Predicting Malignancy in FDG-avid Thyroid Nodules based on Standardized Uptake Value in Oncology Patients Article Swipe
Anita Skandarajah
,
Michael Bozin
,
Jason Callahan
,
Elizabeth Drummond
,
Michael D. Henderson
·
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.5005/jp-journals-10002-1409
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.5005/jp-journals-10002-1409
Aim and objective: Concomitant thyroid nodules and cancer found incidentally on 18-fluorodeoxyglucose (FDG) positron-emission tomography (PET-CT) in patients imaged for investigation or staging of malignancy have been progressively encountered.Maximum SUV (SUV-max) may aid diagnosis of concomitant thyroid malignancy.Materials and methods: PET/CT scans were reviewed between 2009 and 2014 in which FDG-avid thyroid incidentalomas were included.Patients who were investigated with biopsy or surgery were further assessed to determine the utility of SUV-max, mean, and nodule size as a determinate of malignancy.Results: A total of 325 of 35,586 patients were identified with FDG-avid thyroid incidentalomas (TI)-99 were investigated.The incidence was 0.88%.Forty nine were malignant, with a median SUV-max of 14.5 (range 2.7-60.4).Malignant nodules had higher median SUV-max than benign nodules at a threshold of 5 (p < 0.0001).Receiver operator curve (ROC) analysis demonstrated an area under the curve of 0.66 (95%CI 0.55-0.77,p = 0.005).The sensitivity and specificity were 73.4 and 46.9, respectively.The positive and negative likelihood ratio was 3.12 (95%CI 1.80-5.50)and a negative likelihood ratio of 0.38. Conclusion:As FDG-avid TI can demonstrate variable uptake, SUV-max is not a useful tool to discriminate benign from malignant TI.SUV-max should remain a theoretical adjunctive tool for predicting thyroid cancer.Clinical significance: The threshold for investigating PET-avid thyroid nodules with ultrasound and FNAC (in the context of primary nonthyroidal malignancy) should be determined by the prognosis of the primary malignancy.
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- Type
- article
- Language
- en
- Landing Page
- http://doi.org/10.5005/jp-journals-10002-1409
- https://doi.org/10.5005/jp-journals-10002-1409
- OA Status
- diamond
- References
- 20
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4210650566
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4210650566Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.5005/jp-journals-10002-1409Digital Object Identifier
- Title
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Predicting Malignancy in FDG-avid Thyroid Nodules based on Standardized Uptake Value in Oncology PatientsWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2022Year of publication
- Publication date
-
2022-01-31Full publication date if available
- Authors
-
Anita Skandarajah, Michael Bozin, Jason Callahan, Elizabeth Drummond, Michael D. HendersonList of authors in order
- Landing page
-
https://doi.org/10.5005/jp-journals-10002-1409Publisher landing page
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https://doi.org/10.5005/jp-journals-10002-1409Direct link to full text PDF
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YesWhether a free full text is available
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diamondOpen access status per OpenAlex
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https://doi.org/10.5005/jp-journals-10002-1409Direct OA link when available
- Concepts
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Medicine, Thyroid nodules, Malignancy, Internal medicine, Value (mathematics), Oncology, Radiology, Thyroid cancer, Thyroid, Statistics, MathematicsTop concepts (fields/topics) attached by OpenAlex
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0Total citation count in OpenAlex
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20Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.nine | 99 |
| abstract_inverted_index.size | 74 |
| abstract_inverted_index.than | 115 |
| abstract_inverted_index.tool | 177, 189 |
| abstract_inverted_index.were | 42, 53, 56, 62, 87, 94, 100, 145 |
| abstract_inverted_index.with | 58, 89, 102, 202 |
| abstract_inverted_index.(FDG) | 12 |
| abstract_inverted_index.(ROC) | 128 |
| abstract_inverted_index.0.38. | 164 |
| abstract_inverted_index.46.9, | 148 |
| abstract_inverted_index.curve | 127, 135 |
| abstract_inverted_index.found | 8 |
| abstract_inverted_index.mean, | 71 |
| abstract_inverted_index.ratio | 154, 162 |
| abstract_inverted_index.scans | 41 |
| abstract_inverted_index.total | 81 |
| abstract_inverted_index.under | 133 |
| abstract_inverted_index.which | 49 |
| abstract_inverted_index.(95%CI | 138, 157 |
| abstract_inverted_index.(range | 108 |
| abstract_inverted_index.35,586 | 85 |
| abstract_inverted_index.PET/CT | 40 |
| abstract_inverted_index.benign | 116, 180 |
| abstract_inverted_index.biopsy | 59 |
| abstract_inverted_index.cancer | 7 |
| abstract_inverted_index.higher | 112 |
| abstract_inverted_index.imaged | 18 |
| abstract_inverted_index.median | 104, 113 |
| abstract_inverted_index.nodule | 73 |
| abstract_inverted_index.remain | 185 |
| abstract_inverted_index.should | 184, 213 |
| abstract_inverted_index.useful | 176 |
| abstract_inverted_index.(TI)-99 | 93 |
| abstract_inverted_index.SUV-max | 105, 114, 172 |
| abstract_inverted_index.between | 44 |
| abstract_inverted_index.context | 208 |
| abstract_inverted_index.further | 63 |
| abstract_inverted_index.nodules | 5, 110, 117, 201 |
| abstract_inverted_index.primary | 210, 221 |
| abstract_inverted_index.staging | 22 |
| abstract_inverted_index.surgery | 61 |
| abstract_inverted_index.thyroid | 4, 36, 51, 91, 192, 200 |
| abstract_inverted_index.uptake, | 171 |
| abstract_inverted_index.utility | 68 |
| abstract_inverted_index.(PET-CT) | 15 |
| abstract_inverted_index.FDG-avid | 50, 90, 166 |
| abstract_inverted_index.PET-avid | 199 |
| abstract_inverted_index.SUV-max, | 70 |
| abstract_inverted_index.analysis | 129 |
| abstract_inverted_index.assessed | 64 |
| abstract_inverted_index.methods: | 39 |
| abstract_inverted_index.negative | 152, 160 |
| abstract_inverted_index.operator | 126 |
| abstract_inverted_index.patients | 17, 86 |
| abstract_inverted_index.positive | 150 |
| abstract_inverted_index.reviewed | 43 |
| abstract_inverted_index.variable | 170 |
| abstract_inverted_index.(SUV-max) | 30 |
| abstract_inverted_index.determine | 66 |
| abstract_inverted_index.diagnosis | 33 |
| abstract_inverted_index.incidence | 96 |
| abstract_inverted_index.malignant | 182 |
| abstract_inverted_index.prognosis | 218 |
| abstract_inverted_index.threshold | 120, 196 |
| abstract_inverted_index.0.005).The | 141 |
| abstract_inverted_index.TI.SUV-max | 183 |
| abstract_inverted_index.adjunctive | 188 |
| abstract_inverted_index.determined | 215 |
| abstract_inverted_index.identified | 88 |
| abstract_inverted_index.likelihood | 153, 161 |
| abstract_inverted_index.malignancy | 24 |
| abstract_inverted_index.malignant, | 101 |
| abstract_inverted_index.objective: | 2 |
| abstract_inverted_index.predicting | 191 |
| abstract_inverted_index.tomography | 14 |
| abstract_inverted_index.ultrasound | 203 |
| abstract_inverted_index.0.55-0.77,p | 139 |
| abstract_inverted_index.0.88%.Forty | 98 |
| abstract_inverted_index.Concomitant | 3 |
| abstract_inverted_index.concomitant | 35 |
| abstract_inverted_index.demonstrate | 169 |
| abstract_inverted_index.determinate | 77 |
| abstract_inverted_index.malignancy) | 212 |
| abstract_inverted_index.malignancy. | 222 |
| abstract_inverted_index.sensitivity | 142 |
| abstract_inverted_index.specificity | 144 |
| abstract_inverted_index.theoretical | 187 |
| abstract_inverted_index.demonstrated | 130 |
| abstract_inverted_index.discriminate | 179 |
| abstract_inverted_index.incidentally | 9 |
| abstract_inverted_index.investigated | 57 |
| abstract_inverted_index.nonthyroidal | 211 |
| abstract_inverted_index.1.80-5.50)and | 158 |
| abstract_inverted_index.Conclusion:As | 165 |
| abstract_inverted_index.investigating | 198 |
| abstract_inverted_index.investigation | 20 |
| abstract_inverted_index.progressively | 27 |
| abstract_inverted_index.significance: | 194 |
| abstract_inverted_index.incidentalomas | 52, 92 |
| abstract_inverted_index.cancer.Clinical | 193 |
| abstract_inverted_index.0.0001).Receiver | 125 |
| abstract_inverted_index.investigated.The | 95 |
| abstract_inverted_index.respectively.The | 149 |
| abstract_inverted_index.included.Patients | 54 |
| abstract_inverted_index.positron-emission | 13 |
| abstract_inverted_index.2.7-60.4).Malignant | 109 |
| abstract_inverted_index.encountered.Maximum | 28 |
| abstract_inverted_index.malignancy.Results: | 79 |
| abstract_inverted_index.malignancy.Materials | 37 |
| abstract_inverted_index.18-fluorodeoxyglucose | 11 |
| cited_by_percentile_year | |
| corresponding_author_ids | https://openalex.org/A5025399548 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 5 |
| corresponding_institution_ids | https://openalex.org/I1320473756 |
| citation_normalized_percentile.value | 0.01322519 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |