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Maximising the benefit of fine needle aspiration in head and neck: specimen management and the role of ROSE

Royal College of Radiologist event on 22nd July event by Dr Anthony Maddox  and Miss Leonie Glinski

Rapid OnSite Evaluation (ROSE) involves the assessment of aspirated material by rapid staining at the time of aspiration by a small team which may involve a biomedical scientist (BMS), a cellular pathologist or both. Due to resource constraints, it is likely that most potential services will be BMS-based. ROSE allows for the assessment of adequacy and the triage of material into appropriate media for ancillary tests and has been shown to improve service delivery with fewer repeat patient attendances. 

Some services are already operating (and some have been for many years) but provision is historical and patchy. Some local training with collaboration of cellular pathology and radiology has taken place (eg in Peninsula school) but a national programme with incorporation into radiology and BMS training would be beneficial. This webinar would be a first step in the potential for such a programme.

Learning objectives:

  • Understanding of the background to ROSE and the evidence for adoption
  • Advantages and disadvantages of ROSE
  • Increased understanding of cellular pathology techniques and range of investigations possible with appropriate sampling
  • Assessment of improvement to the patient pathway

Further events are planned through the RCR to deliver education about the benefits and practicalities of head and neck ROSE and we aim for at least one of these to be a joint BAC/RCR event specifically aimed at radiologists, biomedical scientists and pathologists with an aim of encouraging collaborative learning and working