The role of core needle biopsy in the diagnosis of initially detected thyroid nodules: a systematic review and meta-analysis

被引:24
|
作者
Chung, Sae Rom [1 ,2 ]
Suh, Chong Hyun [3 ]
Baek, Jung Hwan [1 ,2 ]
Choi, Young Jun [1 ,2 ]
Lee, Jeong Hyun [1 ,2 ]
机构
[1] Univ Ulsan, Coll Med, Asan Med Ctr, Dept Radiol, 88 Olymp Ro 43 Gil, Seoul 05505, South Korea
[2] Univ Ulsan, Coll Med, Asan Med Ctr, Res Inst Radiol, 88 Olymp Ro 43 Gil, Seoul 05505, South Korea
[3] Namwon Med Ctr, Dept Radiol, Namwon Si, Jeollabuk Do, South Korea
关键词
Thyroid neoplasms; Biopsy; large-core needle; fine-needle; Ultrasonography; FINE-NEEDLE; UNDETERMINED SIGNIFICANCE; TEST ACCURACY; CONSENSUS STATEMENT; PUBLICATION BIAS; BETHESDA SYSTEM; KOREAN SOCIETY; ASPIRATION; MANAGEMENT; MALIGNANCY;
D O I
10.1007/s00330-018-5494-z
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Objectives To systematically review the published literature and evaluate the efficacy and safety of core needle biopsy (CNB) for initially detected thyroid nodules. Methods The Ovid-MEDLINE and Embase databases were searched for studies evaluating CNB for the diagnosis of initially detected thyroid nodules. A meta-analysis was performed to evaluate non-diagnostic results, inconclusive results and diagnostic accuracy for a diagnosis of malignancy with CNB. To overcome heterogeneity, multiple subgroup analyses were performed. The complication rate was also evaluated. Results Thirteen eligible studies, which included a total sample size of 9,166 patients with 13,585 nodules, were included. The pooled proportions were 3.5% (95% CI 2.4-5.1) for non-diagnostic results and 13.8% (95% CI 9.1-20.3) for inconclusive results. Considerable heterogeneity was observed among the studies in terms of the pooled proportions for CNB (I-2=92.9%, 97%). With regard to the diagnostic performance for malignancy, the sensitivity was 80% (95% CI 75-85) and the specificity was 100% (95% CI 93-100). Only two major complications of CNB were observed. Conclusions CNB demonstrates a low non-diagnostic result rate and high diagnostic accuracy for initially detected thyroid nodules and a low major complication rate. These findings indicate that CNB may be a feasible diagnostic tool for patients with initially detected thyroid nodules.
引用
收藏
页码:4909 / 4918
页数:10
相关论文
共 50 条
  • [1] The role of core needle biopsy in the diagnosis of initially detected thyroid nodules: a systematic review and meta-analysis
    Sae Rom Chung
    Chong Hyun Suh
    Jung Hwan Baek
    Young Jun Choi
    Jeong Hyun Lee
    European Radiology, 2018, 28 : 4909 - 4918
  • [2] THE ROLE OF CORE-NEEDLE BIOPSY FOR THYROID NODULES WITH INITIALLY NONDIAGNOSTIC FINE-NEEDLE ASPIRATION RESULTS: A SYSTEMATIC REVIEW AND META-ANALYSIS
    Suh, Chong Hyun
    Baek, Jung Hwan
    Kim, Kyung Won
    Sung, Tae Yon
    Kim, Tae Yong
    Song, Dong Eun
    Choi, Young Jun
    Lee, Jeong Hyun
    ENDOCRINE PRACTICE, 2016, 22 (06) : 679 - 688
  • [3] The Role of Core Needle Biopsy for Thyroid Nodules with Initially Indeterminate Results on Previous Fine-Needle Aspiration: A Systematic Review and Meta-Analysis
    Suh, C. H.
    Baek, J. H.
    Park, C.
    Choi, Y. J.
    Lee, J. H.
    AMERICAN JOURNAL OF NEURORADIOLOGY, 2017, 38 (07) : 1421 - 1426
  • [4] The role of core-needle biopsy in the diagnosis of thyroid malignancy in 4580 patients with 4746 thyroid nodules: a systematic review and meta-analysis
    Chong Hyun Suh
    Jung Hwan Baek
    Jeong Hyun Lee
    Young Jun Choi
    Kyung Won Kim
    Jayoun Lee
    Ki-Wook Chung
    Young Kee Shong
    Endocrine, 2016, 54 : 315 - 328
  • [5] The role of core-needle biopsy in the diagnosis of thyroid malignancy in 4580 patients with 4746 thyroid nodules: a systematic review and meta-analysis
    Suh, Chong Hyun
    Baek, Jung Hwan
    Lee, Jeong Hyun
    Choi, Young Jun
    Kim, Kyung Won
    Lee, Jayoun
    Chung, Ki-Wook
    Shong, Young Kee
    ENDOCRINE, 2016, 54 (02) : 315 - 328
  • [6] Effectiveness of core needle biopsy in the diagnosis of thyroid lymphoma and anaplastic thyroid carcinoma: A systematic review and meta-analysis
    Vander Poorten, Vincent
    Goedseels, Nathan
    Triantafyllou, Asterios
    Sanabria, Alvaro
    Clement, Paul M.
    Cohen, Oded
    Golusinski, Pawel
    Guntinas-Lichius, Orlando
    Piazza, Cesare
    Randolph, Gregory W.
    Rinaldo, Alessandra
    Ronen, Ohad
    Cabanillas, Maria E.
    Shaha, Ashok R.
    Teng, Yong
    Tufano, Ralph P.
    Williams, Michelle D.
    Zafereo, Mark
    Ferlito, Alfio
    FRONTIERS IN ENDOCRINOLOGY, 2022, 13
  • [7] Complications following ultrasound-guided core needle biopsy of thyroid nodules: a systematic review and meta-analysis
    Eun Ju Ha
    Chong Hyun Suh
    Jung Hwan Baek
    European Radiology, 2018, 28 : 3848 - 3860
  • [8] Complications following ultrasound-guided core needle biopsy of thyroid nodules: a systematic review and meta-analysis
    Ha, Eun Ju
    Suh, Chong Hyun
    Baek, Jung Hwan
    EUROPEAN RADIOLOGY, 2018, 28 (09) : 3848 - 3860
  • [9] The Role of Core-Needle Biopsy as a First-Line Diagnostic Tool for Initially Detected Thyroid Nodules
    Suh, Chong Hyun
    Baek, Jung Hwan
    Lee, Jeong Hyun
    Choi, Young Jun
    Kim, Jae Kyun
    Sung, Tae-Yon
    Yoon, Jong Ho
    Shong, Young Kee
    THYROID, 2016, 26 (03) : 395 - 403
  • [10] Efficacy and safety of core-needle biopsy in initially detected thyroid nodules via propensity score analysis
    Chong Hyun Suh
    Jung Hwan Baek
    Young Jun Choi
    Tae Yong Kim
    Tae Yon Sung
    Dong Eun Song
    Jeong Hyun Lee
    Scientific Reports, 7