The Accuracy Control of Rapid On-site Cytologic Evaluation in Bronchoscopy

• Kanai Kuninobu

  Third Department of Internal Medicine, Wakayama Medical University

• Akamatsu Hiroaki

  Third Department of Internal Medicine, Wakayama Medical University

• Tanaka Ayaka

  Third Department of Internal Medicine, Wakayama Medical University

• Kikuchi Takashi

  Third Department of Internal Medicine, Wakayama Medical University

• Ichikawa Tomohiro

  Third Department of Internal Medicine, Wakayama Medical University

• Akamatsu Keiichiro

  Third Department of Internal Medicine, Wakayama Medical University

• Nakanishi Masanori

  Third Department of Internal Medicine, Wakayama Medical University

• Yamamoto Nobuyuki

  Third Department of Internal Medicine, Wakayama Medical University

Bibliographic Information

Other Title

• 気管支鏡検査における迅速細胞診（ROSE）の精度管理に関する検討

Abstract

Background. Although the clinical benefit of rapid on-site cytologic evaluation (ROSE) during flexible bronchoscopy has been reported, its quality management has not been fully investigated. Here, we report a one-year experience of quality control with ROSE in our institution. Objective and Methods. Between October 24, 2013 and October 31, 2014, ROSE was done in 183 of 269 patients who underwent bronchoscopy in our division. ROSE was compared with pathological diagnosis in terms of its sensitivity, specificity, positive predictive value, negative predictive value, and accuracy. During the study period, diagnostic results were reviewed among pulmonologists, cytological screeners, and pathologists. Results. Malignant tumor was the most common diagnosis (110 patients). Discordant cases were reviewed every four months and diagnostic assessments were partially modified. As a result, positive predictive value increased while accuracy was maintained. Sensitivity, specificity, positive predictive value, negative predictive value, and accuracy of ROSE compared with pathological diagnosis were 83%, 85%, 89%, 77% and 84%, respectively. Conclusion. Introducing ROSE in our department, quality control was properly done with periodical review.

Journal

• The Journal of the Japan Society for Respiratory Endoscopy

  The Journal of the Japan Society for Respiratory Endoscopy 38 (6), 490-493, 2016

  The Japan Society for Respiratory Endoscopy

Keywords

• Bronchoscopy
• ROSE
• Accuracy control

Details

• CRID: 1390282679732969088
• NII Article ID: 130005250320
• DOI: 10.18907/jjsre.38.6_490
• ISSN: 21860149
• ISSN: 02872137
• Text Lang: ja
• Data Source:
  • JaLC
  • CiNii Articles
  • KAKEN
• Abstract License Flag: Disallowed