Evidence map›Paper›PMID 32099374›Full record

ArticleTherapeutics and clinical risk management2020

Advanced Ultrasound Application - Impact on Presurgical Risk Stratification of the Thyroid Nodules.

Dana Stoian, Viviana Ivan, Ioan Sporea, Varcus Florian, Ioana Mozos, Dan Navolan, Dragos Nemescu

Open access · goldAbstract read
In one paragraph

Article in Therapeutics and clinical risk management, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.1field-weighted citation impact, top 21% 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

7 citing papers in PubMed, 11 citations in OpenAlex.

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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

7 authors at 2 institutions in 1 country.

Dana Stoian2nd Department of Internal Medicine, "Victor Babes" University of Medicine, Timisoara, Romania.ORCID 0000-0002-0926-9511
Viviana Ivan2nd Department of Internal Medicine, "Victor Babes" University of Medicine, Timisoara, Romania.
Ioan Sporea2nd Department of Internal Medicine, "Victor Babes" University of Medicine, Timisoara, Romania.
Varcus Florian2nd Department of Surgery, "Victor Babes" University of Medicine, Timisoara, Romania.
Ioana MozosDepartment of Physiopathology, "Victor Babes" University of Medicine, Timisoara, Romania.ORCID 0000-0001-6353-7698
Dan NavolanDepartment of Obstetrics Gynecology, "Victor Babes" University of Medicine, Timisoara, Romania.ORCID 0000-0002-3263-1769
Dragos NemescuDepartment of Obstetrics Gynecology, "Gr. T. Popa" University of Medicine, Iasi, Romania.ORCID 0000-0003-2345-1077
Victor Babeș University of Medicine and Pharmacy Timișoara · ROGrigore T. Popa University of Medicine and Pharmacy · RO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimCurrent major guidelines recommend risk stratification of the thyroid nodules, after each diagnostic evaluation, in order to focus attention on potentially risky nodules. The main aim of our study was to evaluate the performance of combined advanced ultrasound techniques in this process, compared with conventional stratification models, in order to reduce unnecessary fine-needle biopsies, respectively, surgery. MATERIAL AND

methodsWe evaluated 261 cases (261 nodules) using conventional ultrasound (2B), real-time Doppler evaluation (4D) respectively, real-time elastography, using a linear multifrequency probe and a linear volumetric probe (Hitachi Prerius Machine, Hitachi Inc, Japan). All the nodules were classified using a risk stratification model comprising seven conventional US characteristics, two 4 D characteristics and a color map RTE aspect. The results were compared with the pathology results, considered the golden standard diagnosis.

resultsThe prevalence of malignant nodules was 21.83% (57 cases). Conventional risk classification generated: 106 low-risk cases, 113 intermediate-risk and 42 high-risk cases. Our proposed risk classification changes the conventional risk classification with a risk upgrade in 27 cases and with a risk downgrade in 69 cases. The diagnostic quality of the combined risk stratification model was better, considering a low-risk category predictive for benignancy and a high category predictive for malignancy: Sensitivity: 80.88% versus 49.01%, respectively, Specificity: 91.22% versus 54.38. The diagnostic power differences were observed regardless of the nodule size.

conclusionAdvanced ultrasound techniques did add diagnostic value in the presurgical risk assessment of the thyroid nodules.

Indexed as

complex ultrasound thyroid evaluationrisk stratificationstrain elastographyvolumetric Doppler

Identifiers

PMID32099374
PMCPMC6996024
OpenAlexW3003010725

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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.