Evidence map›Paper›PMID 27932508›Full record

Observational studyAJNR. American journal of neuroradiology2017

First-Line Use of Core Needle Biopsy for High-Yield Preliminary Diagnosis of Thyroid Nodules.

H C Kim, Y J Kim, H Y Han, J M Yi, J H Baek, S Y Park, J Y Seo, K W Kim

Open access · hybridAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in AJNR. American journal of neuroradiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
1.7field-weighted citation impact, top 14% of its field
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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. A simplified four-tier classification for thyroid core needle biopsy.Journal of endocrinological investigation · 2025
    Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. [Effect of the hardness of thyroid nodules on sample satisfaction of core needle biopsy and fine needle aspiration].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2020
    Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Observational
  16. 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

8 authors at 3 institutions in 1 country.

H C KimFrom the Department of Radiology (H.C.K., Y.J.K., J.Y.S., K.W.K.), Konyang University Myunggok Medical Research Institute, Konyang Hospital, Konyang University College of Medicine, Daejeon, Republic of Korea.ORCID 0000-0002-1319-281X
Y J KimFrom the Department of Radiology (H.C.K., Y.J.K., J.Y.S., K.W.K.), Konyang University Myunggok Medical Research Institute, Konyang Hospital, Konyang University College of Medicine, Daejeon, Republic of Korea myth0318@hanmail.net.ORCID 0000-0002-7084-0289
H Y HanDepartment of Radiology (H.Y.H., J.M.Y.), Daejeon Sun Hospital, Daejeon, Republic of Korea.ORCID 0000-0003-1316-8841
J M YiDepartment of Radiology (H.Y.H., J.M.Y.), Daejeon Sun Hospital, Daejeon, Republic of Korea.ORCID 0000-0002-5189-7351
J H BaekDepartment of Radiology and Research Institute of Radiology (J.H.B.), University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.ORCID 0000-0003-0480-4754
S Y ParkDepartment of Pathology (S.Y.P.), Konyang University Hospital, Konyang University College of Medicine, Daejeon, Republic of Korea.ORCID 0000-0002-0072-5613
J Y SeoFrom the Department of Radiology (H.C.K., Y.J.K., J.Y.S., K.W.K.), Konyang University Myunggok Medical Research Institute, Konyang Hospital, Konyang University College of Medicine, Daejeon, Republic of Korea.ORCID 0000-0001-5354-6208
K W KimFrom the Department of Radiology (H.C.K., Y.J.K., J.Y.S., K.W.K.), Konyang University Myunggok Medical Research Institute, Konyang Hospital, Konyang University College of Medicine, Daejeon, Republic of Korea.ORCID 0000-0002-7312-5483
Konyang University · KRDaejeon Sun Hospital · KRUlsan College · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeAlthough core needle biopsy was introduced as a diagnostic alternative to fine-needle aspiration, the utility and safety of core needle biopsy for thyroid nodules in a large population has yet to be studied comprehensively. We evaluate core needle biopsy yields on a large-scale basis to investigate its potential in the preliminary diagnosis of thyroid nodules. MATERIALS AND

methodsBetween March 2005 and December 2013, 2448 initially detected thyroid nodules from 2120 consecutive patients who underwent core needle biopsy were retrospectively evaluated. Of these, 72 thyroid nodules from 63 patients were excluded due to prior fine-needle aspiration attempts. The inconclusive and conclusive result rates, diagnostic accuracy, sensitivity, specificity, positive predictive value, negative predictive value, and unnecessary surgery rate of core needle biopsy were evaluated.

resultsWith core needle biopsy as the first-line method, the inconclusive result rate was 11.9% (283/2376) and the conclusive result rate was 88.1% (2093/2376). The diagnostic accuracy, sensitivity, specificity, positive predictive value, and negative predictive value of core needle biopsy for the diagnosis of malignancy were 96.7% (1160/1200), 89.7% (347/387), 100% (813/813), 100% (347/347), and 95.3% (813/853), respectively. There were no major complications and 12 minor complications.

conclusionsWe have demonstrated that first-line use of core needle biopsy may well improve diagnostic accuracy in thyroid nodules, reducing inconclusive or false-negative results and unnecessary operations. Such benefits underscore the promising role of core needle biopsy in managing thyroid nodules and optimizing related surgical decision-making.

Indexed as

AdolescentAdultAgedAged, 80 and overChildEndoscopic Ultrasound-Guided Fine Needle AspirationFalse Negative ReactionsFemaleHumansMaleMiddle AgedPredictive Value of TestsReproducibility of ResultsRetrospective StudiesSensitivity and SpecificityThyroid Gland

Identifiers

PMID27932508
PMCPMC7963827
OpenAlexW2559837352

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.