Evidence map›Paper›PMID 22280184›Full record

ArticleThyroid : official journal of the American Thyroid Association2012

Three-gene molecular diagnostic model for thyroid cancer.

Nijaguna B Prasad, Jeanne Kowalski, Hua-Ling Tsai, Kristin Talbot, Helina Somervell, Guennadi Kouniavsky, Yongchun Wang, Alan P B Dackiw, William H Westra, Douglas P Clark and 3 more

Abstract read
In one paragraph

Article in Thyroid : official journal of the American Thyroid Association, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. High mobility group A protein-2 as a tumor cancer diagnostic and prognostic marker: a systematic review and meta-analysis.European journal of cancer prevention : the official journal of the European Cancer Prevention Organisation (ECP) · 2020
    Pooled it
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  15. Differential expression of degradome components in cutaneous squamous cell carcinomas.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2014
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Nijaguna B PrasadEndocrine Surgery Section, Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland 21287, USA. nprasad1@jhmi.edu
Jeanne Kowalski
Hua-Ling Tsai
Kristin Talbot
Helina Somervell
Guennadi Kouniavsky
Yongchun Wang
Alan P B Dackiw
William H Westra
Douglas P Clark
Steven K Libutti
Christopher B Umbricht
Martha A Zeiger

Funding

Molecular Classification of Suspicious Thyroid TumorsR01CA107247 · NCI · JOHNS HOPKINS UNIVERSITY · PI ZEIGER, MARTHA ALLEN · 2005 to 2009
$1.5M
NCI NIH HHS R01-CA107247-01A1
6 · The paper itself

Abstract

backgroundThe preoperative diagnosis of thyroid nodules primarily depends upon fine needle aspiration (FNA) cytology. However, up to 25% of FNA samples have associated "suspicious or indeterminate", but not diagnostic cytologic reports, resulting in difficulty deciding appropriate clinical management for these patients. We hypothesize that the use of molecular markers as an adjunct to FNA cytology can improve the distinction of benign from malignant nodules that have associated suspicious or indeterminate cytology.

methodsUsing microarray analysis, we previously identified and reported on 75 genes useful in the distinction of benign versus malignant thyroid nodules. In the present study, we have further validated the expression of 14 of these markers in a large number of thyroid samples by immunohistochemistry (IHC) analysis of 154 thyroid tumors and quantitative real-time RT-PCR (QRT-PCR) analysis of 95 FNA samples. Of the 154 tumors analyzed by IHC, 44 samples (29%) had associated suspicious or indeterminate FNA cytology.

resultsReceiver operating characteristic using three-gene model, (HMGA2, MRC2, and SFN) analysis for the detection of malignant nodules resulted in areas under the curve (AUCs) of≥0.95 (80% sensitivity; 100% specificity) and≥0.84 (71% sensitivity; 84% specificity) for the IHC data in tumors, and QRT-PCR data in FNA samples, respectively.

conclusionsOur results suggest that a three-gene model for the cytological diagnosis of indeterminate thyroid nodules is both feasible and promising. Implementation of this as an adjunct to thyroid cytology may significantly impact the clinical management of patients with suspicious or indeterminate thyroid FNA nodules.

Indexed as

Thyroid NeoplasmsThyroid Nodule14-3-3 ProteinsBiomarkers, TumorBiopsy, Fine-NeedleCase-Control StudiesExonucleasesExoribonucleasesGenetic MarkersHMGA2 ProteinHumansImmunohistochemistryMannose-Binding LectinsMembrane GlycoproteinsMicroarray AnalysisMolecular Diagnostic Techniques14-3-3 ProteinsBiomarkers, TumorExonucleasesExoribonucleasesGenetic MarkersHMGA2 ProteinMannose-Binding LectinsMembrane GlycoproteinsMRC2 protein, humanReceptors, Cell SurfaceSFN protein, human

Identifiers

PMID22280184
PMCPMC3286810

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.