Evidence map›Paper›PMID 42803938›Full record

ArticleEuropean radiology2026

CT-guided core needle biopsy in ultrasound-inaccessible suprahyoid deep neck spaces.

Junsung Kim, Jeong Hyun Lee, Ji Su Ko, Dongjun Lee, Sae Rom Chung, Young Jun Choi, Minsu Kwon, Yoon Se Lee, Seung-Ho Choi, Jung Hwan Baek

Abstract read
PubMed Publisher
In one paragraph

Article in European radiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Junsung KimDepartment of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.
Jeong Hyun LeeDepartment of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea. jeonghlee@amc.seoul.kr.ORCID http://orcid.org/0000-0002-0021-4477
Ji Su KoDepartment of Radiology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.
Dongjun LeeDepartment of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.
Sae Rom ChungDepartment of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.
Young Jun ChoiDepartment of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.
Minsu KwonDepartment of Otolaryngology-Head and Neck Surgery, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.
Yoon Se LeeDepartment of Otolaryngology-Head and Neck Surgery, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.
Seung-Ho ChoiDepartment of Otolaryngology-Head and Neck Surgery, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.
Jung Hwan BaekDepartment of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo assess the diagnostic yield, procedural safety, and concordance with reference standards of CT-guided core needle biopsy (CNB) for ultrasound-inaccessible lesions in the suprahyoid deep neck spaces. MATERIALS AND

methodsIn this retrospective single-center cohort study, 122 CT-guided core needle biopsies in 118 patients between January 2005 and August 2024 were evaluated. Patients lost to follow-up were excluded (n = 9). Procedural characteristics, diagnostic performance, procedural safety, and concordance with surgical pathology were analyzed.

resultsOf the 118 included patients, the median age was 59 years, and 70 patients (59.3%) were female. Among 122 CT-guided CNBs, 115 (94.3%) were performed in the suprahyoid deep neck spaces. The diagnostic yield was 93.4% (114/122; 95% CI: 87.6%-96.6%). The histopathologic concordance between CT-guided CNB and surgery was 89.5% (34/38). Minor procedure-related complications occurred in 4.1% (5/122) of all cases.

conclusionsCT-guided CNB is a reliable diagnostic tool for ultrasound-inaccessible lesions in the suprahyoid deep neck spaces, where complex anatomy may limit needle visualization with ultrasound guidance. These findings support the selective use of CT guidance for tissue diagnosis in anatomically challenging head and neck lesions. KEY POINTS: Question What are the diagnostic yield, procedural safety, and concordance of CT-guided CNB for ultrasound-inaccessible lesions in the suprahyoid head and neck? Findings CT-guided CNB demonstrated a diagnostic yield of 93.4%, surgical concordance of 89.5%, and a minor complication rate of 4.1% in a cohort of suprahyoid lesions. Clinical relevance CT-guided CNB can provide reliable tissue diagnosis for ultrasound-inaccessible lesions in the suprahyoid head and neck. It may serve as a complementary diagnostic tool for anatomically challenging cases in which ultrasound-guided biopsy is not feasible.

Indexed as

Biopsy (large-core needle)Head and neck neoplasmsRadiation dosageTomography (X-ray computed)

Identifiers

PMID42803938

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.