Thyroid nodules: evaluation with US-guided core biopsy with an automated biopsy gun.

Taki, Suzuka; Kakuda, Kiyoshi; Kakuma, Kazuto; Annen, Yusei; Katada, Shinichi; Yamashita, Riu; Kosugi, Michio; Michigishi, T; Tonami, Norihisa

doi:10.1148/radiology.202.3.9051050

Cited by 47 publications

(37 citation statements)

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“…Sonographically guided thyroid nodule CB has been shown to be accurate, safe, and well tolerated (15,17,19,(26)(27)(28). There are several theoretical reasons why sonographically guided CB might be useful when thyroid nodule FNA is nondiagnostic: CB can provide more tissue than a nondiagnostic FNA and cellular architecture is retained, facilitating accurate histologic diagnosis (26,29,30).…”

Section: Discussionmentioning

confidence: 99%

“…Although core needle biopsies are widely used in other anatomic regions, relatively few series of US-guided core needle biopsy (CB) of thyroid nodules have been reported (16)(17)(18)(19)(20)(21). Current American Thyroid Association (ATA) thyroid Departments of 1 Radiology, 3 Pathology, 4 Surgery, and 6 Medicine; nodule management guidelines and the Society of Radiologists in Ultrasound Consensus Statement do not discuss the role of thyroid nodule core biopsy (CB) in the evaluation of thyroid nodules (8,12).…”

Section: Introductionmentioning

confidence: 99%

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Ultrasound-Guided Percutaneous Thyroid Nodule Core Biopsy: Clinical Utility in Patients with Prior Nondiagnostic Fine-Needle Aspirate

Samir

Vij

Seale

et al. 2012

Thyroid

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Background: Five percent to 20% of thyroid nodule fine-needle aspiration (FNA) samples are nondiagnostic. The objective of this study was to determine whether a combination of FNA and core biopsy (CFNACB) would yield a higher proportion of diagnostic readings compared with FNA alone in patients with a history of one or more prior nondiagnostic FNA readings. Methods: We conducted a retrospective study of 90 core biopsies (CBs) performed in 82 subjects (55 women and 27 men) between 2006 and 2008 in an outpatient clinic. Results: CFNACB yielded a diagnostic reading in 87%. The diagnostic reading yield of the CB component of CFNACB was significantly superior to the concurrent FNA component, with CB yielding a diagnosis in 77% of cases and FNA yielding a diagnosis in 47% ( p < 0.0001). The combination of CB and FNA had a higher diagnostic reading yield than either alone. In 69 nodules that had only one prior nondiagnostic FNA, CB was diagnostic in 74%, FNA was diagnostic in 52%, CFNACB was diagnostic in 87%, and CB performed significantly better than FNA ( p = 0.0135). In 21 nodules with two or more prior nondiagnostic FNAs, CFNACB and CB were diagnostic in 86%, FNA was diagnostic in 29%, and CB was significantly better than FNA ( p = 0.0005). Clinical, ultrasound, or histopathologic follow-up was available for 81% (73/90) of the CFNACB procedures. No subject with a benign CFNACB reading was diagnosed with thyroid malignancy in the follow-up period (range 4-37 months, mean 18 months), although one subject had minimal increase in nodule size and was awaiting repeat sonography at study conclusion. Conclusion: Thyroid nodule CFNACB is safe and clinically useful in selected patients when a prior FNA reading is nondiagnostic. CFNACB is superior to either CB or FNA alone. CFNACB should be strongly considered as an alternative to surgery in individuals with two prior nondiagnostic FNAs.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Ultrasound-Guided Percutaneous Thyroid Nodule Core Biopsy: Clinical Utility in Patients with Prior Nondiagnostic Fine-Needle Aspirate

Samir

Vij

Seale

et al. 2012

Thyroid

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“…Although a few studies have compared thyroid FNA and CB, [9][10][11][12][13][14][15]28,29 to our knowledge, only 1 study 29 has described the practice of FNA followed by CB in nondiagnostic or suboptimal FNA cases during the same procedure. A few studies have reported higher accuracy with combined FNA/CB than with either procedure alone.…”

Section: Discussionmentioning

confidence: 99%

“…[9][10][11][12][13][14] To our knowledge, there are not enough studies to demonstrate the benefits of concurrent CB in improving the adequacy or accuracy of thyroid biopsy. Nearly all studies agree that the advantage of CB is providing adequate material for evaluation when such material is not readily available by FNA.…”

mentioning

confidence: 99%

Thin core needle biopsy crush preparations in conjunction with fine-needle aspiration for the evaluation of thyroid nodules

Zhang

Ivanovic

Nemcek

et al. 2008

Cancer

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N‐vinylcarbazole (NVC) was polymerized by 13X zeolite alone in melt (65°C) or in toluene (110°C) and a poly(N‐vinylcarbazole) (PNVC)‐13X composite was isolated. Composites of polypyrrole (PPY) and polyaniline(PANI) with 13X zeolite were prepared via polymerization of the respective monomers in the presence of dispersion of 13X zeolite in water (CuCl2 oxidant) and in CHCl3 (FeCl3 oxidant) at an ambient temperature. The composites were characterized by Fourier transform infrared analyses. Scanning electron microscopic analyses of various composites indicated the formation of lumpy aggregates of irregular sizes distinct from the morphology of unmodified 13X zeolite. X‐ray diffraction analysis revealed some typical differences between the various composites, depending upon the nature of the polymer incorporated. Thermogravimetric analyses revealed the stability order as: 13X‐zeolite > polymer‐13X‐zeolite > polymer. PNVC‐13X composite was essentially a nonconductor, while PPY‐13X and PANI‐13X composites showed direct current conductivity in the order of 10−4 S/cm in either system. However, the conductivity of PNVC‐ 13X composite could be improved to 10−5 and 10−6 S/cm by loading PPY and PANI, respectively. © 2006 Wiley Periodicals, Inc. J Appl Polym Sci 101: 913–921, 2006

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“…10,21,22 In the modified capsular biopsy technique group, 1 patient had subsequent perinodular hemorrhage, which was resolved by manual compression. Perinodular hemorrhages infrequently occur even in FNA by using 23-to 25-gauge needles.…”

Section: Figmentioning

confidence: 99%

Modified Core Biopsy Technique to Increase Diagnostic Yields for Well-Circumscribed Indeterminate Thyroid Nodules: A Retrospective Analysis

Han¹,

Shin²,

Hahn³

et al. 2016

AJNR Am J Neuroradiol

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BACKGROUND AND PURPOSE:The results of conventional core biopsy for some thyroid nodules with indeterminate cytology have still remained indeterminate. The aim of this study was to evaluate whether the ultrasonography-guided core needle biopsy technique containing the nodule, capsular portion, and surrounding parenchyma was more effective than a conventional method in enhancing diagnostic yield for circumscribed solid thyroid nodules without malignant sonographic features.

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Thyroid nodules: evaluation with US-guided core biopsy with an automated biopsy gun.

Cited by 47 publications

References 0 publications

Ultrasound-Guided Percutaneous Thyroid Nodule Core Biopsy: Clinical Utility in Patients with Prior Nondiagnostic Fine-Needle Aspirate

Ultrasound-Guided Percutaneous Thyroid Nodule Core Biopsy: Clinical Utility in Patients with Prior Nondiagnostic Fine-Needle Aspirate

Thin core needle biopsy crush preparations in conjunction with fine-needle aspiration for the evaluation of thyroid nodules

Modified Core Biopsy Technique to Increase Diagnostic Yields for Well-Circumscribed Indeterminate Thyroid Nodules: A Retrospective Analysis

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