Evidence map›Paper›PMID 35157251›Full record

ArticleJournal of endocrinological investigation2022

Ultrasound for the detection of the pyramidal lobe of the thyroid gland.

A Freilinger, K Kaserer, G Zettinig, P Pruidze, L F Reissig, T Rossmann, W J Weninger, S Meng

Open access · hybridAbstract read
In one paragraph

Article in Journal of endocrinological investigation, 2022. 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
1.4field-weighted citation impact, top 18% 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, 10 citations in OpenAlex.

  1. Article
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  4. 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

8 authors at 4 institutions in 1 country.

A FreilingerDivision of Anatomy, Center for Anatomy and Cell Biology, Medical University Vienna, Waehringer Str. 13, 1090, Vienna, Austria.
K KasererLaboratory Kaserer, Koperek und Beer OG, Reisnerstraße 5, 1030, Vienna, Austria.
G ZettinigThyroid Center "Schilddrüsenpraxis Josefstadt", Laudongasse 12, 1080, Vienna, Austria.
P PruidzeDivision of Anatomy, Center for Anatomy and Cell Biology, Medical University Vienna, Waehringer Str. 13, 1090, Vienna, Austria.
L F ReissigDivision of Anatomy, Center for Anatomy and Cell Biology, Medical University Vienna, Waehringer Str. 13, 1090, Vienna, Austria.
T RossmannDivision of Anatomy, Center for Anatomy and Cell Biology, Medical University Vienna, Waehringer Str. 13, 1090, Vienna, Austria.
W J WeningerDivision of Anatomy, Center for Anatomy and Cell Biology, Medical University Vienna, Waehringer Str. 13, 1090, Vienna, Austria.
S MengDivision of Anatomy, Center for Anatomy and Cell Biology, Medical University Vienna, Waehringer Str. 13, 1090, Vienna, Austria. stefan.meng@meduniwien.ac.at.ORCID http://orcid.org/0000-0002-1606-9817
Medical University of Vienna · ATHanusch Hospital · ATKepler Universitätsklinikum · ATSchilddrüsenpraxis Josefstadt

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe pyramidal lobe (PL) is an ancillary lobe of the thyroid gland that can be affected by the same pathologies as the rest of the gland. We aimed to assess the diagnostic performance of high-resolution sonography in the detection of the PL with verification by dissection and histological examination.

methodsIn a prospective, cross-sectional mono-center study, 50 fresh, non-embalmed cadavers were included. Blinded ultrasound examination was performed to detect the PL by two investigators of different experience levels. If the PL was detected with ultrasound, dissection was performed to expose the PL and obtain a tissue sample. When no PL was detected with ultrasound, a tissue block of the anterior cervical region was excised. An endocrine pathologist microscopically examined all tissue samples and tissue blocks for the presence of thyroid parenchyma.

resultsThe prevalence of the PL was 80% [40/50; 95% CI (68.9%; 91.1%)]. Diagnostic performance for both examiners was: sensitivity (85.0%; 42.5%), specificity (50.0%; 60.0%), positive predictive value (87.2%; 81.0%), negative predictive value (45.5%; 21.0%) and accuracy (78.0%; 46.0%). Regression analysis demonstrated that neither thyroid parenchyma echogenicity, thyroid gland volume, age nor body size proved to be covariates in the accurate detection of a PL (p > .05).

conclusionWe report that high-resolution ultrasound is an adequate examination modality to detect the PL. Our findings indicate a higher prevalence than previously reported. Therefore, the PL may be regarded as a regular part of the thyroid gland. We also advocate a dedicated assessment of the PL in routine thyroid ultrasound.

Indexed as

NeckThyroid GlandCross-Sectional StudiesHumansProspective StudiesUltrasonographyPyramidal lobeThyroid imagingThyroid surgeryUltrasound

Identifiers

PMID35157251
PMCPMC9098552
OpenAlexW4213364500

What OpenQuestion holds

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LicenceCC BY
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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.