{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,22]],"date-time":"2026-02-22T22:28:42Z","timestamp":1771799322839,"version":"3.50.1"},"reference-count":38,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2024,4,10]],"date-time":"2024-04-10T00:00:00Z","timestamp":1712707200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diagnostic Cytopathology"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Fine needle aspiration cytology (FNAC) is the most useful tool in the diagnosis of thyroid nodules. Liquid\u2010based cytology (LBC) is replacing the conventional smear (CS) for evaluation of thyroid FNAC. In our institution, thyroid FNAC preparation was changed from CS to LBC SurePath in July 2016. This study aimed to compare the diagnostic value of SurePath with that of CS in thyroid lesions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 35,406 samples of thyroid FNAC (11,438 CS and 23,968 SurePath), collected from January 2010 to December 2022, were included in this study. We also examined the malignant rate using the surgical pathology diagnosis as the gold standard.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The distribution of TBSRTC cytological categories was equivalent between CS and SurePath. The rate of nondiagnostic\/unsatisfactory category was higher in CS compared to SurePath (43.4% vs. 22.3%; <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.05). After routine use of SurePath, the surgical resection rate was reduced from 12.0% to 8.6% (<jats:italic>p<\/jats:italic>\u2009&lt;\u2009.05) and the malignant rate increased from 32.2% to 41.5% (<jats:italic>p<\/jats:italic>\u2009&lt;\u2009.05). The sensitivities of CS and SurePath were 71.0% and 82.0%, respectively, and the specificities were 99.0% and 97.3%, respectively, whereas the positive predictive values were 97.8% and 96.8%, respectively, and the negative predictive values were 85.0% and 84.6%, respectively. Diagnostic accuracy of CS and SurePath were 88.5% and 89.7% respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>SurePath can increase the sample adequacy, increase the sensitivity and reduce the workload and avoid unnecessary surgeries with similar accuracy to CS.<\/jats:p><\/jats:sec>","DOI":"10.1002\/dc.25319","type":"journal-article","created":{"date-parts":[[2024,4,10]],"date-time":"2024-04-10T07:04:46Z","timestamp":1712732686000},"page":"369-376","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Diagnostic values of <scp>SurePath<\/scp> liquid\u2010based cytology versus conventional smear in thyroid aspiration samples: A <scp>13\u2010year<\/scp> experience at a single institution"],"prefix":"10.1002","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8577-4272","authenticated-orcid":false,"given":"Wen\u2010Ying","family":"Lee","sequence":"first","affiliation":[{"name":"Division of Cytopathology, Department of Pathology Chi Mei Medical Center  Tainan Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hsiu\u2010Chu","family":"Wang","sequence":"additional","affiliation":[{"name":"Division of Cytopathology, Department of Pathology Chi Mei Medical Center  Tainan Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lee\u2010E","family":"Huang","sequence":"additional","affiliation":[{"name":"Division of Cytopathology, Department of Pathology Chi Mei Medical Center  Tainan Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Min\u2010Hui","family":"Tseng","sequence":"additional","affiliation":[{"name":"Division of Cytopathology, Department of Pathology Chi Mei Medical Center  Tainan Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shu\u2010Hui","family":"Chiang","sequence":"additional","affiliation":[{"name":"Division of Cytopathology, Department of Pathology Chi Mei Medical Center  Tainan Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ching\u2010Chien","family":"Lee","sequence":"additional","affiliation":[{"name":"Division of Cytopathology, Department of Pathology Chi Mei Medical Center  Tainan Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,4,10]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.5858\/2001-125-0484-AOFNAO"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1159\/000329029"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0339(200102)24:2<137::AID-DC1027>3.0.CO;2-5"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1159\/000325113"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1159\/000325513"},{"key":"e_1_2_10_7_1","first-page":"41","article-title":"Liquid\u2010based cytology: technical aspects","volume":"19","author":"Makde MM","year":"2022","journal-title":"Cyto J"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/dc.25274"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1089\/thy.2014.0394"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/cyt.12430"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.4103\/JOC.JOC_6_17"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2303.2009.00659.x"},{"issue":"3","key":"e_1_2_10_13_1","first-page":"353","article-title":"Comparison of conventional smear and liquid\u2010based cytology in adequacy of thyroid fine\u2010needle aspiration biopsies without an accompanying Cytopathologist","volume":"56","author":"Sayer AO","year":"2022","journal-title":"Sisli Etfal Hastan Tip Bul"},{"issue":"9","key":"e_1_2_10_14_1","article-title":"A comparative analysis of liquid\u2010based cytology and conventional smears in fine\u2010needle aspirates of thyroid lesions","volume":"15","author":"Maurya MK","year":"2023","journal-title":"Cureus"},{"issue":"2","key":"e_1_2_10_15_1","first-page":"143","article-title":"The usefulness of SurePathTM liquid\u2010based smear in sono\u2010guided thyroid fine needle aspiration; 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