Diagnostic efficacy, performance and safety of side-cut core needle biopsy for thyroid nodules: comparison of automated and semi-automated biopsy needles
Purpose This study was performed to compare the utility of the semi-automated and automated side-cut core biopsy needles for thyroid nodules. Methods Between January 2014 and March 2020, biopsy was performed for 278 thyroid nodules using the semi-automated core needle and for 225 nodules using the a...
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| Veröffentlicht in: | Endocrine 2022-05, Vol.76 (2), p.341-348 |
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| creator | Park, Ji Yeon Yi, Seong Yoon Baek, Soo Heui Lee, Yu Hyun Kwon, Heon-Ju Park, Hee Jin |
| description | Purpose
This study was performed to compare the utility of the semi-automated and automated side-cut core biopsy needles for thyroid nodules.
Methods
Between January 2014 and March 2020, biopsy was performed for 278 thyroid nodules using the semi-automated core needle and for 225 nodules using the automated core needle. Nondiagnostic rate, inconclusive rate, diagnostic performance and complication rates were evaluated and compared between two core needle types.
Results
There were 1.2% (6/503) nondiagnostic results and 15.9% (80/503) inconclusive results. Nondiagnostic rate between two needle types was not significantly different. The semi-automated type (33/278, 11.9%) showed lower inconclusive rate than the automated type (47/225, 20.9%) (
p
= 0.006). The sensitivity, specificity, PPV, NPV and diagnostic accuracy for diagnosis of malignancy of the semi-automated type were 70.18, 100, 100, 84.96 and 88.89%, respectively; the corresponding rates of automated type were 70.45, 100, 100, 86.6, and 89.84%. There were 12 minor complications: four hematomas (4/278, 1.4%) for the semi-automated type and eight hematomas (8/225, 3.6%) for the automated type, which difference was not statistically significant.
Conclusion
Core needle biopsy for thyroid nodules using either the semi-automated or automated needle is a safe diagnostic tool. Semi-automated needle has lower inconclusive rate than automated needle. |
| doi_str_mv | 10.1007/s12020-022-02980-6 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2620076714</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2620076714</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-d3b94d3934a94502fe6d6d181557bf365c3e29d3d00d17bc1add3a7ef3f7a7113</originalsourceid><addsrcrecordid>eNp9kctu1jAQRq2KqvcX6AJZYsOiAV-SuGFXlatUqRtYW449Lq4SO3iSRR6Ft8U_-UsRCxaWLc-Z48tHyCVnbzhj6i1ywQSrmBBldNesag_ICW-armKl_uKv9TE5RXxkhRStOiLHsmFSSF6fkJ_vg3mICedgKXgfrLHrFZ0g-5RHEy1QEx1F42FeafIUg4PKLjO1KQONAG4A2oc04UpLC52_rzkFR2NyywD4rnDjZHLAFHftZpnTaGZwmxbGUD1v7TWbFM_JoTcDwsV-PiPfPn74evu5urv_9OX25q6yUjVz5WTf1U52sjZd3TDhoXWt49fl7ar3sm2sBNE56RhzXPWWG-ekUeClV0ZxLs_I68075fRjAZz1GNDCMJgIaUEtWlE-u1W8Luirf9DHtORYbleopiuMVDuh2CibE2IGr6ccRpNXzZneBae34HSJQ_8OTrel6eVevfQjuD8tT0kVQG4AllJ8gPx89n-0vwBdKqWn</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2659671371</pqid></control><display><type>article</type><title>Diagnostic efficacy, performance and safety of side-cut core needle biopsy for thyroid nodules: comparison of automated and semi-automated biopsy needles</title><source>MEDLINE</source><source>SpringerLink Journals</source><creator>Park, Ji Yeon ; Yi, Seong Yoon ; Baek, Soo Heui ; Lee, Yu Hyun ; Kwon, Heon-Ju ; Park, Hee Jin</creator><creatorcontrib>Park, Ji Yeon ; Yi, Seong Yoon ; Baek, Soo Heui ; Lee, Yu Hyun ; Kwon, Heon-Ju ; Park, Hee Jin</creatorcontrib><description>Purpose
This study was performed to compare the utility of the semi-automated and automated side-cut core biopsy needles for thyroid nodules.
Methods
Between January 2014 and March 2020, biopsy was performed for 278 thyroid nodules using the semi-automated core needle and for 225 nodules using the automated core needle. Nondiagnostic rate, inconclusive rate, diagnostic performance and complication rates were evaluated and compared between two core needle types.
Results
There were 1.2% (6/503) nondiagnostic results and 15.9% (80/503) inconclusive results. Nondiagnostic rate between two needle types was not significantly different. The semi-automated type (33/278, 11.9%) showed lower inconclusive rate than the automated type (47/225, 20.9%) (
p
= 0.006). The sensitivity, specificity, PPV, NPV and diagnostic accuracy for diagnosis of malignancy of the semi-automated type were 70.18, 100, 100, 84.96 and 88.89%, respectively; the corresponding rates of automated type were 70.45, 100, 100, 86.6, and 89.84%. There were 12 minor complications: four hematomas (4/278, 1.4%) for the semi-automated type and eight hematomas (8/225, 3.6%) for the automated type, which difference was not statistically significant.
Conclusion
Core needle biopsy for thyroid nodules using either the semi-automated or automated needle is a safe diagnostic tool. Semi-automated needle has lower inconclusive rate than automated needle.</description><identifier>ISSN: 1559-0100</identifier><identifier>ISSN: 1355-008X</identifier><identifier>EISSN: 1559-0100</identifier><identifier>DOI: 10.1007/s12020-022-02980-6</identifier><identifier>PMID: 35032314</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Automation ; Biopsy ; Biopsy, Fine-Needle - methods ; Biopsy, Large-Core Needle - adverse effects ; Diabetes ; Endocrinology ; Hematoma ; Hematoma - etiology ; Humanities and Social Sciences ; Humans ; Internal Medicine ; Malignancy ; Medicine ; Medicine & Public Health ; multidisciplinary ; Needles ; Nodules ; Original Article ; Retrospective Studies ; Science ; Statistical analysis ; Thyroid ; Thyroid gland ; Thyroid Neoplasms - pathology ; Thyroid Nodule - diagnosis ; Thyroid Nodule - pathology</subject><ispartof>Endocrine, 2022-05, Vol.76 (2), p.341-348</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2022</rights><rights>2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.</rights><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2022.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-d3b94d3934a94502fe6d6d181557bf365c3e29d3d00d17bc1add3a7ef3f7a7113</citedby><cites>FETCH-LOGICAL-c375t-d3b94d3934a94502fe6d6d181557bf365c3e29d3d00d17bc1add3a7ef3f7a7113</cites><orcidid>0000-0002-8157-6575 ; 0000-0001-7030-8156 ; 0000-0002-5468-3674 ; 0000-0002-7635-6762 ; 0000-0002-3135-0586 ; 0000-0002-4933-0292</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s12020-022-02980-6$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s12020-022-02980-6$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35032314$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Park, Ji Yeon</creatorcontrib><creatorcontrib>Yi, Seong Yoon</creatorcontrib><creatorcontrib>Baek, Soo Heui</creatorcontrib><creatorcontrib>Lee, Yu Hyun</creatorcontrib><creatorcontrib>Kwon, Heon-Ju</creatorcontrib><creatorcontrib>Park, Hee Jin</creatorcontrib><title>Diagnostic efficacy, performance and safety of side-cut core needle biopsy for thyroid nodules: comparison of automated and semi-automated biopsy needles</title><title>Endocrine</title><addtitle>Endocrine</addtitle><addtitle>Endocrine</addtitle><description>Purpose
This study was performed to compare the utility of the semi-automated and automated side-cut core biopsy needles for thyroid nodules.
Methods
Between January 2014 and March 2020, biopsy was performed for 278 thyroid nodules using the semi-automated core needle and for 225 nodules using the automated core needle. Nondiagnostic rate, inconclusive rate, diagnostic performance and complication rates were evaluated and compared between two core needle types.
Results
There were 1.2% (6/503) nondiagnostic results and 15.9% (80/503) inconclusive results. Nondiagnostic rate between two needle types was not significantly different. The semi-automated type (33/278, 11.9%) showed lower inconclusive rate than the automated type (47/225, 20.9%) (
p
= 0.006). The sensitivity, specificity, PPV, NPV and diagnostic accuracy for diagnosis of malignancy of the semi-automated type were 70.18, 100, 100, 84.96 and 88.89%, respectively; the corresponding rates of automated type were 70.45, 100, 100, 86.6, and 89.84%. There were 12 minor complications: four hematomas (4/278, 1.4%) for the semi-automated type and eight hematomas (8/225, 3.6%) for the automated type, which difference was not statistically significant.
Conclusion
Core needle biopsy for thyroid nodules using either the semi-automated or automated needle is a safe diagnostic tool. Semi-automated needle has lower inconclusive rate than automated needle.</description><subject>Automation</subject><subject>Biopsy</subject><subject>Biopsy, Fine-Needle - methods</subject><subject>Biopsy, Large-Core Needle - adverse effects</subject><subject>Diabetes</subject><subject>Endocrinology</subject><subject>Hematoma</subject><subject>Hematoma - etiology</subject><subject>Humanities and Social Sciences</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Malignancy</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>multidisciplinary</subject><subject>Needles</subject><subject>Nodules</subject><subject>Original Article</subject><subject>Retrospective Studies</subject><subject>Science</subject><subject>Statistical analysis</subject><subject>Thyroid</subject><subject>Thyroid gland</subject><subject>Thyroid Neoplasms - pathology</subject><subject>Thyroid Nodule - diagnosis</subject><subject>Thyroid Nodule - pathology</subject><issn>1559-0100</issn><issn>1355-008X</issn><issn>1559-0100</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kctu1jAQRq2KqvcX6AJZYsOiAV-SuGFXlatUqRtYW449Lq4SO3iSRR6Ft8U_-UsRCxaWLc-Z48tHyCVnbzhj6i1ywQSrmBBldNesag_ICW-armKl_uKv9TE5RXxkhRStOiLHsmFSSF6fkJ_vg3mICedgKXgfrLHrFZ0g-5RHEy1QEx1F42FeafIUg4PKLjO1KQONAG4A2oc04UpLC52_rzkFR2NyywD4rnDjZHLAFHftZpnTaGZwmxbGUD1v7TWbFM_JoTcDwsV-PiPfPn74evu5urv_9OX25q6yUjVz5WTf1U52sjZd3TDhoXWt49fl7ar3sm2sBNE56RhzXPWWG-ekUeClV0ZxLs_I68075fRjAZz1GNDCMJgIaUEtWlE-u1W8Luirf9DHtORYbleopiuMVDuh2CibE2IGr6ccRpNXzZneBae34HSJQ_8OTrel6eVevfQjuD8tT0kVQG4AllJ8gPx89n-0vwBdKqWn</recordid><startdate>20220501</startdate><enddate>20220501</enddate><creator>Park, Ji Yeon</creator><creator>Yi, Seong Yoon</creator><creator>Baek, Soo Heui</creator><creator>Lee, Yu Hyun</creator><creator>Kwon, Heon-Ju</creator><creator>Park, Hee Jin</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-8157-6575</orcidid><orcidid>https://orcid.org/0000-0001-7030-8156</orcidid><orcidid>https://orcid.org/0000-0002-5468-3674</orcidid><orcidid>https://orcid.org/0000-0002-7635-6762</orcidid><orcidid>https://orcid.org/0000-0002-3135-0586</orcidid><orcidid>https://orcid.org/0000-0002-4933-0292</orcidid></search><sort><creationdate>20220501</creationdate><title>Diagnostic efficacy, performance and safety of side-cut core needle biopsy for thyroid nodules: comparison of automated and semi-automated biopsy needles</title><author>Park, Ji Yeon ; Yi, Seong Yoon ; Baek, Soo Heui ; Lee, Yu Hyun ; Kwon, Heon-Ju ; Park, Hee Jin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-d3b94d3934a94502fe6d6d181557bf365c3e29d3d00d17bc1add3a7ef3f7a7113</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Automation</topic><topic>Biopsy</topic><topic>Biopsy, Fine-Needle - methods</topic><topic>Biopsy, Large-Core Needle - adverse effects</topic><topic>Diabetes</topic><topic>Endocrinology</topic><topic>Hematoma</topic><topic>Hematoma - etiology</topic><topic>Humanities and Social Sciences</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Malignancy</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>multidisciplinary</topic><topic>Needles</topic><topic>Nodules</topic><topic>Original Article</topic><topic>Retrospective Studies</topic><topic>Science</topic><topic>Statistical analysis</topic><topic>Thyroid</topic><topic>Thyroid gland</topic><topic>Thyroid Neoplasms - pathology</topic><topic>Thyroid Nodule - diagnosis</topic><topic>Thyroid Nodule - pathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Park, Ji Yeon</creatorcontrib><creatorcontrib>Yi, Seong Yoon</creatorcontrib><creatorcontrib>Baek, Soo Heui</creatorcontrib><creatorcontrib>Lee, Yu Hyun</creatorcontrib><creatorcontrib>Kwon, Heon-Ju</creatorcontrib><creatorcontrib>Park, Hee Jin</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Endocrine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Park, Ji Yeon</au><au>Yi, Seong Yoon</au><au>Baek, Soo Heui</au><au>Lee, Yu Hyun</au><au>Kwon, Heon-Ju</au><au>Park, Hee Jin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Diagnostic efficacy, performance and safety of side-cut core needle biopsy for thyroid nodules: comparison of automated and semi-automated biopsy needles</atitle><jtitle>Endocrine</jtitle><stitle>Endocrine</stitle><addtitle>Endocrine</addtitle><date>2022-05-01</date><risdate>2022</risdate><volume>76</volume><issue>2</issue><spage>341</spage><epage>348</epage><pages>341-348</pages><issn>1559-0100</issn><issn>1355-008X</issn><eissn>1559-0100</eissn><abstract>Purpose
This study was performed to compare the utility of the semi-automated and automated side-cut core biopsy needles for thyroid nodules.
Methods
Between January 2014 and March 2020, biopsy was performed for 278 thyroid nodules using the semi-automated core needle and for 225 nodules using the automated core needle. Nondiagnostic rate, inconclusive rate, diagnostic performance and complication rates were evaluated and compared between two core needle types.
Results
There were 1.2% (6/503) nondiagnostic results and 15.9% (80/503) inconclusive results. Nondiagnostic rate between two needle types was not significantly different. The semi-automated type (33/278, 11.9%) showed lower inconclusive rate than the automated type (47/225, 20.9%) (
p
= 0.006). The sensitivity, specificity, PPV, NPV and diagnostic accuracy for diagnosis of malignancy of the semi-automated type were 70.18, 100, 100, 84.96 and 88.89%, respectively; the corresponding rates of automated type were 70.45, 100, 100, 86.6, and 89.84%. There were 12 minor complications: four hematomas (4/278, 1.4%) for the semi-automated type and eight hematomas (8/225, 3.6%) for the automated type, which difference was not statistically significant.
Conclusion
Core needle biopsy for thyroid nodules using either the semi-automated or automated needle is a safe diagnostic tool. Semi-automated needle has lower inconclusive rate than automated needle.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>35032314</pmid><doi>10.1007/s12020-022-02980-6</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-8157-6575</orcidid><orcidid>https://orcid.org/0000-0001-7030-8156</orcidid><orcidid>https://orcid.org/0000-0002-5468-3674</orcidid><orcidid>https://orcid.org/0000-0002-7635-6762</orcidid><orcidid>https://orcid.org/0000-0002-3135-0586</orcidid><orcidid>https://orcid.org/0000-0002-4933-0292</orcidid></addata></record> |
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| ispartof | Endocrine, 2022-05, Vol.76 (2), p.341-348 |
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| subjects | Automation Biopsy Biopsy, Fine-Needle - methods Biopsy, Large-Core Needle - adverse effects Diabetes Endocrinology Hematoma Hematoma - etiology Humanities and Social Sciences Humans Internal Medicine Malignancy Medicine Medicine & Public Health multidisciplinary Needles Nodules Original Article Retrospective Studies Science Statistical analysis Thyroid Thyroid gland Thyroid Neoplasms - pathology Thyroid Nodule - diagnosis Thyroid Nodule - pathology |
| title | Diagnostic efficacy, performance and safety of side-cut core needle biopsy for thyroid nodules: comparison of automated and semi-automated biopsy needles |
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