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Establishing Ultrasound-Guided Fine-Needle Aspiration in an Academic Setting

Ljung, Britt-Marie MD,*; Pitman, Martha Bishop MD

doi: 10.1097/PCR.0b013e318281ca50

Ultrasound-guidance for fine-needle aspiration (USFNA) is being increasingly utilized by physicians outside of the specialty of radiology. Pathologists use USFNA to guide FNA biopsies in FNA clinics primarily outside of major academic centers. FNA clinics in academic centers are not yet routinely using USFNA due to the logistical difficulties in setting up such a practice. In this review, two cytopathologists who were early adopters of USFNA in large academic centers outline their personal experience in doing so. They share their experience in addressing the issues of obtaining equipment and supplies, USFNA training and hospital credentialing of FNA staff, the use of anesthesia, work flow issues, reporting and image database, and marketing strategies. The authors also highlight lessons learned and pitfalls encountered in the process.

From the *Department of Pathology, University of California at San Francisco, San Francisco, CA, and †Department of Pathology, Massachusetts General Hospital, Boston, MA.

Reprints: Britt-Marie Ljung, MD, Department of Pathology Box 1785, University of California at San Francisco, San Francisco, CA 94143-1785. E-mail:

The authors have no funding or conflicts to declare.

© 2013 Lippincott Williams & Wilkins, Inc.