Comparison of the Diagnostic Efficacy of Ultrasound-Guided Core Needle Biopsy With 18-Versus 20-Gauge Needles for Thyroid Nodules
DC Field | Value | Language |
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dc.contributor.author | Ahn, Hye Shin | - |
dc.contributor.author | Seo, Mirinae | - |
dc.contributor.author | Ha, Su Min | - |
dc.contributor.author | Kim, Hee Sung | - |
dc.date.available | 2019-01-22T12:29:46Z | - |
dc.date.issued | 2018-11 | - |
dc.identifier.issn | 0278-4297 | - |
dc.identifier.issn | 1550-9613 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/595 | - |
dc.description.abstract | ObjectivesMethodsTo compare the diagnostic efficacy, complication rate, and core needle biopsy (CNB) specimen yield in 18- versus 20-gauge ultrasound (US)-guided CNB for diagnosis of thyroid nodules. We included 81 consecutive thyroid nodules with US-guided biopsy by a 20-gauge core needle and 86 consecutive thyroid nodules with US-guided biopsy by an 18-gauge core needle during 2 years. The rate of inconclusive results, including nondiagnostic or atypia/follicular lesion of undetermined significance, was compared. The diagnostic performance for malignancy was assessed in nodules with a final diagnosis. The complication rate and CNB specimen yield were also compared. ResultsConclusionsEighteen-gauge CNB showed a lower rate of nondiagnostic results (1.2% versus 8.6%; P=.024) than 20-gauge CNB; however, the rates of atypia/follicular lesion of undetermined significance and inconclusive results were not significantly different between the groups (P>.05). In addition, 18-gauge CNB showed higher sensitivity (75.0% versus 66.7%), a higher negative predictive value (83.9% versus 75.9%), and higher accuracy (78.3% versus 74.4%) for detecting malignancy than 20-gauge CNB, although the results did not achieve statistical significance. No major complications occurred in either of the CNB groups. The 18-gauge needle group had significantly fewer CNBs and larger specimen diameters (P<.001). Core needle biopsy with an 18-gauge needle could be more effective for the diagnosis of thyroid nodules than CNB with a 20-gauge needle. | - |
dc.format.extent | 10 | - |
dc.publisher | WILEY | - |
dc.title | Comparison of the Diagnostic Efficacy of Ultrasound-Guided Core Needle Biopsy With 18-Versus 20-Gauge Needles for Thyroid Nodules | - |
dc.type | Article | - |
dc.identifier.doi | 10.1002/jum.14614 | - |
dc.identifier.bibliographicCitation | JOURNAL OF ULTRASOUND IN MEDICINE, v.37, no.11, pp 2565 - 2574 | - |
dc.description.isOpenAccess | N | - |
dc.identifier.wosid | 000447864700013 | - |
dc.identifier.scopusid | 2-s2.0-85055151266 | - |
dc.citation.endPage | 2574 | - |
dc.citation.number | 11 | - |
dc.citation.startPage | 2565 | - |
dc.citation.title | JOURNAL OF ULTRASOUND IN MEDICINE | - |
dc.citation.volume | 37 | - |
dc.type.docType | Article | - |
dc.publisher.location | 미국 | - |
dc.subject.keywordAuthor | core needle biopsy | - |
dc.subject.keywordAuthor | diagnostic efficacy | - |
dc.subject.keywordAuthor | head and neck | - |
dc.subject.keywordAuthor | invasive techniques | - |
dc.subject.keywordAuthor | thyroid nodules | - |
dc.subject.keywordAuthor | thyroid | - |
dc.subject.keywordAuthor | parathyroid | - |
dc.subject.keywordAuthor | ultrasound | - |
dc.subject.keywordPlus | CONSENSUS STATEMENT | - |
dc.subject.keywordPlus | ASPIRATION-CYTOLOGY | - |
dc.subject.keywordPlus | KOREAN SOCIETY | - |
dc.subject.keywordPlus | MANAGEMENT | - |
dc.subject.keywordPlus | RECOMMENDATIONS | - |
dc.subject.keywordPlus | MALIGNANCY | - |
dc.subject.keywordPlus | US | - |
dc.subject.keywordPlus | ULTRASONOGRAPHY | - |
dc.subject.keywordPlus | METAANALYSIS | - |
dc.subject.keywordPlus | EXPERIENCE | - |
dc.relation.journalResearchArea | Acoustics | - |
dc.relation.journalResearchArea | Radiology, Nuclear Medicine & Medical Imaging | - |
dc.relation.journalWebOfScienceCategory | Acoustics | - |
dc.relation.journalWebOfScienceCategory | Radiology, Nuclear Medicine & Medical Imaging | - |
dc.description.journalRegisteredClass | sci | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
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