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Research ArticleHEAD & NECK

The Role of Core Needle Biopsy for Thyroid Nodules with Initially Indeterminate Results on Previous Fine-Needle Aspiration: A Systematic Review and Meta-Analysis

C.H. Suh, J.H. Baek, C. Park, Y.J. Choi and J.H. Lee
American Journal of Neuroradiology July 2017, 38 (7) 1421-1426; DOI: https://doi.org/10.3174/ajnr.A5182
C.H. Suh
aFrom the Department of Radiology and Research Institute of Radiology (C.H.S., J.H.B.,Y.J.C., J.H.L.), University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea
bDepartment of Radiology (C.H.S., C.P.), Namwon Medical Center, Jeollabuk-Do, Republic of Korea
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J.H. Baek
aFrom the Department of Radiology and Research Institute of Radiology (C.H.S., J.H.B.,Y.J.C., J.H.L.), University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea
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C. Park
bDepartment of Radiology (C.H.S., C.P.), Namwon Medical Center, Jeollabuk-Do, Republic of Korea
cDepartment of Radiology (C.P.), Chonnam National University Hospital, Gwangju, Republic of Korea.
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Y.J. Choi
aFrom the Department of Radiology and Research Institute of Radiology (C.H.S., J.H.B.,Y.J.C., J.H.L.), University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea
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J.H. Lee
aFrom the Department of Radiology and Research Institute of Radiology (C.H.S., J.H.B.,Y.J.C., J.H.L.), University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea
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    Fig 1.

    Flow diagram of the study selection process.

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    Fig 2.

    Forest plots for nondiagnostic results, inconclusive results, and malignancy of the CNB. Numbers are pooled estimates with 95% confidence intervals in parentheses. Horizontal lines indicate 95% CIs, and the black box on each line indicates the standardized mean difference for each study. The black diamond at the bottom of the plot shows the average effect size of the included studies.

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  • Summary of the meta-analytic pooled proportions for nondiagnostic results, inconclusive results, and malignancy on CNB

    No. of StudiesTotal No. of CasesSummary EstimateTrim-and-Fill Estimate
    Pooled Proportion (95% CI)P Value for HeterogeneityaI2bNo. of Missing StudiesAdjusted Pooled Proportion (95% CI)
    Nondiagnostic results618361.8% (0.4%–3.2%)<.0194.6%20.8% (−0.8%–2.5%)
    Inconclusive results6183625.1% (15.4%–34.9%)<.0195.8%0
    Malignancy6183618.9% (8.4%–29.5%)<.0198.3%115.6% (4.4%–26.8%)
    • ↵a P value by the Cochran Q method to test the heterogeneity of the pooled data, with P < .05 indicating substantial heterogeneity.

    • b Higgins index for heterogeneity (0%–40%, might not be important; 30%–60%, may represent moderate heterogeneity; 50%–90%, may represent substantial heterogeneity; 75%–100%, may represent considerable heterogeneity).

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American Journal of Neuroradiology: 38 (7)
American Journal of Neuroradiology
Vol. 38, Issue 7
1 Jul 2017
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Cite this article
C.H. Suh, J.H. Baek, C. Park, Y.J. Choi, J.H. Lee
The Role of Core Needle Biopsy for Thyroid Nodules with Initially Indeterminate Results on Previous Fine-Needle Aspiration: A Systematic Review and Meta-Analysis
American Journal of Neuroradiology Jul 2017, 38 (7) 1421-1426; DOI: 10.3174/ajnr.A5182

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The Role of Core Needle Biopsy for Thyroid Nodules with Initially Indeterminate Results on Previous Fine-Needle Aspiration: A Systematic Review and Meta-Analysis
C.H. Suh, J.H. Baek, C. Park, Y.J. Choi, J.H. Lee
American Journal of Neuroradiology Jul 2017, 38 (7) 1421-1426; DOI: 10.3174/ajnr.A5182
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