Ultrasonographic guideline for thyroid nodules cytology

Single institute experience

Kwang Min Kim, Joon Beom Park, Seong Joon Kang, Keumseok Bae

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Purpose: The main issue with the current ultrasonography (US) guidelines is the overestimation of malignant and indeterminate nodules as they do not aid in making decisions to treat patients. To overcome this, new US guidelines for thyroid nodules that have been shown to be better correlated with cytologic results have been proposed. We also suggested specific indications for US-guided fine needle aspiration (FNA) using the new US guidelines. Methods: Clinical and pathologic data from 925 patients and 1,419 thyroid nodules were retrospectively collected. All subjects underwent US- and US-guided FNA at Department of Surgery, Wonju Christian Hospital, between March 2010 and July 2011. Sensitivity, specificity, accuracy, positive predictive value (PPV), and negative predictive value (NPV) were calculated for both the current guidelines and the new guidelines. Results: The accuracy, sensitivity, specificity, PPV, and NPV for the current guidelines in predicting malignancy were 24.1%, 99.3%, 62.2%, 25.0%, and 99.8%, respectively. The accuracy, sensitivity, specificity, PPV, and NPV for the new guidelines in predicting malignancy were 66.0%, 96.0%, 86.7%, 47.7%, and 99.4%, respectively. Conclusion: The use of the new US guidelines allow for a more accurate and specific diagnosis and a better treatment plan than the current guidelines. Additionally, the use of the new FNA guidelines may help prevent unnecessary FNAs and promote cost-effective follow-up for patients.

Original languageEnglish
Pages (from-to)73-79
Number of pages7
JournalJournal of the Korean Surgical Society
Volume84
Issue number2
DOIs
Publication statusPublished - 2013 Feb 1

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Thyroid Nodule
Cell Biology
Guidelines
Ultrasonography
Fine Needle Biopsy
Sensitivity and Specificity
Neoplasms
Decision Making
Costs and Cost Analysis

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Kim, Kwang Min ; Park, Joon Beom ; Kang, Seong Joon ; Bae, Keumseok. / Ultrasonographic guideline for thyroid nodules cytology : Single institute experience. In: Journal of the Korean Surgical Society. 2013 ; Vol. 84, No. 2. pp. 73-79.
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Ultrasonographic guideline for thyroid nodules cytology : Single institute experience. / Kim, Kwang Min; Park, Joon Beom; Kang, Seong Joon; Bae, Keumseok.

In: Journal of the Korean Surgical Society, Vol. 84, No. 2, 01.02.2013, p. 73-79.

Research output: Contribution to journalArticle

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