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Ultrasound-Guided Fine-Needle Aspiration Practice Patterns

How ultrasound-guided fine-needle aspiration (USFNA) is performed in the United States varies considerably among institutions. The critical role of the cytopathologist for diagnosis is indisputable, although the degree of collaboration with other specialties and the physical setting where the procedure is performed are highly individualized, as is the degree to which the cytopathologist takes an active role in performing the biopsy. We highlight the practice patterns at 4 health centers in the United States. At 1 medical center, USFNAs are performed using a team approach: the aspiration is performed by a cytopathologist or trainee but is guided by a radiologist. In the remaining 3 medical centers, many USFNAs are performed without radiology assistance, with minor differences related to scheduling, personnel involved, and results reporting policies. All 4 medical centers report favorable patient and provider satisfaction. In conclusion, a variety of methods, all targeted to optimizing patient care and rapid diagnosis, work well and are generally well received by the physicians who refer their patients for care.