[2], covers cell blocks, addressing up-and-coming techniques and their practical applications. Cytology material has proven to be increasingly suitable for many new ancillary studies, often averting the need to procure large tissue samples with invasive methods. This premise is highlighted in the chapter on fluorescence in situ hybridization by Monaco and Dacic [3] as well as the chapter by Roy-Chowdhuri et al. [4] on next-generation sequencing in cytopathology. Cytopathologists have also been leading the charge with liquid biopsy, an even lesser invasive procedure than FNA. The field of liquid biopsy is methodically reviewed in the well-illustrated chapter by Katz et al. [5] about recent advances in the detection of circulating tumor cells and their clinical application. The adoption of digital imaging in cytology is another area that has grown significantly for both clinical and non-clinical applications. This book accordingly incorporates several relevant chapters including computer-assisted Pap test screening by Pantanowitz and Bui [6], telecytology for rapid on-site evaluation by Hanna et al. [7], whole-slide imaging by Li et al. [8], and image analysis by Pantanowitz and Bui [9]. The final chapter by Pantanowitz et al. [10] encompasses a potpourri of exciting topics, including clinical trials in cytology and cytobanking. However, it does not matter in which order the chapters of this book are read as each chapter represents a stand-alone contemporary review of emerging topics in cytopathology. We hope that you will find this monograph to be thought-provoking and a valuable reference for your practice.
Acknowledgements
The editors are thankful to all of the contributors for their expertise and effort. Special thanks are extended to Dr. Philippe Vielh, who envisioned and propelled this project. We also express our gratitude to our family for their unwavering support of our academic work.
Disclosure Statement
The editors have no conflicts of interest to declare.
Marilyn M. Bui, Tampa, FL, USA
Liron Pantanowitz, Pittsburgh, PA, USA
References
1Rollins SD: The interventional cytopathologist and ultrasound-guided fine-needle aspiration; in Bui MM, Pantanowitz L (eds): Modern Techniques in Cytopathology. Monogr Clin Cytol. Basel, Karger, 2020, vol 25. DOI: 10.1159/000455781.
2Saqi A, Balassanian R: Cell Blocks: Evolution, modernization, and assimilation into emerging technologies; in Bui MM, Pantanowitz L (eds): Modern Techniques in Cytopathology. Monogr Clin Cytol. Basel, Karger, 2020, vol 25. DOI: 10.1159/000455772.
3Monaco SE, Dacic S: Fluorescence in situ hybridization in cytopathology; in Bui MM, Pantanowitz L (eds): Modern Techniques in Cytopathology. Monogr Clin Cytol. Basel, Karger, 2020, vol 25. DOI: 10.1159/000455777.
4Roy-Chowdhuri S, Somak R, Pantanowitz L: Next-generation sequencing in cytopathology; in Bui MM, Pantanowitz L (eds): Modern Techniques in Cytopathology. Monogr Clin Cytol. Basel, Karger, 2020, vol 25. DOI: 10.1159/000455779.
5Katz RL, Zaidi TM, Xiaohui N: Liquid biopsy: recent advances in the detection of circulating tumor cells and their clinical application; in Bui MM, Pantanowitz L (eds): Modern Techniques in Cytopathology. Monogr Clin Cytol. Basel, Karger, 2020, vol 25. DOI: 10.1159/000455780.
6Pantanowitz L, Bui MM: Computer-assisted Pap test screening; in Bui MM, Pantanowitz L (eds): Modern Techniques in Cytopathology. Monogr Clin Cytol. Basel, Karger, 2020, vol 25. DOI: 10.1159/000455774.
7Hanna MG, Lin O, Sirintrapun SJ, Pantanowitz L: Telecytology for rapid on-site evaluation; in Bui MM, Pantanowitz L (eds): Modern Techniques in Cytopathology. Monogr Clin Cytol. Basel, Karger, 2020, vol 25. DOI: 10.1159/000496525.
8Li Z, Quick M, Pantanowitz L: Whole-slide imaging in cytopathology; in Bui MM, Pantanowitz L (eds): Modern techniques in cytopathology. Monogr Clin Cytol. Basel, Karger, 2020, vol 25. DOI: 10.1159/000455775.
9Pantanowitz L, Bui MM: Image analysis in cytopathology; in Bui MM, Pantanowitz L (eds): Modern Techniques in Cytopathology. Monogr Clin Cytol. Basel, Karger, 2020, vol 25. DOI: 10.1159/000455776.
10Pantanowitz L, Monaco SE, da Cunha Santos G: Other cytology applications: clinical trials, checkpoint inhibitors, and cytobanking; in Bui MM, Pantanowitz L (eds): Modern Techniques in Cytopathology. Monogr Clin Cytol. Basel, Karger, 2020, vol 25. DOI: 10.1159/000455773.
Bui MM, Pantanowitz L (eds): Modern Techniques in Cytopathology.
Monogr Clin Cytol. Basel, Karger, 2020, vol 25, pp 1–5 (DOI: 10.1159/000455781)
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The Interventional Cytopathologist and Ultrasound-Guided Fine-Needle Aspiration
Susan D. Rollins
ETSU Department of Pathology, Outpatient Cytopathology Center, Johnson City, TN, USA
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Abstract
Ultrasound-guided fine-needle aspiration (FNA) biopsy allows for accurate sampling of mass lesions. The diagnostic information from this procedure is maximized when the pathologist is intimately involved with specimen procurement, specimen triage, and interpretation. This chapter discusses the role of the interventional cytopathologist, training opportunities, and basic information for starting a pathologist ultrasound-guided FNA clinic.
© 2020 S. Karger AG, Basel
In 2009, the College of American Pathologists began offering a course to cytologists in ultrasound-guided fine-needle aspiration (USFNA) biopsy entitled Ultrasound-Guided Fine-Needle Aspiration Advanced Practical Pathology Program (USFNA AP3). Prior to this, only a handful of cytopathologists were performing their own USFNA biopsies. In less than a decade, cytopathologists have realized the utility of learning and practicing USFNA. The technique is now taught in residency and fellowship programs. Highlighting the importance of USFNA in cytopathology training programs, the July
