Includes References and Index

The diagnostic services—pathology and radiology—are the cornerstone for supporting
the delivery of high-quality healthcare by providing timely and accurate diagnosis. In
this era of precision medicine, it has become increasingly important for these two services to work collaboratively in supporting our patients and clinical colleagues by
informing and communicating the selection and interpretation of appropriate diagnostic
tests, as well as obtaining adequate tissue for diagnosis, prognostication, and therapy at
initial presentation and, if required, during disease progression/relapse. The importance
of access to oncologic imaging and pathology expertise and technologies was highlighted
at a recent workshop organized by the National Cancer Policy Forum––Improving Cancer
Diagnosis and Care: Patient Access to Oncologic Imaging and Pathology Expertise and
Technologies [1].
At our large teaching hospital, we are fortunate to have both cytopathology and interventional radiology expertise. Our teams have a close working relationship, with dedicated space for the cytopathology in interventional radiology, where biopsy review and
decision-making, with discussion if warranted with the ordering physician, are done on a
daily basis. Over the past three decades, we have built a state-of-the-art, collaborative, fine
needle aspiration (FNA) and core biopsy service with immediate on-site adequacy evaluation and triage. This joint service provides the majority of primary cancer diagnosis and
in advanced stage disease is the only pathology material on which all diagnostic and ancillary testing is done.
We previously published a monograph targeted toward our oncology colleagues,
Cytopathology in Oncology, with the aim of “demystifying” cytopathology [2]. This current
atlas is aimed at practicing cytopathologists and interventional radiologists and trainees in
these areas. It is our pleasure to be able to share our experience with the readers of this atlas.
We hope you will find it to be a useful reference for your practice.