{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T15:18:52Z","timestamp":1782832732768,"version":"3.54.5"},"reference-count":11,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2019,10,19]],"date-time":"2019-10-19T00:00:00Z","timestamp":1571443200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>We evaluated telecytology rapid on-site evaluation (ROSE) for thyroid ultrasound-guided fine-needle aspiration. To the best of our knowledge, this study is the first case-control clinical trial of thyroid telecytology.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We introduced on-site ROSE in our institution\u2019s thyroid clinic for 6 months, followed by telecytology for 12 months. Our institution\u2019s ultrasound clinic, where ROSE is not provided, was used as a control group for each period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Both groups had similar initial unsatisfactory rates (thyroid clinic: 8.8%; ultrasound clinic: 8.0%) before the study began. The thyroid clinic\u2019s unsatisfactory rate was significantly reduced to 1.6% after on-site ROSE (P = .001) and to 3.8% after telecytology ROSE (P = .010), with no significant difference between on-site and telecytology ROSE periods (P &gt; .05). The ultrasound clinic\u2019s unsatisfactory rate was unchanged for both periods. Concordance between telecytology ROSE and final adequacy was 97% (\u03ba = 0.699).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Telecytology ROSE reduces unsatisfactory rates for ultrasound-guided fine-needle aspiration without compromising patient care.<\/jats:p><\/jats:sec>","DOI":"10.1093\/ajcp\/aqz164","type":"journal-article","created":{"date-parts":[[2019,9,4]],"date-time":"2019-09-04T19:26:56Z","timestamp":1567625216000},"source":"Crossref","is-referenced-by-count":6,"title":["Rapid On-Site Evaluation With Telecytology Significantly Reduced Unsatisfactory Rates of Thyroid Fine-Needle Aspiration"],"prefix":"10.1093","author":[{"given":"Diana M","family":"Lin","sequence":"first","affiliation":[{"name":"Department of Pathology, University of Alabama at Birmingham"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Tracht","sequence":"additional","affiliation":[{"name":"Department of Pathology, University of Alabama at Birmingham"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frida","family":"Rosenblum","sequence":"additional","affiliation":[{"name":"Department of Pathology, University of Alabama at Birmingham"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erik","family":"Kouba","sequence":"additional","affiliation":[{"name":"Department of Pathology, University of Alabama at Birmingham"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deepti","family":"Bahl","sequence":"additional","affiliation":[{"name":"Department of Endocrinology, University of Alabama at Birmingham"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anish","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of Endocrinology, University of Alabama at Birmingham"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isam-Eldin","family":"Eltoum","sequence":"additional","affiliation":[{"name":"Department of Pathology, University of Alabama at Birmingham"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2019,10,19]]},"reference":[{"key":"2019101913290169500_CIT0001","doi-asserted-by":"crossref","first-page":"428","DOI":"10.1089\/thy.2012.0211","article-title":"Rapid onsite evaluation improves the adequacy of fine-needle aspiration for thyroid lesions: a systematic review and meta-analysis","volume":"23","author":"Witt","year":"2013","journal-title":"Thyroid."},{"key":"2019101913290169500_CIT0002","doi-asserted-by":"crossref","first-page":"S69","DOI":"10.1016\/j.jasc.2017.06.172","article-title":"Rapid onside evaluation significantly reduces unsatisfactory rates of thyroid ultrasound guided fine-needle aspiration: a retrospective case control study","volume":"6","author":"Tracht","year":"2017","journal-title":"J Am Soc 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in cytopathology","volume":"40","author":"Khurana","year":"2012","journal-title":"Diagn Cytopathol."},{"key":"2019101913290169500_CIT0007","doi-asserted-by":"crossref","first-page":"713","DOI":"10.1089\/tmj.2009.0037","article-title":"Telecytology: a tool for quality assessment and improvement in the evaluation of thyroid fine-needle aspiration specimens","volume":"15","author":"Archondakis","year":"2009","journal-title":"Telemed J E Health."},{"key":"2019101913290169500_CIT0008","doi-asserted-by":"crossref","first-page":"495","DOI":"10.1002\/dc.21419","article-title":"Study on the reproducibility of thyroid lesions telecytology diagnoses based upon digitized images","volume":"39","author":"Georgoulakis","year":"2011","journal-title":"Diagn Cytopathol."},{"key":"2019101913290169500_CIT0009","doi-asserted-by":"crossref","first-page":"763","DOI":"10.1089\/tmj.2011.0052","article-title":"Telecytopathology for rapid preliminary diagnosis of ultrasound-guided fine-needle aspiration of thyroid nodules","volume":"17","author":"Khurana","year":"2011","journal-title":"Telemed J E Health."},{"key":"2019101913290169500_CIT0010","doi-asserted-by":"crossref","first-page":"33","DOI":"10.4103\/jpi.jpi_18_17","article-title":"Successful secure high-definition streaming telecytology for remote cytologic evaluation","volume":"8","author":"Sirintrapun","year":"2017","journal-title":"J Pathol Inform"},{"key":"2019101913290169500_CIT0011","doi-asserted-by":"crossref","first-page":"12","DOI":"10.4103\/jpi.jpi_2_18","article-title":"Psychological aspects of utilizing telecytology for rapid on-site adequacy assessments","volume":"9","author":"Mahajan","year":"2018","journal-title":"J Pathol Inform"}],"container-title":["American Journal of Clinical 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