• Portable (laptop type) or small bedside ultrasound machine:
  • B-mode for small parts (e.g. thyroid), breast, musculoskeletal
  • Electronic adjustment of focal zone and depth
  • Caliper accuracy of better than 2% or 0.5 mm
  • Cineloop up to 1 minute at 25 frames per second
  • Removable storage media (USB, CD, etc.)
  • DICOM (Digital Imaging and COmmunication in Medicine) standard
  • PACS (Picture Archiving and Communication System)
  • Color Flow Doppler with/without Power Doppler
• Ultrasound transducer:
  • Linear array with multifrequency capabilities
  • Frequency ranges: 6-7 MHz to 10-12 MHz or higher
  • Penetration: 6 cm or deeper
• Ultrasound coupling gel
• Ultrasound stand-off pad (aids in imaging very superficial or skin based target lesions)
• Transducer covers
• IV extension tubing
• Needles of 27, 25, 23, 22 gauge, from 1.0, 1.5 and 3 inches long (2.5 to 9 cm)
• Disposable plastic syringes
• Skin disinfectant: alcohol pads (chlorohexidine or providine iodine)
• Transducer disinfectant (see manufacture recommendations as improper cleaning may cause damage and void warranty)
• Pen and pencils
• Plastic flexible ruler (for measuring lesions such as breast mass distance from the nipple)
• Surgical ink pen (for skin marking or insertion site marking)
• Sterile 4x4 sponges (e.g. to hold post-biopsy pressure at needle puncture site)
• Gloves and safety glasses
• Small metal probe (to check transducer and planed needle insertion site over target lesion if needed)
• Aspiration syringe holder
• Local anesthesia (e.g. 1% lidocaine without epinephrine), if needed
• Drapes, sheets, gowns, pillows (to cover patient or biopsy site, to help position and comfort patient)
• Ice bag (to send home with patient if needed)
• Band-aids
• Post-aspiration biopsy hand-out informational sheet
• Sharps container

• Microscope
• Frosted-end glass microscope slides
• Romanowsky-type stains (e.g. Diff-Quik)
• RPMI tissue culture media (for collection for flow-cytometry studies, etc.)
• Alcohol spray fixative or 95% ethanol solution for fixing slides for Papanicolaou staining
• Formalin (for cell block of FNA rinse)
• Tube rack (to secure and hold FNA needle rinse tubes)
• Various size collection tubes to place fluids/FNA material or for special studies (e.g. thyroglobulin washout study)
• Sterile cup (to place aspirate material for culture)
• Sterile saline syringe (to add a few drops to the FNA material in the sterile cup to prevent drying during transport)
• Slide holder

Basic supplies

Ultrasound supplies

Post-aspiration

Rapid interpretation

Triaging

This information is intended for physicians and related personnel, who understand that medical information is often imperfect, and must be interpreted in the context of a patient's clinical data using reasonable medical judgment. This website should not be used as a substitute for the advice of a licensed physician.

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