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Comparison of US-guided FNAB results applied to the thyroid nodules with a preliminary diagnosis of malignancy from outpatient clinics
Turkey (TurkMSIC) - Giresun University, Giresun
Giresun University, Faculty of Medicine, Department of Radiology, Prof. Dr. A. Ilhan Ozdemir Training and Research Hospital, Teyyareduzu Mh, Ataturk Blv. No:323, 28200 Merkez/Giresun
Type of Research Project
- Clinical Project with Laboratory work
What is the background of the project?
Please, provide the background of the project (Provide information about the project; min. 10 lines, max. 25 lines) The thyroid gland is an endocrine organ. As the frequency of routine use of various imaging methods leads rising of the rate of diagnosis of nodules within the gland. The decision whether these nodules are benign or malignant is made cytologically according to Fine Needle Aspiration Biopsy (FNAB). Ultrasonography (US) guided approach is important for FNAB. US help locate a nodule or abnormality within the thyroid and remove a tissue sample for examination under a microscope. This technique is less invasive than surgical biopsy, leaves little to no scarring and doesn’t exposure to ionizing radiation with using US. According to Health Ministry of Republic Of Turkey General Directorate of Public Health 2014 figures, Age-standardized incidence by sex, thyroid cancer is being seen 5.5 per hundred thousand men and 20.6 per hundred thousand women.
What is the aim of the project?
What is the aim of the project? (Highly specific: purpose?) The aim of this study is to analyse how much of these patients referred from outpatient clinics to US guided FNAB cytology to be compatible with malignant outcome and to compare the diagnostic performance of FNAB with imaging methods
What techniques and methods are used?
What techniques and methods are used? Mention the steps/stages in this project. (Provide examples and avoid abbreviations; which tools will be used in general in this project?) Ultrasonography (US): Ultrasonography is a diagnostic imaging technique based on the application of ultrasound. It is used to create an image of internal body structures such as tendons, muscles, joints, blood vessels, and internal organs. Its aim is often to find a source of a disease or to exclude pathology. Fine Needle Aspiration Biopsy:A Fine Needle Aspiration Biopsy is a simple procedure that involves passing a thin needle through the skin to sample fluid or tissue from a cyst or solid mass. The sample of cellular material taken during an Fine needle aspiration is then sent to a pathology laboratory for analysis. Fine needle aspiration biopsies are often performed breast, thyroid gland, lymph nodes in the neck, groin, or armpit.
What is the role of the student?
- The student will mainly observe
- The student will observe the practical experiments but will be highly involved in the analysis of the results
- If the project includes “lab work”
- the student will take active part in the practical aspect of the project
- If the project is clinical
- the student will take active part in the clinical examination
- If the project is clinical
- the student will be allowed to work with patients
- The tasks of the student will be performed on his/her own
- The tasks will be done under supervision
What are the tasks expected to be accomplished by the student?
What are the tasks expected to be accomplished by the student? (Minimum 10 lines, provide detailed explanation) The student will observe or perform under supervision the following tasks: -The student will observe a clinician for learning principles of working in a radiology clinic (Hygen rules, preparing a patient for US imaging etc.) and successfully applying during the exchange. -The student will join the preliminary ultrasonography imaging and collect the datas of imaging patterns. -The student will correct the cytology reports and analyze the relationship between the imaging patterns and malignancy with the correlation of cytology. -The student will organize a short preliminary report and after under the lights of the teacher both will write the final report for an oral presentation.
Will there be any theoretical teaching provided (preliminary readings, lectures, courses, seminars etc)
Will there be any theoretical teaching provided for the student (preliminary readings, lectures, courses, seminars)? Please describe how much teaching and by whom. Theoretical teaching will be provided about thyroid gland imaging with ultrasonography, fine needle aspiration biopsy, reading and understanding pathology report written for Fine Needle Aspiration cytology biopsy examination by Assoc. Prof. Dr. Alptekin TOSUN for 2 hours at least once a week.
What is expected from the student at the end of the research exchange? What will be the general outcome of the student?
- The student will prepare a presentation - The student will prepare a scientific report
What skills are required of the student? Is there any special knowledge or a certain level of studies needed?
No specific skills are required.
Are there any legal limitations in the student’s involvement
Type of students accepted
This project accepts: - Medical students - Graduated students (less than 6 months) - Pre-Medical students from the American-British system - Students in biomedical fields
- Nachiappan AC; Metwalli ZA; Hailey BS; Patel RA; Ostrowski ML; Wynne DM. The Thyroid: Review of Imaging Features and Biopsy Techniques with Radiologic-Pathologic Correlation. Radiographics 2014;34(2):276-293 DOI:10.1148/rg.342135067.
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