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
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