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TABLE 1: Steps in performing aspiration
Step Description
1 Review prebiopsy images to determine the approach
2 Obtain informed consent
3 Obtain scout view
4 Obtain limited nonenhanced axial views through the lesion
5 Place skin markers on the line of the image that has best line of sight to the lesion
6 Repeat scanning to determine the puncture site
7 Perform sterile preparation of the puncture site
8 Insert the introducer needle
9 Repeat scan to verify the position of the introducer needle
10 Insert the aspiration needle
11 Verify the position of the needle tips
12 Place the needle to the edge of the mass
13 Call cytology department
14 Perform multiple multidirectional plunges into the mass
15 Withdraw only the aspiration needle
16 Submit specimen for analysis
17 Repeat steps as required on the basis of the cytologic results