Evidence map›Paper›PMID 41685242›Full record

ArticleFrontiers in endocrinology2026

Standardizing cervical lymph node evaluation in papillary thyroid carcinoma: diagnostic accuracy of Node-RADS on ultrasound.

Hongjun Zhang, Danni He, Muyi Mao, Renjie Li, Tinghui Yin, Bo-Wen Zheng, Jiayi Zheng, Tao Wu, Jie Ren, Zuofeng Xu

Abstract read
In one paragraph

Article in Frontiers in endocrinology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Prognostic significance of the extent of extranodal extension in patients with pN1b papillary thyroid carcinoma: a retrospective cohort study.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Article
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

10 authors.

Hongjun ZhangSeventh Affiliated Hospital, Sun Yat-sen University, Shenzhen, China.
Danni HeSeventh Affiliated Hospital, Sun Yat-sen University, Shenzhen, China.
Muyi MaoSeventh Affiliated Hospital, Sun Yat-sen University, Shenzhen, China.
Renjie LiSeventh Affiliated Hospital, Sun Yat-sen University, Shenzhen, China.
Tinghui YinThird Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
Bo-Wen ZhengThird Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
Jiayi ZhengGuangdong Women and Children Hospital, Guangzhou, China.
Tao WuThird Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
Jie RenThird Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
Zuofeng XuSeventh Affiliated Hospital, Sun Yat-sen University, Shenzhen, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: To assess the diagnostic performance of the Node Reporting and Data System (Node-RADS) in ultrasonographic evaluation of cervical lymph node (LN) metastasis in papillary thyroid carcinoma (PTC) and compare it with conventional suspicious sonographic features. Materials and methods: This retrospective study included 227 PTC patients (269 LNs) who underwent preoperative cervical LN ultrasound and biopsy (September 2022-December 2023). Two radiologists independently assigned Node-RADS scores (1-5) based on LN size and morphologic features (shape, border, echogenicity). Diagnostic performance was evaluated using ROC analysis, with histopathology as the reference standard. Node-RADS was compared to five American Thyroid Association (ATA)-defined suspicious features (microcalcifications, cystic changes, etc.). Multivariable analysis assessed an integrated model combining Node-RADS with peripheral vascularity. Results: Metastatic LNs (63.9%, 172/269) exhibited higher Node-RADS scores (malignancy rates: 35.7% for score 1 vs. 88.2% for score 5). Node-RADS achieved an AUC of 0.720 (95% CI: 0.662-0.773), surpassing individual features (best AUC: 0.703 for peripheral vascularity). Inter-reader agreement was good ( Conclusions: Node-RADS offers standardized, reproducible risk stratification for cervical LN metastasis in PTC, with moderate diagnostic accuracy. Integration with peripheral vascularity enhances performance, supporting its potential clinical utility in preoperative assessment.

Indexed as

Lymphatic MetastasisLymph NodesThyroid Cancer, PapillaryThyroid NeoplasmsAdultAgedFemaleHumansMaleMiddle AgedNeckRetrospective StudiesUltrasonographycervical lymph nodeNode reporting and data systempapillary thyroid carcinomarisk stratificationultrasonography

Identifiers

PMID41685242
PMCPMC12890614

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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.