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AJCY2301 - CME/CMLE - The Use of the International ...
The Use of the International Academy of Cytology Y ...
The Use of the International Academy of Cytology Yokohama System for Reporting Breast Fine Needle Aspiration Biopsy: A Systematic Review and Meta-analysis
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This review article discusses the implementation and performance of the International Academy of Cytology Yokohama System for reporting breast fine-needle aspiration (FNA) biopsies. The meta-analysis aimed to calculate the pooled risk of malignancy for each category of the Yokohama system and assess its diagnostic accuracy. The results showed that the ROM for the categories ranged from 1% to 100%. When both "Suspicious" and "Malignant" interpretations were considered positive, the pooled sensitivity was 91% and false-positive rate was 2.33%. The diagnostic accuracy was high with a pooled area under the curve of 97.3%. However, when only "Malignant" interpretations were considered positive, the sensitivity decreased to 76.61% with a lower false-positive rate. The review highlights the importance of the Yokohama system in standardizing reporting and improving diagnostic accuracy in breast FNA. It also emphasizes the significance of rapid on-site evaluation and the need for more prospective studies to further validate the system's value in clinical practice. The study included data from 18 studies published between 2019 and 2021, pointing to the potential success and benefits of implementing the Yokohama system in the evaluation of breast lesions through FNA biopsies.
Keywords
International Academy of Cytology Yokohama System
breast fine-needle aspiration biopsies
pooled risk of malignancy
diagnostic accuracy
sensitivity
false-positive rate
area under the curve
rapid on-site evaluation
prospective studies
breast lesions
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