Evidence map›Paper›PMID 31970579›Full record

SynthesisLa Radiologia medica2020

Performance of contrast-enhanced ultrasound (CEUS) in assessing thyroid nodules: a systematic review and meta-analysis using histological standard of reference.

Pierpaolo Trimboli, Marco Castellana, Camilla Virili, Roald Flesland Havre, Fabiano Bini, Franco Marinozzi, Ferdinando D'Ambrosio, Francesco Giorgino, Luca Giovanella, Helmut Prosch and 3 more

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in La Radiologia medica, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 3 pooled it
6.8field-weighted citation impact, top 2% 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

51 citing papers in PubMed, 3 syntheses or guidelines pooled it, 81 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Arrival-Time Parametric Imaging in Contrast-Enhanced Ultrasound for Thyroid Nodule Differentiation.Medical science monitor : international medical journal of experimental and clinical research · 2024
    Article
  15. Thyroid nodules: diagnosis and management.Nature reviews. Endocrinology · 2024
    Review
  16. Review
  17. Article
  18. Article
  19. Article
  20. Review
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 at 7 institutions in 5 countries.

Pierpaolo TrimboliClinic for Nuclear Medicine and Competence Center for Thyroid Diseases, Imaging Institute of Southern Switzerland, Ente Ospedaliero Cantonale, Bellinzona, Switzerland.
Marco CastellanaDepartment of Emergency and Organ Transplantation, Section of Internal Medicine, Endocrinology, Andrology and Metabolic Diseases, University of Bari Aldo Moro, Bari, Italy.
Camilla ViriliDepartment of Medico-Surgical Sciences and Biotechnologies, Sapienza University of Rome, Latina, Italy.
Roald Flesland HavreNorwegian PSC Research Center, Department of Transplantation Medicine, Division of Cancer Medicine, Surgery, Inflammatory Diseases and Transplantation, Oslo University Hospital, Oslo, Norway.
Fabiano BiniDepartment of Mechanical and Aerospace Engineering, Sapienza University of Rome, Rome, Italy.
Franco MarinozziDepartment of Mechanical and Aerospace Engineering, Sapienza University of Rome, Rome, Italy.
Ferdinando D'AmbrosioDepartment of Radiological Sciences, Policlinico Umberto I, Sapienza University, Rome, Italy.
Francesco GiorginoDepartment of Emergency and Organ Transplantation, Section of Internal Medicine, Endocrinology, Andrology and Metabolic Diseases, University of Bari Aldo Moro, Bari, Italy.
Luca GiovanellaClinic for Nuclear Medicine and Competence Center for Thyroid Diseases, Imaging Institute of Southern Switzerland, Ente Ospedaliero Cantonale, Bellinzona, Switzerland.
Helmut ProschDepartment of Biomedical Imaging and Image-Guided Therapy, Medical University of Vienna, Vienna General Hospital, Währingergürtel, Vienna, Austria.
Giorgio GraniDepartment of Translational and Precision Medicine, Sapienza University, Rome, Italy.
Maija RadzinaDiagnostic Radiology Institute Paula Stradina Clinical University Hospital, Radiology Research Laboratory, University of Latvia, Riga Stradins University, Riga, Latvia.
Vito CantisaniDepartment of Imaging Diagnostics, Policlinico Umberto I, University Sapienza, Rome, Italy. vito.cantisani@uniroma1.it.
Sapienza University of Rome · ITEnte Ospedaliero Cantonale · CHPoliclinico Umberto I · ITUniversity of Bari Aldo Moro · ITMedical University of Vienna · ATOslo University Hospital · NORiga Stradiņš University · LV

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe present study was undertaken to systematically review the literature on the reliability of using contrast-enhanced ultrasound (CEUS) to assess thyroid nodules. To avoid the potential bias in studies using a cytological standard of reference, here we aimed to meta-analyze data from studies adopting histological diagnosis as the gold standard.

methodsA comprehensive literature exploration of PubMed and Scopus was conducted. The search was updated until June 2018 and references of the retrieved articles screened. Only original articles reporting the histological follow-up of nodules previously undergone CEUS evaluation were eligible for inclusion. Pooled sensitivity, specificity, PPV, and NPV of CEUS were calculated by DerSimonian and Laird method (random-effects model).

resultsThe literature search retrieved 1885 articles, and 14 were included for the study. There were Chinese, Italian, German, and Austrian authors. All studies used SonoVue. The overall number of reported nodules was 1515, of which 775 were classified as positive at CEUS and 740 as negative. Pooled sensitivity, specificity, PPV, and NPV of CEUS were 85% (95% CI 83-88), 82% (95% CI 77-87), 83% (95% CI 77-88), and 85% (95% CI 81-88), respectively. Moderate inconsistency was present for specificity and PPV. There was publication bias for sensitivity and NPV.

conclusionsCEUS reaches good performance in discriminating between malignant and benign thyroid lesions.

Indexed as

Contrast MediaHumansThyroid NoduleUltrasonographyContrast MediaCarcinomaContrast-enhanced ultrasound (CEUS)Meta-analysisNoduleThyroid

Identifiers

PMID31970579
OpenAlexW3003057747

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.