Evidence map›Paper›PMID 34638380›Full record

ArticleCancers2021

Validation of Four Thyroid Ultrasound Risk Stratification Systems in Patients with Hashimoto's Thyroiditis; Impact of Changes in the Threshold for Nodule's Shape Criterion.

Dorota Słowińska-Klencka, Mariusz Klencki, Martyna Wojtaszek-Nowicka, Kamila Wysocka-Konieczna, Ewa Woźniak-Oseła, Bożena Popowicz

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.7field-weighted citation impact, top 27% 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

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
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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

6 authors at 1 institution in 1 country.

Dorota Słowińska-KlenckaDepartment of Morphometry of Endocrine Glands, Medical University of Lodz, Pomorska Street 251, 92-213 Łódź, Poland.ORCID 0000-0002-5617-0418
Mariusz KlenckiDepartment of Morphometry of Endocrine Glands, Medical University of Lodz, Pomorska Street 251, 92-213 Łódź, Poland.ORCID 0000-0002-4581-0897
Martyna Wojtaszek-NowickaDepartment of Clinical Endocrinology, Medical University of Lodz, Pomorska Street 251, 92-213 Łódź, Poland.ORCID 0000-0002-6339-1323
Kamila Wysocka-KoniecznaDepartment of Morphometry of Endocrine Glands, Medical University of Lodz, Pomorska Street 251, 92-213 Łódź, Poland.
Ewa Woźniak-OsełaDepartment of Morphometry of Endocrine Glands, Medical University of Lodz, Pomorska Street 251, 92-213 Łódź, Poland.
Bożena PopowiczDepartment of Morphometry of Endocrine Glands, Medical University of Lodz, Pomorska Street 251, 92-213 Łódź, Poland.
Medical University of Lodz · PL

Funding

Uniwersytet Medyczny w Lodzi 503/1-153-05/503-11-001
6 · The paper itself

Abstract

The aim of the study was to validate thyroid US malignancy features, especially the nodule's shape, and selected Thyroid Imaging Reporting and Data Systems (EU-TIRADS; K-TIRADS; ACR-TIRADS, ATA guidelines) in patients with or without Hashimoto's thyroiditis (HT and non-HT groups). The study included 1188 nodules (HT: 358, non-HT: 830) with known final diagnoses. We found that the strongest indications of nodule's malignancy were microcalcifications (OR: 22.7) in HT group and irregular margins (OR:13.8) in non-HT group. Solid echostructure and macrocalcifications were ineffective in patients with HT. The highest accuracy of nodule's shape criterion was noted on transverse section, with the cut-off value of anteroposterior to transverse dimension ratio (AP/T) close to 1.15 in both groups. When round nodules were regarded as suspicious in patients with HT (the cut-off value of AP/T set to ≥1), it led to a three-fold increase in sensitivity of this feature, with a disproportionally lower decrease in specificity and similar accuracy. Such a modification was effective also for cancers other than PTC. The diagnostic effectiveness of analyzed TIRADS in patients with HT and without HT was similar. Changes in the threshold for AP/T ratio influenced the number of nodules classified into the category of the highest risk, especially in the case of EU-TIRADS.

Indexed as

cancernodulethyroidThyroid Imaging Reporting and Data Systems (TIRADS)ultrasound

Identifiers

PMID34638380
PMCPMC8507673
OpenAlexW3204756758

What OpenQuestion holds

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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.