准确性。它有助于促进诊断标准的一致性,并有助于全球病理学实践的持续发展。
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来源期刊
CiteScore
5.00
自引率
4.20%
发文量
45
审稿时长
14 weeks
期刊介绍: The Journal of Pathology and Translational Medicine is an open venue for the rapid publication of major achievements in various fields of pathology, cytopathology, and biomedical and translational research. The Journal aims to share new insights into the molecular and cellular mechanisms of human diseases and to report major advances in both experimental and clinical medicine, with a particular emphasis on translational research. The investigations of human cells and tissues using high-dimensional biology techniques such as genomics and proteomics will be given a high priority. Articles on stem cell biology are also welcome. The categories of manuscript include original articles, review and perspective articles, case studies, brief case reports, and letters to the editor.
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