Diagnostic efficacy, performance and safety of side-cut core needle biopsy for thyroid nodules: comparison of automated and semi-automated biopsy needles

Park, Ji Yeon; Yi, Seong Yoon; Baek, Soo Heui; Lee, Yu Hyun; Kwon, Heon‐Ju; Park, Hee Jin

doi:10.1007/s12020-022-02980-6

Cited by 9 publications

(4 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The main arguments of specialists who are reluctant to implement CNB are the requirement of a radiologist and imaging infrastructure on site, local anesthesia, a higher cost, more discomfort, risk for tumor seeding and a higher bleeding risk ( 45 ). However, looking critically at the literature, only self-limiting hemorrhages were reported, the incidence of post-CNB hematomas ranging between 0.02% and 2,4% ( 58 , 60 ).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Effectiveness of core needle biopsy in the diagnosis of thyroid lymphoma and anaplastic thyroid carcinoma: A systematic review and meta-analysis

Poorten

Goedseels²,

Triantafyllou³

et al. 2022

Front. Endocrinol.

View full text Add to dashboard Cite

BackgroundBoth anaplastic thyroid carcinoma (ATC) and thyroid lymphoma (TL) clinically present as rapidly enlarging neck masses. Unfortunately, in this situation, like in any other thyroid swelling, a routine fine-needle aspiration (FNA) cytology is the first and only diagnostic test performed at the initial contact in the average thyroid practice. FNA, however, has a low sensitivity in diagnosing ATC and TL, and by the time the often “inconclusive” result is known, precious time has evolved, before going for core-needle biopsy (CNB) or incisional biopsy (IB) as the natural next diagnostic steps.ObjectivesTo determine the diagnostic value of CNB in the clinical setting of a rapidly enlarging thyroid mass, via a systematic review and meta-analysis of the available data on CNB reliability in the differential diagnosis of ATC and TL.MethodsA PubMed, Embase and Web of Science database search was performed on June 23th 2021. Population of interest comprised patients who underwent CNB for clinical or ultrasonographical suspicion of ATC or TL, patients with a final diagnosis of ATC or TL after CNB, or after IB following CNB.ResultsFrom a total of 17 studies, 166 patients were included. One hundred and thirty-six were diagnosed as TL and 14 as ATC following CNB. CNB, with a sensitivity and positive predictive value of 94,3% and 100% for TL and 80,1% and 100% for ATC respectively, proved to be superior to FNA (reported sensitivity for TL of 48% and for ATC of 61%). Furthermore, the need for additional diagnostic surgery after CNB was only 6.2% for TL and 17.6% for ATC.ConclusionsImmediately performing CNB for a suspected diagnosis of ATC and TL in a rapidly enlarging thyroid mass is more appropriate and straightforward than a stepped diagnostic pathway using FNA first and awaiting the result before doing CNB.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Nam et al reported some intraparenchymal hemorrhage that merely needed simple compression (47). Hematoma rate for CNB in thyroid pathology was recently reported to be 2.4% (58). Targeting lymphadenopathy, when present, can help reduce hematoma risk.…”

Section: Complications Of Cnbmentioning

confidence: 99%

Effectiveness of core needle biopsy in the diagnosis of thyroid lymphoma and anaplastic thyroid carcinoma: A systematic review and meta-analysis

Poorten

Goedseels²,

Triantafyllou³

et al. 2022

Front. Endocrinol.

View full text Add to dashboard Cite

show abstract

“…To the best of our knowledge, only one other study has compared automatic and semi-automatic needles for CT-guided lung biopsy in the diagnostic accuracy and overall complications [ 6 ], reporting better results in favor of automatic guns. Outcomes that were also reflected in biopsies performed on other organs [ 16 , 17 ]. We hereby confirm that these techniques are efficacious and highly accurate, with relatively low complications associated.…”

Section: Discussionmentioning

confidence: 99%

Histology profiling of lung tumors: tru-cut versus full-core system for CT-guided biopsies

Tipaldi,

Ronconi,

Ubaldi

et al. 2024

Radiol med

View full text Add to dashboard Cite

Purpose We aimed to compare the diagnostic yield and procedure-related complications of two different types of systems for percutaneous CT-guided lung biopsy. Material and methods All patients with a lung lesion who underwent a CT-guided lung biopsy at our institution, between January 2019 and 2021, were retrospectively analyzed. The inclusion criteria were: (a) Procedures performed using either a fully automated tru-cut or a semi-automated full-core biopsy needle, (b) CT images demonstrating the position of the needles within the lesion, (c) histopathological result of the biopsy and (d) clinical follow-up for at least 12 months and\or surgical histopathological results. A total of 400 biopsy fulfilling the inclusion criteria were selected and enrolled in the study. Results Overall technical success was 100% and diagnostic accuracy was 84%. Tru-cut needles showed a significantly higher diagnostic accuracy when compared to full-core needles (91% vs. 77%, p = 0.0004) and a lower rate of pneumothorax (31% vs. 41%, p = 0.047). Due to the statistically significant different of nodules size between the two groups, we reiterated the statistical analysis splitting our population around the 20 mm cut-off for nodule size. We still observed a significant difference in diagnostic accuracy between tru-cut and full-core needles favoring the former for both smaller and larger lesions (81% vs. 71%, p = 0.025; and 92% vs. 81%; p = 0.01, respectively). Conclusion Our results demonstrated that the use of automated tru-cut needles is associated with higher histopathological diagnostic accuracy compared to semi-automated full-core needles for CTLB.

show abstract

“…Core needle biopsy requires imaging infrastructure on site, local anaesthesia, a higher cost, more discomfort, with risk for tumour seeding and a higher bleeding risk [25]. However, only self-limiting haemorrhages have been reported with an incidence of post core needle biopsy haematomas ranging between 0.02 and 2.4% [26]. Recently, in April 2022, an Italian prospective series compared FNA and core needle biopsy in a cohort of patients presenting with a rapidly growing thyroid mass including 13 PTL.…”

Section: Diagnosismentioning

confidence: 99%

Thyroid lymphoma

Rovira

Carroll

Simó

2023

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

View full text Add to dashboard Cite

Purpose of reviewTo highlight recent advances in our understanding of the epidemiology, incidence, evaluation, management and outcomes of primary thyroid lymphoma (PTL), and highlight the indications and limitations of surgery. Recent findingsThe differential diagnosis of a rapidly enlarging thyroid mass with or without obstructive symptoms should include PTL and anaplastic thyroid cancer. When PTL is suspected, initial investigations should include blood tests and ultrasound-guided biopsy preferably core need biopsy to allow tissue typing and immunohistochemistry analysis. Systemic imaging with FDG PET-CT is required for staging. Surgery is not recommended for treatment purposes and should be reserved for diagnosis and airway management. Treatment includes chemotherapy and radiotherapy and offer an excellent prognosis. SummaryPTL is a rare malignancy making diagnosis and management challenging. Initial investigations of suspected PTL should include blood tests and ultrasound-guided biopsy, preferably core needle biopsy and systemic imaging is required for staging. Surgery is reserved for diagnosis and airway management. Chemotherapy and radiotherapy are the treatment of choice.

show abstract

Diagnostic efficacy, performance and safety of side-cut core needle biopsy for thyroid nodules: comparison of automated and semi-automated biopsy needles

Cited by 9 publications

References 31 publications

Effectiveness of core needle biopsy in the diagnosis of thyroid lymphoma and anaplastic thyroid carcinoma: A systematic review and meta-analysis

Effectiveness of core needle biopsy in the diagnosis of thyroid lymphoma and anaplastic thyroid carcinoma: A systematic review and meta-analysis

Histology profiling of lung tumors: tru-cut versus full-core system for CT-guided biopsies

Thyroid lymphoma

Contact Info

Product

Resources

About