Khater, H., Elsayed, F., Hosny Faheem, M. (2024). Comparison of the Efficacy and the Safety between Suction and Non-Suction Techniques of Fine Needle Cellular Biopsy of the Thyroid Nodules. Benha Medical Journal, 41(7), 13-23. doi: 10.21608/bmfj.2023.222804.1851
Hamada Mohammed Tolba Khater; Fatma Abd El-Rahman Elsayed; Mohamed Mohammed Hosny Faheem. "Comparison of the Efficacy and the Safety between Suction and Non-Suction Techniques of Fine Needle Cellular Biopsy of the Thyroid Nodules". Benha Medical Journal, 41, 7, 2024, 13-23. doi: 10.21608/bmfj.2023.222804.1851
Khater, H., Elsayed, F., Hosny Faheem, M. (2024). 'Comparison of the Efficacy and the Safety between Suction and Non-Suction Techniques of Fine Needle Cellular Biopsy of the Thyroid Nodules', Benha Medical Journal, 41(7), pp. 13-23. doi: 10.21608/bmfj.2023.222804.1851
Khater, H., Elsayed, F., Hosny Faheem, M. Comparison of the Efficacy and the Safety between Suction and Non-Suction Techniques of Fine Needle Cellular Biopsy of the Thyroid Nodules. Benha Medical Journal, 2024; 41(7): 13-23. doi: 10.21608/bmfj.2023.222804.1851
Comparison of the Efficacy and the Safety between Suction and Non-Suction Techniques of Fine Needle Cellular Biopsy of the Thyroid Nodules
1Lecturer of Radiodiagnosis Faculty of Medicine, Benha University
2(M.B., B.Ch.)
Department of Radiodiagnosis, Faculty of Medicine, Benha University
3Department of Radiology, Benha faculty of medicine, benha university, benha, egypt
Abstract
Background: Fine needle aspiration with adequate cytological evaluation has contributed to reduction of unnecessary thyroid surgeries for benign nodules of up to 50 %. This study aimed to compare the diagnostic efficacy and accuracy between suction and non-suction technique of fine needle cellular biopsy of the thyroid nodules. Methods: This prospective study included patients with thyroid nodules warranting FNAC based on TIRADS classification. The selected nodules were aspirated under ultrasound guidance at least twice, using both FNA+P and FNA-P techniques. The adequacy and diagnostic value of the cytological samples were assessed by two blinded cytologists. Complications were recorded, and immediate complications were linked to specific needle passes. Results: The mean age was 32.08 ± 7.83 years. 47% of the subjects were younger than 30 years, 35% were between 31 and 40 years, and 18% were older than 40 years. There was a significant higher number of cases under the age of 30 years (p=0.002). 92% of the subjects were female and 8% were male. There was a significant difference in gender distribution, with more females than males included in the study (p < 0.001). Fine needle aspiration with suction showed higher sensitivity (97.53%), accuracy (97%), PPV (94.88) and NPV (97.46%) compared to non-suction technique. Both techniques had high AUC for predicting adequate diagnosis (p < 0.001). Conclusion: FNA with suction demonstrated significantly higher adequacy in diagnosis prediction compared to non-suction technique. Moreover, fine needle aspiration with suction showed higher sensitivity, accuracy, PPV, and NPV compared to the non-suction technique.
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