Evidence map›Paper›PMID 25948075›Full record

Trial reportEndocrine2015

Predictive value of intratumoral heterogeneity of F-18 FDG uptake for characterization of thyroid nodules according to Bethesda categories of fine needle aspiration biopsy results.

Seong-Jang Kim, Samuel Chang

Abstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in Endocrine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 3 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

19 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. The dilemma ofEndocrine · 2021
    Pooled it
  3. Focal Thyroid Incidentalomas onFrontiers in endocrinology · 2021
    Pooled it
  4. Quantitative classification and radiomics of [European journal of nuclear medicine and molecular imaging · 2022
    Trial
  5. Review
  6. Review
  7. Radiomics Analysis of [Diagnostics (Basel, Switzerland) · 2022
    Review
  8. Article
  9. Article
  10. Article
  11. Characteristics of malignant thyroid lesions on [European journal of radiology open · 2021
    Article
  12. Article
  13. Role of multi-modality functional imaging in differentiation between benign and malignant thyroidClinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2019
    Article
  14. Article
  15. Radiomics in Oncological PET/CT: Clinical Applications.Nuclear medicine and molecular imaging · 2018
    Review
  16. [European journal of hybrid imaging · 2017
    Article
  17. Article
  18. Review
  19. Article
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

2 authors.

Seong-Jang KimDepartment of Nuclear Medicine, Pusan National University Hospital, 179 Gudeok-Ro, Seo-Gu, Busan, 602-739, Republic of Korea. growthkim@daum.net.
Samuel ChangDepartment of Radiology, University of Colorado School of Medicine, 12401, 17th Ave, Aurora, CO, 80045, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The current study was aimed to investigate the clinical value of intratumoral heterogeneity of F-18 FDG uptake for characterization of thyroid nodule (TN) with inconclusive fine-needle aspiration biopsy (FNAB) results. The current study enrolled 200 patients who showed F-18 FDG incidentaloma and were performed FNAB. The intratumoral heterogeneity of F-18 FDG uptake was represented as the heterogeneity factor (HF), defined as the derivative (dV/dT) of a volume-threshold function for a primary tumor. The diagnostic and predictive values of HF and F-18 FDG PET/CT parameters were evaluated for characterization of inconclusive FNAB results. Among F-18 FDG PET/CT parameters, SUVmax, MTV, and TLG of malignant group were statistically higher than those of Bethesda category of suspicious malignant group. However, HF values were not statistically different between the groups of Bethesda categories (Kruskal-Wallis statistics, 9.924; p = 0.0774). In ROC analysis, when HF > 2.751 was used as cut-off value, the sensitivity and specificity for prediction of malignant TN were 100 % (95 % CI 69.2-100 %) and 60 % (95 % CI 42.1-76.1 %), respectively. The AUC was 0.826 (95 % CI 0.684-0.922) and standard error was 0.0648 (p < 0.0001). In conclusion, the intratumoral heterogeneity of F-18 FDG uptake represented by HF could be a predictor for characterization of TN with inconclusive FNAB results. Additional large population-based prospective studies are needed to validate the diagnostic utility of HF of F-18 FDG PET/CT.

Indexed as

Fluorodeoxyglucose F18AdultBiopsy, Fine-NeedleCarcinomaCarcinoma, PapillaryFemaleHumansMaleMiddle AgedPositron-Emission TomographyThyroid Cancer, PapillaryThyroid GlandThyroid NeoplasmsThyroid NoduleFluorodeoxyglucose F18F-18 FDG PET/CTFNABInconclusiveThyroid nodule

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.