Open Access

Ultrasound‑guided core needle biopsy for differential diagnosis of thyroid nodules: A systematic review and meta‑analysis

  • Authors:
    • Na Liu
    • Zhaowei Meng
    • Qiang Jia
    • Xianghui He
    • Weijun Tian
    • Jian Tan
    • Yujie Zhang
    • Xue Li
    • Tianpeng Hu
    • Pingping Zhou
    • Sen Wang
    • Arun Upadhyaya
  • View Affiliations

  • Published online on: May 8, 2017     https://doi.org/10.3892/mco.2017.1246
  • Pages: 825-832
  • Copyright: © Liu et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

Ultrasound‑guided core needle biopsy (US‑CNB) of thyroid nodules is a relatively new technique used in surgical workup. However, no systematic review of this method has yet been performed. In the present meta‑analysis, literature databases consisting of Cochrane Library, Medline, Embase, Scopus and Google Scholar were searched. Following eligibility assessments of the studies, quality appraisals were performed on the included studies using the Quality Assessment Tool for Diagnostic Accuracy Studies‑2 method. The data were systematically analyzed by using Review Manager (version 5.3) and Meta‑Disc (version 1.4). Eight investigations were included, and the study qualities were good. There were 1,621 nodules included in the final meta‑analysis. The summary estimated that US‑CNB had a sensitivity of 0.96 [95% confidence interval (CI)=0.94‑0.97] and a specificity of 0.96 (95% CI=0.94‑0.97). Positive and negative likelihood ratios, and the diagnostic odds ratio of US‑CNB were 18.20 (95% CI=2.21‑156.41), 0.08 (95% CI=0.02‑0.27) and 250.60 (95% CI=19.11‑3286.76), respectively. The area under the summary receiver operating characteristic curve was 0.979. Therefore, US‑CNB may be considered as a reliable method in the assessment of thyroid nodules, and has an acceptable risk of complications.
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June-2017
Volume 6 Issue 6

Print ISSN: 2049-9450
Online ISSN:2049-9469

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Spandidos Publications style
Liu N, Meng Z, Jia Q, He X, Tian W, Tan J, Zhang Y, Li X, Hu T, Zhou P, Zhou P, et al: Ultrasound‑guided core needle biopsy for differential diagnosis of thyroid nodules: A systematic review and meta‑analysis. Mol Clin Oncol 6: 825-832, 2017.
APA
Liu, N., Meng, Z., Jia, Q., He, X., Tian, W., Tan, J. ... Upadhyaya, A. (2017). Ultrasound‑guided core needle biopsy for differential diagnosis of thyroid nodules: A systematic review and meta‑analysis. Molecular and Clinical Oncology, 6, 825-832. https://doi.org/10.3892/mco.2017.1246
MLA
Liu, N., Meng, Z., Jia, Q., He, X., Tian, W., Tan, J., Zhang, Y., Li, X., Hu, T., Zhou, P., Wang, S., Upadhyaya, A."Ultrasound‑guided core needle biopsy for differential diagnosis of thyroid nodules: A systematic review and meta‑analysis". Molecular and Clinical Oncology 6.6 (2017): 825-832.
Chicago
Liu, N., Meng, Z., Jia, Q., He, X., Tian, W., Tan, J., Zhang, Y., Li, X., Hu, T., Zhou, P., Wang, S., Upadhyaya, A."Ultrasound‑guided core needle biopsy for differential diagnosis of thyroid nodules: A systematic review and meta‑analysis". Molecular and Clinical Oncology 6, no. 6 (2017): 825-832. https://doi.org/10.3892/mco.2017.1246