Evidence map›Paper›PMID 30093451›Full record

ArticleClinical cancer research : an official journal of the American Association for Cancer Research2019

Identification of Tissue-Specific DNA Methylation Signatures for Thyroid Nodule Diagnostics.

John H Yim, Audrey H Choi, Arthur X Li, Hanjun Qin, Sue Chang, Sun-Wing T Tong, Peiguo Chu, Byung-Wook Kim, Daniel Schmolze, Ryan Lew and 9 more

Open access · bronzeAbstract read
In one paragraph

Article in Clinical cancer research : an official journal of the American Association for Cancer Research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
3.6field-weighted citation impact, top 6% 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

28 citing papers in PubMed, 49 citations in OpenAlex.

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  9. Frontiers in endocrinology · 2025
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  15. Association of DNA Promoter Methylation andCurrent oncology (Toronto, Ont.) · 2023
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors at 3 institutions in 1 country.

John H YimDepartment of Surgery, City of Hope Comprehensive Cancer Center, Duarte, California. mhahn@coh.org jyim@coh.org.
Audrey H ChoiDepartment of Surgery, City of Hope Comprehensive Cancer Center, Duarte, California.
Arthur X LiDepartment of Information Sciences, Beckman Research Institute of City of Hope, Duarte, California.
Hanjun QinDepartment of Molecular and Cellular Biology, Beckman Research Institute of City of Hope, Duarte, California.
Sue ChangDepartment of Pathology, City of Hope Comprehensive Cancer Center, Duarte, California.
Sun-Wing T TongDepartment of Pathology, City of Hope Comprehensive Cancer Center, Duarte, California.
Peiguo ChuDepartment of Pathology, City of Hope Comprehensive Cancer Center, Duarte, California.
Byung-Wook KimDepartment of Surgery, City of Hope Comprehensive Cancer Center, Duarte, California.
Daniel SchmolzeDepartment of Pathology, City of Hope Comprehensive Cancer Center, Duarte, California.
Ryan LewDepartment of Surgery, City of Hope Comprehensive Cancer Center, Duarte, California.
Yasmine IbrahimDepartment of Surgery, City of Hope Comprehensive Cancer Center, Duarte, California.
Valeriy A PoroykoDepartment of Medical Oncology, City of Hope Comprehensive Cancer Center, Duarte, California.
Sylvana SalvatierraDepartment of Pathology, City of Hope Comprehensive Cancer Center, Duarte, California.
Alysha BakerDepartment of Pathology, City of Hope Comprehensive Cancer Center, Duarte, California.
Jinhui WangDepartment of Molecular and Cellular Biology, Beckman Research Institute of City of Hope, Duarte, California.
Xiwei WuDepartment of Molecular and Cellular Biology, Beckman Research Institute of City of Hope, Duarte, California.
Gerd P PfeiferCenter for Epigenetics, Van Andel Research Institute, Grand Rapids, Michigan.
Yuman FongDepartment of Surgery, City of Hope Comprehensive Cancer Center, Duarte, California.
Maria A HahnDepartment of Surgery, City of Hope Comprehensive Cancer Center, Duarte, California. mhahn@coh.org jyim@coh.org.
City of Hope · USCity Of Hope National Medical Center · USVan Andel Institute · US

Funding

Transgenic Mouse FacilityP30CA033572 · NCI · CITY OF HOPE/BECKMAN RESEARCH INSTITUTE · PI STANLEY R. HAMILTON · 1985 to 2026
$86.3M
Epigenomic Biomarkers to Manage Thyroid Nodule Overdiagnosis and OvertreatmentR21CA223367 · NCI · BECKMAN RESEARCH INSTITUTE/CITY OF HOPE · PI HAHN, MARIA, YIM, JOHN H · 2018 to 2019
$439k
NCI NIH HHS P30 CA033572NCI NIH HHS R21 CA223367
6 · The paper itself

Abstract

purposeThyroid cancer is frequently difficult to diagnose due to an overlap of cytologic features between malignant and benign nodules. This overlap leads to unnecessary removal of the thyroid in patients without cancer. While providing some improvement over cytopathologic diagnostics, molecular methods frequently fail to provide a correct diagnosis for thyroid nodules. These approaches are based on the difference between cancer and adjacent thyroid tissue and assume that adjacent tissues are the same as benign nodules. However, in contrast to adjacent tissues, benign thyroid nodules can contain genetic alterations that can be found in cancer.

resultsBy conducting reduced representation bisulfite sequencing in 109 thyroid specimens, we found significant differences between adjacent tissue, benign nodules, and cancer. These tissue-specific signatures are strongly linked to active enhancers and cancer-associated genes. Based on these signatures, we developed a new epigenetic approach for thyroid diagnostics. According to the validation cohort, our test has an estimated specificity of 97% [95% confidence interval (CI), 81-100], sensitivity of 100% (95% CI, 87-100), positive predictive value of 97% (95% CI, 83-100), and negative predictive value of 100% (95% CI, 86-100).

conclusionsThese data show that epigenetic testing can provide outstanding diagnostic accuracy for thyroid nodules.

Indexed as

DNA MethylationEpigenesis, GeneticTranscriptomeBiomarkers, TumorBiopsy, Fine-NeedleDiagnosis, DifferentialEpigenomicsHumansMutationOrgan SpecificityPolymerase Chain ReactionProtein Array AnalysisSensitivity and SpecificityThyroid NeoplasmsThyroid NoduleBiomarkers, Tumor

Identifiers

PMID30093451
PMCPMC6335179
OpenAlexW2885580027

What OpenQuestion holds

Textmetadata
LicenceTDM
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.