Korean Journal of Radiology

The Korean Society of Radiology (대한영상의학회)
권호 표지
DOI QR코드

DOI QR Code

Core Needle Biopsy of the Thyroid: 2016 Consensus Statement and Recommendations from Korean Society of Thyroid Radiology

  • Na, Dong Gyu (Department of Radiology, Human Medical Imaging and Intervention Center) ;
  • Baek, Jung Hwan (Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center) ;
  • Jung, So Lyung (Department of Radiology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Kim, Ji-hoon (Department of Radiology, Seoul National University College of Medicine) ;
  • Sung, Jin Yong (Department of Radiology and Thyroid Center, Daerim St. Mary's Hospital) ;
  • Kim, Kyu Sun (Department of Radiology and Thyroid Center, Daerim St. Mary's Hospital) ;
  • Lee, Jeong Hyun (Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center) ;
  • Shin, Jung Hee (Department of Radiology and Center for Imaging Science, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Choi, Yoon Jung (Department of Radiology, Kangbuk Samsung Hospital, Sungkyunkwan University) ;
  • Ha, Eun Ju (Department of Radiology, Ajou University School of Medicine) ;
  • Lim, Hyun Kyung (Department of Radiology, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine) ;
  • Kim, Soo Jin (Department of Radiology, Human Medical Imaging and Intervention Center) ;
  • Hahn, Soo Yeon (Department of Radiology and Center for Imaging Science, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Lee, Kwang Hwi (Department of Radiology, Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Choi, Young Jun (Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center) ;
  • Youn, Inyoung (Department of Radiology, Kangbuk Samsung Hospital, Sungkyunkwan University) ;
  • Kim, Young Joong (Department of Radiology, Konyang University Hospital, Konyang University College of Medicine) ;
  • Ahn, Hye Shin (Department of Radiology and Thyroid Center, ChungAng University Hospital, Chung-Ang University College of Medicine) ;
  • Ryu, Ji Hwa (Department of Radiology, Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Baek, Seon Mi (Department of Radiology, Sharing and Happiness Hospital) ;
  • Sim, Jung Suk (Department of Radiology, Withsim Clinic) ;
  • Jung, Chan Kwon (Department of Hospital Pathology, College of Medicine, The Catholic University of Korea) ;
  • Lee, Joon Hyung (Department of Radiology, Dong-A University Medical Center) ;
  • Korean Society of Thyroid Radiology (KSThR) (Korean Society of Thyroid Radiology (KSThR)) ;
  • Korean Society of Radiology (Korean Society of Radiology)
  • Received : 2016.08.25
  • Accepted : 2016.09.12
  • Published : 2017.01.01
⟨ Previous Next ⟩

Abstract

Core needle biopsy (CNB) has been suggested as a complementary diagnostic method to fine-needle aspiration in patients with thyroid nodules. Many recent CNB studies have suggested a more advanced role for CNB, but there are still no guidelines on its use. Therefore, the Task Force Committee of the Korean Society of Thyroid Radiology has developed the present consensus statement and recommendations for the role of CNB in the diagnosis of thyroid nodules. These recommendations are based on evidence from the current literature and expert consensus.

Keywords

References

  1. Pitman MB, Abele J, Ali SZ, Duick D, Elsheikh TM, Jeffrey RB, et al. Techniques for thyroid FNA: a synopsis of the National Cancer Institute Thyroid Fine-Needle Aspiration State of the Science Conference. Diagn Cytopathol 2008;36:407-424 https://doi.org/10.1002/dc.20829
  2. Silverman JF, West RL, Finley JL, Larkin EW, Park HK, Swanson MS, et al. Fine-needle aspiration versus largeneedle biopsy or cutting biopsy in evaluation of thyroid nodules. Diagn Cytopathol 1986;2:25-30 https://doi.org/10.1002/dc.2840020107
  3. Wang C, Vickery AL Jr, Maloof F. Needle biopsy of the thyroid. Surg Gynecol Obstet 1976;143:365-368
  4. Pisani T, Bononi M, Nagar C, Angelini M, Bezzi M, Vecchione A. Fine needle aspiration and core needle biopsy techniques in the diagnosis of nodular thyroid pathologies. Anticancer Res 2000;20:3843-3847
  5. Gharib H, Papini E, Garber JR, Duick DS, Harrell RM, Hegedus L, et al. American Association of Clinical Endocrinologists, American College of Endocrinology, and Associazione Medici Endocrinologi Medical Guidelines for Clinical Practice for the Diagnosis and Management of Thyroid Nodules--2016 Update. Endocr Pract 2016;22:622-639
  6. Tee YY, Lowe AJ, Brand CA, Judson RT. Fine-needle aspiration may miss a third of all malignancy in palpable thyroid nodules: a comprehensive literature review. Ann Surg 2007;246:714-720 https://doi.org/10.1097/SLA.0b013e3180f61adc
  7. Wang CC, Friedman L, Kennedy GC, Wang H, Kebebew E, Steward DL, et al. A large multicenter correlation study of thyroid nodule cytopathology and histopathology. Thyroid 2011;21:243-251 https://doi.org/10.1089/thy.2010.0243
  8. Alexander EK, Heering JP, Benson CB, Frates MC, Doubilet PM, Cibas ES, et al. Assessment of nondiagnostic ultrasoundguided fine needle aspirations of thyroid nodules. J Clin Endocrinol Metab 2002;87:4924-4927 https://doi.org/10.1210/jc.2002-020865
  9. Orija IB, Pineyro M, Biscotti C, Reddy SS, Hamrahian AH. Value of repeating a nondiagnostic thyroid fine-needle aspiration biopsy. Endocr Pract 2007;13:735-742 https://doi.org/10.4158/EP.13.7.735
  10. Nayar R, Ivanovic M. The indeterminate thyroid fine-needle aspiration: experience from an academic center using terminology similar to that proposed in the 2007 National Cancer Institute Thyroid Fine Needle Aspiration State of the Science Conference. Cancer 2009;117:195-202
  11. Yang J, Schnadig V, Logrono R, Wasserman PG. Fine-needle aspiration of thyroid nodules: a study of 4703 patients with histologic and clinical correlations. Cancer 2007;111:306-315 https://doi.org/10.1002/cncr.22955
  12. Yassa L, Cibas ES, Benson CB, Frates MC, Doubilet PM, Gawande AA, et al. Long-term assessment of a multidisciplinary approach to thyroid nodule diagnostic evaluation. Cancer 2007;111:508-516 https://doi.org/10.1002/cncr.23116
  13. Deveci MS, Deveci G, LiVolsi VA, Baloch ZW. Fine-needle aspiration of follicular lesions of the thyroid. Diagnosis and follow-Up. Cytojournal 2006;3:9 https://doi.org/10.1186/1742-6413-3-9
  14. Yoo C, Choi HJ, Im S, Jung JH, Min K, Kang CS, et al. Fine needle aspiration cytology of thyroid follicular neoplasm: cytohistologic correlation and accuracy. Korean J Pathol 2013;47:61-66 https://doi.org/10.4132/KoreanJPathol.2013.47.1.61
  15. Yeon JS, Baek JH, Lim HK, Ha EJ, Kim JK, Song DE, et al. Thyroid nodules with initially nondiagnostic cytologic results: the role of core-needle biopsy. Radiology 2013;268:274-280 https://doi.org/10.1148/radiol.13122247
  16. Novoa E, Gurtler N, Arnoux A, Kraft M. Role of ultrasoundguided core-needle biopsy in the assessment of head and neck lesions: a meta-analysis and systematic review of the literature. Head Neck 2012;34:1497-1503 https://doi.org/10.1002/hed.21821
  17. Liu Q, Castelli M, Gattuso P, Prinz RA. Simultaneous fineneedle aspiration and core-needle biopsy of thyroid nodules. Am Surg 1995;61:628-632; discussion 632-633
  18. Na DG, Kim JH, Sung JY, Baek JH, Jung KC, Lee H, et al. Core-needle biopsy is more useful than repeat fine-needle aspiration in thyroid nodules read as nondiagnostic or atypia of undetermined significance by the Bethesda system for reporting thyroid cytopathology. Thyroid 2012;22:468-475 https://doi.org/10.1089/thy.2011.0185
  19. Park KT, Ahn SH, Mo JH, Park YJ, Park DJ, Choi SI, et al. Role of core needle biopsy and ultrasonographic finding in management of indeterminate thyroid nodules. Head Neck 2011;33:160-165 https://doi.org/10.1002/hed.21414
  20. Renshaw AA, Pinnar N. Comparison of thyroid fineneedle aspiration and core needle biopsy. Am J Clin Pathol 2007;128:370-374 https://doi.org/10.1309/07TL3V58337TXHMC
  21. Screaton NJ, Berman LH, Grant JW. US-guided core-needle biopsy of the thyroid gland. Radiology 2003;226:827-832 https://doi.org/10.1148/radiol.2263012073
  22. Sung JY, Na DG, Kim KS, Yoo H, Lee H, Kim JH, et al. Diagnostic accuracy of fine-needle aspiration versus coreneedle biopsy for the diagnosis of thyroid malignancy in a clinical cohort. Eur Radiol 2012;22:1564-1572 https://doi.org/10.1007/s00330-012-2405-6
  23. Crescenzi A, Guidobaldi L, Nasrollah N, Taccogna S, Cicciarella Modica DD, Turrini L, et al. Immunohistochemistry for BRAF(V600E) antibody VE1 performed in core needle biopsy samples identifies mutated papillary thyroid cancers. Horm Metab Res 2014;46:370-374 https://doi.org/10.1055/s-0034-1368700
  24. Crescenzi A, Trimboli P, Modica DC, Taffon C, Guidobaldi L, Taccogna S, et al. Preoperative assessment of TERT promoter mutation on thyroid core needle biopsies supports diagnosis of malignancy and addresses surgical strategy. Horm Metab Res 2016;48:157-162
  25. Trimboli P, Guidobaldi L, Amendola S, Nasrollah N, Romanelli F, Attanasio D, et al. Galectin-3 and HBME-1 improve the accuracy of core biopsy in indeterminate thyroid nodules. Endocrine 2016;52:39-45 https://doi.org/10.1007/s12020-015-0678-7
  26. Moon WJ, Jung SL, Lee JH, Na DG, Baek JH, Lee YH, et al. Benign and malignant thyroid nodules: US differentiation--multicenter retrospective study. Radiology 2008;247:762-770 https://doi.org/10.1148/radiol.2473070944
  27. Lee YH, Baek JH, Jung SL, Kwak JY, Kim JH, Shin JH, et al. Ultrasound-guided fine needle aspiration of thyroid nodules: a consensus statement by the Korean Society of Thyroid Radiology. Korean J Radiol 2015;16:391-401 https://doi.org/10.3348/kjr.2015.16.2.391
  28. Baek JH, Lee JH, Sung JY, Bae JI, Kim KT, Sim J, et al. Complications encountered in the treatment of benign thyroid nodules with US-guided radiofrequency ablation: a multicenter study. Radiology 2012;262:335-342 https://doi.org/10.1148/radiol.11110416
  29. Sung JY, Baek JH, Jung SL, Kim JH, Kim KS, Lee D, et al. Radiofrequency ablation for autonomously functioning thyroid nodules: a multicenter study. Thyroid 2015;25:112-117 https://doi.org/10.1089/thy.2014.0100
  30. Shin JH, Baek JH, Chung J, Ha EJ, Kim JH, Lee YH, et al. Ultrasonography diagnosis and imaging-based management of thyroid nodules: revised Korean Society of Thyroid Radiology consensus statement and recommendations. Korean J Radiol 2016;17:370-395 https://doi.org/10.3348/kjr.2016.17.3.370
  31. Baek JH, Na DG, Lee JH, Jung SL, Kim JH, Sung JY, et al. Core needle biopsy of thyroid nodules: consensus statement and recommendations. J Korean Soc Ultrasound Med 2013;32:95-102
  32. Baloch ZW, Cibas ES, Clark DP, Layfield LJ, Ljung BM, Pitman MB, et al. The National Cancer Institute Thyroid fine needle aspiration state of the science conference: a summation. Cytojournal 2008;5:6 https://doi.org/10.1186/1742-6413-5-6
  33. Perros P, Boelaert K, Colley S, Evans C, Evans RM, Gerrard Ba G, et al. Guidelines for the management of thyroid cancer. Clin Endocrinol (Oxf) 2014;81 Suppl 1:1-122
  34. Haugen BR, Alexander EK, Bible KC, Doherty GM, Mandel SJ, Nikiforov YE, et al. 2015 American Thyroid Association management guidelines for adult patients with thyroid nodules and differentiated thyroid cancer: the American Thyroid Association Guidelines Task Force on thyroid nodules and differentiated thyroid cancer. Thyroid 2016;26:1-133 https://doi.org/10.1089/thy.2015.0020
  35. Samir AE, Vij A, Seale MK, Desai G, Halpern E, Faquin WC, et al. Ultrasound-guided percutaneous thyroid nodule core biopsy: clinical utility in patients with prior nondiagnostic fine-needle aspirate. Thyroid 2012;22:461-467 https://doi.org/10.1089/thy.2011.0061
  36. Yi KS, Kim JH, Na DG, Seo H, Min HS, Won JK, et al. Usefulness of core needle biopsy for thyroid nodules with macrocalcifications: comparison with fine-needle aspiration. Thyroid 2015;25:657-664 https://doi.org/10.1089/thy.2014.0596
  37. Ha EJ, Baek JH, Lee JH, Kim JK, Kim JK, Lim HK, et al. Core needle biopsy can minimise the non-diagnostic results and need for diagnostic surgery in patients with calcified thyroid nodules. Eur Radiol 2014;24:1403-1409 https://doi.org/10.1007/s00330-014-3123-z
  38. Lee KH, Shin JH, Oh YL, Hahn SY. Atypia of undetermined significance in thyroid fine-needle aspiration cytology: prediction of malignancy by US and comparison of methods for further management. Ann Surg Oncol 2014;21:2326-2331 https://doi.org/10.1245/s10434-014-3568-y
  39. Na DG, Min HS, Lee H, Won JK, Seo HB, Kim JH. Role of core needle biopsy in the management of atypia/follicular lesion of undetermined significance thyroid nodules: comparison with repeat fine-needle aspiration in subcategory nodules. Eur Thyroid J 2015;4:189-196 https://doi.org/10.1159/000437051
  40. Buxey K, Serpell J. Importance of core biopsy in the diagnosis of thyroid lymphoma. ANZ J Surg 2012;82:90
  41. Kwak JY, Kim EK, Ko KH, Yang WI, Kim MJ, Son EJ, et al. Primary thyroid lymphoma: role of ultrasound-guided needle biopsy. J Ultrasound Med 2007;26:1761-1765 https://doi.org/10.7863/jum.2007.26.12.1761
  42. Nam M, Shin JH, Han BK, Ko EY, Ko ES, Hahn SY, et al. Thyroid lymphoma: correlation of radiologic and pathologic features. J Ultrasound Med 2012;31:589-594 https://doi.org/10.7863/jum.2012.31.4.589
  43. Ha EJ, Baek JH, Na DG, Kim JH, Kim JK, Min HS, et al. The role of core needle biopsy and its impact on surgical management in patients with medullary thyroid cancer: clinical experience at 3 medical institutions. AJNR Am J Neuroradiol 2015;36:1512-1517 https://doi.org/10.3174/ajnr.A4317
  44. Del Cura JL, Zabala R, Corta I. [US-guided interventional procedures: what a radiologist needs to know]. Radiologia 2010;52:198-207 https://doi.org/10.1016/j.rx.2010.01.014
  45. Harvey JN, Parker D, De P, Shrimali RK, Otter M. Sonographically guided core biopsy in the assessment of thyroid nodules. J Clin Ultrasound 2005;33:57-62 https://doi.org/10.1002/jcu.20092
  46. Nasrollah N, Trimboli P, Guidobaldi L, Cicciarella Modica DD, Ventura C, Ramacciato G, et al. Thin core biopsy should help to discriminate thyroid nodules cytologically classified as indeterminate. A new sampling technique. Endocrine 2013;43:659-665 https://doi.org/10.1007/s12020-012-9811-z
  47. Zhang M, Zhang Y, Fu S, Lv F, Tang J. Thyroid nodules with suspicious ultrasound findings: the role of ultrasound-guided core needle biopsy. Clin Imaging 2014;38:434-438 https://doi.org/10.1016/j.clinimag.2014.03.010
  48. Hahn SY, Shin JH, Han BK, Ko EY, Ko ES. Ultrasonographyguided core needle biopsy for the thyroid nodule: does the procedure hold any benefit for the diagnosis when fineneedle aspiration cytology analysis shows inconclusive results? Br J Radiol 2013;86:20130007 https://doi.org/10.1259/bjr.20130007
  49. Min HS, Kim JH, Ryoo I, Jung SL, Jung CK. The role of core needle biopsy in the preoperative diagnosis of follicular neoplasm of the thyroid. APMIS 2014;122:993-1000 https://doi.org/10.1111/apm.12244
  50. Yoon RG, Baek JH, Lee JH, Choi YJ, Hong MJ, Song DE, et al. Diagnosis of thyroid follicular neoplasm: fine-needle aspiration versus core-needle biopsy. Thyroid 2014;24:1612-1617 https://doi.org/10.1089/thy.2014.0140
  51. Lopez JI, Zabala R, Del Cura JL. Histological diagnosis of thyroid disease using ultrasound-guided core biopsies. Eur Thyroid J 2013;2:29-36
  52. Kwok A, Faigel DO. Management of anticoagulation before and after gastrointestinal endoscopy. Am J Gastroenterol 2009;104:3085-3097; quiz 3098 https://doi.org/10.1038/ajg.2009.469
  53. Na DG, Kim DS, Kim SJ, Ryoo JW, Jung SL. Thyroid nodules with isolated macrocalcification: malignancy risk and diagnostic efficacy of fine-needle aspiration and core needle biopsy. Ultrasonography 2016;35:212-219 https://doi.org/10.14366/usg.15074
  54. Cibas ES, Ali SZ. The Bethesda system for reporting thyroid cytopathology. Thyroid 2009;19:1159-1165 https://doi.org/10.1089/thy.2009.0274
  55. Richards ML, Bohnenblust E, Sirinek K, Bingener J. Nondiagnostic thyroid fine-needle aspiration biopsies are no longer a dilemma. Am J Surg 2008;196:398-402 https://doi.org/10.1016/j.amjsurg.2007.10.017
  56. Choi SH, Baek JH, Lee JH, Choi YJ, Hong MJ, Song DE, et al. Thyroid nodules with initially non-diagnostic, fine-needle aspiration results: comparison of core-needle biopsy and repeated fine-needle aspiration. Eur Radiol 2014;24:2819-2826 https://doi.org/10.1007/s00330-014-3325-4
  57. Lee SH, Kim MH, Bae JS, Lim DJ, Jung SL, Jung CK. Clinical outcomes in patients with non-diagnostic thyroid fine needle aspiration cytology: usefulness of the thyroid core needle biopsy. Ann Surg Oncol 2014;21:1870-1877 https://doi.org/10.1245/s10434-013-3365-z
  58. Chen BT, Jain AB, Dagis A, Chu P, Vora L, Maghami E, et al. Comparison of the efficacy and safety of ultrasoundguided core needle biopsy versus fine-needle aspiration for evaluating thyroid nodules. Endocr Pract 2015;21:128-135 https://doi.org/10.4158/EP14303.OR
  59. Trimboli P, Nasrollah N, Guidobaldi L, Taccogna S, Cicciarella Modica DD, Amendola S, et al. The use of core needle biopsy as first-line in diagnosis of thyroid nodules reduces false negative and inconclusive data reported by fine-needle aspiration. World J Surg Oncol 2014;12:61 https://doi.org/10.1186/1477-7819-12-61
  60. Yunker WK, Hassan SF, Ferrell LB, Hicks MJ, Giannoni CM, Wesson DE, et al. Needle core biopsy in the diagnosis of pediatric thyroid neoplasms: a single institution retrospective review. Pediatr Surg Int 2013;29:437-443 https://doi.org/10.1007/s00383-013-3278-8
  61. Gharib H, Papini E, Paschke R, Duick DS, Valcavi R, Hegedus L, et al. American Association of Clinical Endocrinologists, Associazione Medici Endocrinologi, and European Thyroid Association Medical guidelines for clinical practice for the diagnosis and management of thyroid nodules. Endocr Pract 2010;16 Suppl 1:1-43
  62. Suh CH, Baek JH, Kim KW, Sung TY, Kim TY, Song DE, et al. The role of core-needle biopsy for thyroid nodules with initially nondiagnostic fine-needle aspiration results: a systematic review and meta-analysis. Endocr Pract 2016;22:679-688 https://doi.org/10.4158/EP15986.OR
  63. Pyo JS, Sohn JH, Kang G. Core needle biopsy is a more conclusive follow-up method than repeat fine needle aspiration for thyroid nodules with initially inconclusive results: a systematic review and meta-analysis. J Pathol Transl Med 2016;50:217-224 https://doi.org/10.4132/jptm.2016.02.15
  64. Wolinski K, Stangierski A, Ruchala M. Comparison of diagnostic yield of core-needle and fine-needle aspiration biopsies of thyroid lesions: systematic review and metaanalysis. Eur Radiol 2016 Apr 18 [Epub]. http://dx.doi. org/10.1007/s00330-016-4356-9
  65. Cao H, Kao RH, Hsieh MC. Comparison of core-needle biopsy and fine-needle aspiration in screening for thyroid malignancy: a systematic review and meta-analysis. Curr Med Res Opin 2016;32:1291-1301 https://doi.org/10.1185/03007995.2016.1170674
  66. Heller KS. Malignancy rate in thyroid nodules classified as Bethesda category III (AUS/FLUS): is there a correct answer? Thyroid 2014;24:787-788 https://doi.org/10.1089/thy.2014.0142
  67. Ho AS, Sarti EE, Jain KS, Wang H, Nixon IJ, Shaha AR, et al. Malignancy rate in thyroid nodules classified as Bethesda category III (AUS/FLUS). Thyroid 2014;24:832-839 https://doi.org/10.1089/thy.2013.0317
  68. Yoon JH, Kwak JY, Kim EK, Moon HJ, Kim MJ, Kim JY, et al. How to approach thyroid nodules with indeterminate cytology. Ann Surg Oncol 2010;17:2147-2155 https://doi.org/10.1245/s10434-010-0992-5
  69. Choi YJ, Baek JH, Ha EJ, Lim HK, Lee JH, Kim JK, et al. Differences in risk of malignancy and management recommendations in subcategories of thyroid nodules with atypia of undetermined significance or follicular lesion of undetermined significance: the role of ultrasound-guided core-needle biopsy. Thyroid 2014;24:494-501 https://doi.org/10.1089/thy.2012.0635
  70. Brauner E, Holmes BJ, Krane JF, Nishino M, Zurakowski D, Hennessey JV, et al. Performance of the afirma gene expression classifier in Hurthle cell thyroid nodules differs from other indeterminate thyroid nodules. Thyroid 2015;25:789-796 https://doi.org/10.1089/thy.2015.0049
  71. Alexander EK, Kennedy GC, Baloch ZW, Cibas ES, Chudova D, Diggans J, et al. Preoperative diagnosis of benign thyroid nodules with indeterminate cytology. N Engl J Med 2012;367:705-715 https://doi.org/10.1056/NEJMoa1203208
  72. Choi SH, Baek JH, Lee JH, Choi YJ, Song DE, Chung KW, et al. Evaluation of the clinical usefulness of BRAFV600E mutation analysis of core-needle biopsy specimens in thyroid nodules with previous atypia of undetermined significance or follicular lesions of undetermined significance results. Thyroid 2015;25:897-903 https://doi.org/10.1089/thy.2014.0606
  73. Hakala T, Kholova I, Sand J, Saaristo R, Kellokumpu-Lehtinen P. A core needle biopsy provides more malignancy-specific results than fine-needle aspiration biopsy in thyroid nodules suspicious for malignancy. J Clin Pathol 2013;66:1046-1050 https://doi.org/10.1136/jclinpath-2013-201559
  74. Schreiner AM, Yang GC. Adenomatoid nodules are the main cause for discrepant histology in 234 thyroid fine-needle aspirates reported as follicular neoplasm. Diagn Cytopathol 2012;40:375-379 https://doi.org/10.1002/dc.21499
  75. Han S, Shin JH, Hahn SY, Oh YL. Modified core biopsy technique to increase diagnostic yields for well-circumscribed indeterminate thyroid nodules: a retrospective analysis. AJNR Am J Neuroradiol 2016;37:1155-1159 https://doi.org/10.3174/ajnr.A4650
  76. Choi SH, Han KH, Yoon JH, Moon HJ, Son EJ, Youk JH, et al. Factors affecting inadequate sampling of ultrasoundguided fine-needle aspiration biopsy of thyroid nodules. Clin Endocrinol (Oxf) 2011;74:776-782 https://doi.org/10.1111/j.1365-2265.2011.04011.x
  77. Suh CH, Baek JH, Lee JH, Choi YJ, Kim JK, Sung TY, et al. The role of core-needle biopsy as a first-line diagnostic tool for initially detected thyroid nodules. Thyroid 2016;26:395-403 https://doi.org/10.1089/thy.2015.0404
  78. Avula S, Daneman A, Navarro OM, Moineddin R, Urbach S, Daneman D. Incidental thyroid abnormalities identified on neck US for non-thyroid disorders. Pediatr Radiol 2010;40:1774-1780 https://doi.org/10.1007/s00247-010-1684-9
  79. Sharma A, Jasim S, Reading CC, Ristow KM, Villasboas Bisneto JC, Habermann TM, et al. Clinical presentation and diagnostic challenges of thyroid lymphoma: a cohort study. Thyroid 2016;26:1061-1067 https://doi.org/10.1089/thy.2016.0095
  80. Ha EJ, Baek JH, Lee JH, Kim JK, Song DE, Kim WB, et al. Core needle biopsy could reduce diagnostic surgery in patients with anaplastic thyroid cancer or thyroid lymphoma. Eur Radiol 2016;26:1031-1036 https://doi.org/10.1007/s00330-015-3921-y
  81. Kwak JY, Kim EK, Kim HJ, Kim MJ, Son EJ, Moon HJ. How to combine ultrasound and cytological information in decision making about thyroid nodules. Eur Radiol 2009;19:1923-1931 https://doi.org/10.1007/s00330-009-1369-7
  82. Chernyavsky VS, Shanker BA, Davidov T, Crystal JS, Eng O, Ibrahim K, et al. Is one benign fine needle aspiration enough? Ann Surg Oncol 2012;19:1472-1476 https://doi.org/10.1245/s10434-011-2079-3
  83. Shin JH, Han BK, Ko K, Choe YH, Oh YL. Value of repeat ultrasound-guided fine-needle aspiration in nodules with benign cytological diagnosis. Acta Radiol 2006;47:469-473 https://doi.org/10.1080/02841850600635921
  84. Ha EJ, Baek JH, Lee JH, Lee HY, Song DE, Kim JK, et al. A focal marked hypoechogenicity within an isoechoic thyroid nodule: is it a focal malignancy or not? Acta Radiol 2015;56:814-819 https://doi.org/10.1177/0284185114539322
  85. Ha EJ, Baek JH, Lee JH, Song DE, Kim JK, Shong YK, et al. Sonographically suspicious thyroid nodules with initially benign cytologic results: the role of a core needle biopsy. Thyroid 2013;23:703-708 https://doi.org/10.1089/thy.2012.0426
  86. Ko MS, Jeong KS, Shong YK, Gong GY, Baek JH, Lee JH. Collapsing benign cystic nodules of the thyroid gland: sonographic differentiation from papillary thyroid carcinoma. AJNR Am J Neuroradiol 2012;33:124-127 https://doi.org/10.3174/ajnr.A2732
  87. Koo JH, Shin JH, Han BK, Ko EY, Kang SS. Cystic thyroid nodules after aspiration mimicking malignancy: sonographic characteristics. J Ultrasound Med 2010;29:1415-1421 https://doi.org/10.7863/jum.2010.29.10.1415
  88. Sohn YM, Kim EK, Moon HJ, Kim SJ, Kwak JY. Suspiciously malignant findings on ultrasound after fine needle aspiration biopsy in a thyroid nodule with initially benign ultrasound and cytologic result: to repeat or to follow-up. Clin Imaging 2011;35:470-475 https://doi.org/10.1016/j.clinimag.2011.01.001
  89. Park NH, Kim DW, Park HJ, Lee EJ, Park JS, Park SI, et al. Thyroid cysts treated with ethanol ablation can mimic malignancy during sonographic follow-up. J Clin Ultrasound 2011;39:441-446 https://doi.org/10.1002/jcu.20861
  90. Lee HY, Baek JH, Ha EJ, Park JW, Lee JH, Song DE, et al. Malignant-looking thyroid nodules with size reduction: core needle biopsy results. Ultrasonography 2016;35:327-334 https://doi.org/10.14366/usg.15082
  91. Choi WJ, Baek JH, Ha EJ, Choi YJ, Hong MJ, Song DE, et al. The ultrasonography features of hyalinizing trabecular tumor of the thyroid gland and the role of fine needle aspiration cytology and core needle biopsy in its diagnosis. Acta Radiol 2015;56:1113-1118 https://doi.org/10.1177/0284185114549225
  92. Lee S, Han BK, Ko EY, Oh YL, Choe JH, Shin JH. The ultrasonography features of hyalinizing trabecular tumor of the thyroid are more consistent with its benign behavior than cytology or frozen section readings. Thyroid 2011;21:253-259 https://doi.org/10.1089/thy.2010.0202
  93. Jang H, Park CK, Son EJ, Kim EK, Kwak JY, Moon HJ, et al. Hyalinizing trabecular tumor of the thyroid: diagnosis of a rare tumor using ultrasonography, cytology, and intraoperative frozen sections. Ultrasonography 2016;35:131-139 https://doi.org/10.14366/usg.15054
  94. Carney JA. Hyalinizing trabecular tumors of the thyroid gland: quadruply described but not by the discoverer. Am J Surg Pathol 2008;32:622-634 https://doi.org/10.1097/PAS.0b013e3181608545
  95. Suh CH, Baek JH, Lee JH, Choi YJ, Kim KW, Lee J, et al. The role of core-needle biopsy in the diagnosis of thyroid malignancy in 4580 patients with 4746 thyroid nodules: a systematic review and meta-analysis. Endocrine 2016;54:315-328 https://doi.org/10.1007/s12020-016-0991-9
  96. Zhang S, Ivanovic M, Nemcek AA Jr, Defrias DV, Lucas E, Nayar R. Thin core needle biopsy crush preparations in conjunction with fine-needle aspiration for the evaluation of thyroid nodules: a complementary approach. Cancer 2008;114:512-518 https://doi.org/10.1002/cncr.23982
  97. Paja M, del Cura JL, Zabala R, Corta I, Lizarraga A, Oleaga A, et al. Ultrasound-guided core-needle biopsy in thyroid nodules. A study of 676 consecutive cases with surgical correlation. Eur Radiol 2016;26:1-8 https://doi.org/10.1007/s00330-015-3821-1
  98. Quinn SF, Nelson HA, Demlow TA. Thyroid biopsies: fineneedle aspiration biopsy versus spring-activated core biopsy needle in 102 patients. J Vasc Interv Radiol 1994;5:619-623 https://doi.org/10.1016/S1051-0443(94)71565-7
  99. Taki S, Kakuda K, Kakuma K, Annen Y, Katada S, Yamashita R, et al. Thyroid nodules: evaluation with US-guided core biopsy with an automated biopsy gun. Radiology 1997;202:874-877 https://doi.org/10.1148/radiology.202.3.9051050
  100. Yoo WS, Choi HS, Cho SW, Moon JH, Kim KW, Park HJ, et al. The role of ultrasound findings in the management of thyroid nodules with atypia or follicular lesions of undetermined significance. Clin Endocrinol (Oxf) 2014;80:735-742 https://doi.org/10.1111/cen.12348
  101. Khoo TK, Baker CH, Hallanger-Johnson J, Tom AM, Grant CS, Reading CC, et al. Comparison of ultrasound-guided fineneedle aspiration biopsy with core-needle biopsy in the evaluation of thyroid nodules. Endocr Pract 2008;14:426-431 https://doi.org/10.4158/EP.14.4.426
  102. Ha EJ, Baek JH, Lee JH, Kim JK, Choi YJ, Sung TY, et al. Complications following US-guided core-needle biopsy for thyroid lesions: a retrospective study of 6,169 consecutive patients with 6,687 thyroid nodules. Eur Radiol 2016 Jun 16 [Epub]. http://dx.doi.org/ 10.1007/s00330-016-4461-9
  103. Ha EJ, Baek JH, Lee JH. Ultrasonography-based thyroidal and perithyroidal anatomy and its clinical significance. Korean J Radiol 2015;16:749-766 https://doi.org/10.3348/kjr.2015.16.4.749
  104. Stangierski A, Wolinski K, Martin K, Leitgeber O, Ruchala M. Core needle biopsy of thyroid nodules-evaluation of diagnostic utility and pain experience. Neuro Endocrinol Lett 2013;34:798-801
  105. Nasrollah N, Trimboli P, Rossi F, Amendola S, Guidobaldi L, Ventura C, et al. Patient's comfort with and tolerability of thyroid core needle biopsy. Endocrine 2014;45:79-83 https://doi.org/10.1007/s12020-013-9979-x
  106. Polyzos SA, Anastasilakis AD. Clinical complications following thyroid fine-needle biopsy: a systematic review. Clin Endocrinol (Oxf) 2009;71:157-165 https://doi.org/10.1111/j.1365-2265.2009.03522.x
  107. Bergeron M, Beaudoin D. Simple core-needle biopsy for thyroid nodule, complicated tinnitus. Eur Thyroid J 2014;3:130-133 https://doi.org/10.1159/000360985
  108. Karstrup S, Balslev E, Juul N, Eskildsen PC, Baumbach L. USguided fine needle aspiration versus coarse needle biopsy of thyroid nodules. Eur J Ultrasound 2001;13:1-5
  109. Hor T, Lahiri SW. Bilateral thyroid hematomas after fineneedle aspiration causing acute airway obstruction. Thyroid 2008;18:567-569 https://doi.org/10.1089/thy.2007.0363
  110. Roh JL. Intrathyroid hemorrhage and acute upper airway obstruction after fine needle aspiration of the thyroid gland. Laryngoscope 2006;116:154-156 https://doi.org/10.1097/01.mlg.0000187396.18016.d0
  111. Noordzij JP, Goto MM. Airway compromise caused by hematoma after thyroid fine-needle aspiration. Am J Otolaryngol 2005;26:398-399 https://doi.org/10.1016/j.amjoto.2005.02.016
  112. Kakiuchi Y, Idota N, Nakamura M, Ikegaya H. A fatal case of cervical hemorrhage after fine needle aspiration and core needle biopsy of the thyroid gland. Am J Forensic Med Pathol 2015;36:207-209 https://doi.org/10.1097/PAF.0000000000000172
  113. Tomoda C, Takamura Y, Ito Y, Miya A, Miyauchi A. Transient vocal cord paralysis after fine-needle aspiration biopsy of thyroid tumor. Thyroid 2006;16:697-699 https://doi.org/10.1089/thy.2006.16.697
  114. Choi SH, Kim EK, Kim SJ, Kwak JY. Thyroid ultrasonography: pitfalls and techniques. Korean J Radiol 2014;15:267-276 https://doi.org/10.3348/kjr.2014.15.2.267
  115. Silverman JF, West RL, Larkin EW, Park HK, Finley JL, Swanson MS, et al. The role of fine-needle aspiration biopsy in the rapid diagnosis and management of thyroid neoplasm. Cancer 1986;57:1164-1170 https://doi.org/10.1002/1097-0142(19860315)57:6<1164::AID-CNCR2820570617>3.0.CO;2-S
  116. Shah KS, Ethunandan M. Tumour seeding after fineneedle aspiration and core biopsy of the head and neck--a systematic review. Br J Oral Maxillofac Surg 2016;54:260-265 https://doi.org/10.1016/j.bjoms.2016.01.004
  117. Hammond ME, Hayes DF, Dowsett M, Allred DC, Hagerty KL, Badve S, et al. American Society of Clinical Oncology/College Of American Pathologists guideline recommendations for immunohistochemical testing of estrogen and progesterone receptors in breast cancer. J Clin Oncol 2010;28:2784-2795 https://doi.org/10.1200/JCO.2009.25.6529
  118. Jung CK, Min HS, Park HJ, Song DE, Kim JH, Park SY, et al. Pathology reporting of thyroid core needle biopsy: a proposal of the Korean Endocrine Pathology Thyroid Core Needle Biopsy Study Group. J Pathol Transl Med 2015;49:288-299 https://doi.org/10.4132/jptm.2015.06.04
  119. Khoo ML, Asa SL, Witterick IJ, Freeman JL. Thyroid calcification and its association with thyroid carcinoma. Head Neck 2002;24:651-655 https://doi.org/10.1002/hed.10115
  120. Ustun B, Chhieng D, Van Dyke A, Carling T, Holt E, Udelsman R, et al. Risk stratification in follicular neoplasm: a cytological assessment using the modified Bethesda classification. Cancer Cytopathol 2014;122:536-545 https://doi.org/10.1002/cncy.21425
  121. Alshenawy HA. Utility of immunohistochemical markers in diagnosis of follicular cell derived thyroid lesions. Pathol Oncol Res 2014;20:819-828 https://doi.org/10.1007/s12253-014-9760-3
  122. El Demellawy D, Nasr AL, Babay S, Alowami S. Diagnostic utility of CD56 immunohistochemistry in papillary carcinoma of the thyroid. Pathol Res Pract 2009;205:303-309 https://doi.org/10.1016/j.prp.2008.11.011
  123. Yoon JH, Kim EK, Kwak JY, Moon HJ. Effectiveness and limitations of core needle biopsy in the diagnosis of thyroid nodules: review of current literature. J Pathol Transl Med 2015;49:230-235 https://doi.org/10.4132/jptm.2015.03.21
  124. Trimboli P, Crescenzi A. Thyroid core needle biopsy: taking stock of the situation. Endocrine 2015;48:779-785 https://doi.org/10.1007/s12020-014-0382-z

Cited by

  1. Detection of Malignancy Among Suspicious Thyroid Nodules <1 cm on Ultrasound with Various Thyroid Image Reporting and Data Systems vol.27, pp.10, 2017, https://doi.org/10.1089/thy.2017.0034
  2. Comparison of Core-Needle Biopsy and Fine-Needle Aspiration for Evaluating Thyroid Incidentalomas Detected by 18 F-Fluorodeoxyglucose Positron Emission Tomography/Computed Tomography: A Pr vol.27, pp.10, 2017, https://doi.org/10.1089/thy.2017.0192
  3. RE: Thyroid Core Needle Biopsy: The Strengths of Guidelines of the Korean Society of Thyroid Radiology vol.18, pp.5, 2017, https://doi.org/10.3348/kjr.2017.18.5.867
  4. Recent Advances in Core Needle Biopsy for Thyroid Nodules vol.32, pp.4, 2017, https://doi.org/10.3803/enm.2017.32.4.407
  5. Current status of core needle biopsy of the thyroid vol.36, pp.2, 2017, https://doi.org/10.14366/usg.17018
  6. Regarding “What Is the Ideal Core Number for Ultrasonography-Guided Thyroid Biopsy of Cytologically Inconclusive Nodules?” vol.38, pp.8, 2017, https://doi.org/10.3174/ajnr.a5231
  7. Comparison of the Diagnostic Efficacy of Ultrasound-Guided Core Needle Biopsy With 18- Versus 20-Gauge Needles for Thyroid Nodules : Diagnostic Efficacy of Core Needle Biopsy for Thyroid Nodules vol.37, pp.11, 2017, https://doi.org/10.1002/jum.14614
  8. Complications following ultrasound-guided core needle biopsy of thyroid nodules: a systematic review and meta-analysis vol.28, pp.9, 2018, https://doi.org/10.1007/s00330-018-5367-5
  9. The role of core needle biopsy in the diagnosis of initially detected thyroid nodules: a systematic review and meta-analysis vol.28, pp.11, 2018, https://doi.org/10.1007/s00330-018-5494-z
  10. Radiofrequency ablation of primary thyroid carcinoma: efficacy according to the types of thyroid carcinoma vol.34, pp.5, 2017, https://doi.org/10.1080/02656736.2018.1427288
  11. Preoperative Clinical and Sonographic Predictors for Lateral Cervical Lymph Node Metastases in Sporadic Medullary Thyroid Carcinoma vol.28, pp.3, 2017, https://doi.org/10.1089/thy.2017.0514
  12. Primary Imaging Test and Appropriate Biopsy Methods for Thyroid Nodules: Guidelines by Korean Society of Radiology and National Evidence-Based Healthcare Collaborating Agency vol.19, pp.4, 2018, https://doi.org/10.3348/kjr.2018.19.4.623
  13. 2017 Thyroid Radiofrequency Ablation Guideline: Korean Society of Thyroid Radiology vol.19, pp.4, 2018, https://doi.org/10.3348/kjr.2018.19.4.632
  14. Evaluation of Modified Core-Needle Biopsy in the Diagnosis of Thyroid Nodules vol.19, pp.4, 2018, https://doi.org/10.3348/kjr.2018.19.4.656
  15. Ultrasonographic Echogenicity and Histopathologic Correlation of Thyroid Nodules in Core Needle Biopsy Specimens vol.19, pp.4, 2017, https://doi.org/10.3348/kjr.2018.19.4.673
  16. A Comparison of Ultrasound-Guided Fine Needle Aspiration versus Core Needle Biopsy for Thyroid Nodules: Pain, Tolerability, and Complications vol.33, pp.1, 2017, https://doi.org/10.3803/enm.2018.33.1.114
  17. The Significance of Having an Excellent Patient's Comfort with Thyroid Core Needle Biopsy vol.33, pp.1, 2018, https://doi.org/10.3803/enm.2018.33.1.53
  18. Trucut/Core Biopsy versus FNAC: Who Wins the Match? Thyroid Lesions and Salivary Gland Lesions: An Overview vol.35, pp.3, 2017, https://doi.org/10.4103/joc.joc_18_18
  19. Utility of a formatted pathologic reporting system in thyroid core needle biopsy: A validation study of 1998 consecutive cases vol.88, pp.1, 2018, https://doi.org/10.1111/cen.13397
  20. Prevention of total thyroidectomy in noninvasive follicular thyroid neoplasm with papillary‐like nuclear features (NIFTP) based on combined interpretation of ultrasonographic and cytopathologic vol.88, pp.1, 2017, https://doi.org/10.1111/cen.13473
  21. The efficacy and safety of high-intensity focused ultrasound ablation of benign thyroid nodules vol.37, pp.2, 2017, https://doi.org/10.14366/usg.17057
  22. Reliability of core needle biopsy as a second-line procedure in thyroid nodules with an indeterminate fine-needle aspiration report: a systematic review and meta-analysis vol.37, pp.2, 2017, https://doi.org/10.14366/usg.17066
  23. Role of core needle biopsy as a first-line diagnostic tool for thyroid nodules: a retrospective cohort study vol.37, pp.3, 2017, https://doi.org/10.14366/usg.17041
  24. Core needle biopsy of thyroid nodules: outcomes and safety from a large single-center single-operator study vol.59, pp.8, 2017, https://doi.org/10.1177/0284185117741916
  25. Web‐based thyroid imaging reporting and data system: Malignancy risk of atypia of undetermined significance or follicular lesion of undetermined significance thyroid nodules calculated by a comb vol.40, pp.9, 2017, https://doi.org/10.1002/hed.25173
  26. Abklärung des FDG-PET-positiven Schilddrüsenknotens vol.11, pp.3, 2017, https://doi.org/10.1007/s41969-018-0037-4
  27. Active Surveillance of Low-Risk Papillary Thyroid Microcarcinoma: A Multi-Center Cohort Study in Korea vol.28, pp.12, 2017, https://doi.org/10.1089/thy.2018.0263
  28. US-Guided Radiofrequency Ablation for Low-Risk Papillary Thyroid Microcarcinoma: Efficacy and Safety in a Large Population vol.20, pp.12, 2017, https://doi.org/10.3348/kjr.2019.0192
  29. A Glimpse on Trends and Characteristics of Recent Articles Published in the Korean Journal of Radiology vol.20, pp.12, 2019, https://doi.org/10.3348/kjr.2019.0928
  30. High intensity focused ultrasound (HIFU) ablation of benign thyroid nodule is safe and efficacious in patients who continue taking an anti-coagulation or anti-platelet agent in the treatment period vol.36, pp.1, 2017, https://doi.org/10.1080/02656736.2018.1548034
  31. Management strategy for nerve damage during radiofrequency ablation of thyroid nodules vol.36, pp.1, 2017, https://doi.org/10.1080/02656736.2018.1554826
  32. The Role of Core Needle Biopsy for the Evaluation of Thyroid Nodules with Suspicious Ultrasound Features vol.20, pp.1, 2017, https://doi.org/10.3348/kjr.2018.0101
  33. Diagnostic Performance of Practice Guidelines for Thyroid Nodules: Thyroid Nodule Size versus Biopsy Rates vol.291, pp.1, 2017, https://doi.org/10.1148/radiol.2019181723
  34. Role of Immunohistochemistry in Fine Needle Aspiration and Core Needle Biopsy of Thyroid Nodules vol.12, pp.2, 2017, https://doi.org/10.21053/ceo.2018.01011
  35. Tumor Volume Doubling Time in Active Surveillance of Papillary Thyroid Carcinoma vol.29, pp.5, 2019, https://doi.org/10.1089/thy.2018.0609
  36. Risk of Malignancy According to the Sub-classification of Atypia of Undetermined Significance and Suspicious Follicular Neoplasm Categories in Thyroid Core Needle Biopsies vol.30, pp.2, 2017, https://doi.org/10.1007/s12022-019-9577-4
  37. Does Radiofrequency Ablation Induce Neoplastic Changes in Benign Thyroid Nodules: A Preliminary Study vol.34, pp.2, 2017, https://doi.org/10.3803/enm.2019.34.2.169
  38. Thyroid core needle biopsy: patients’ pain and satisfaction compared to fine needle aspiration vol.65, pp.2, 2017, https://doi.org/10.1007/s12020-019-01973-2
  39. Core-needle biopsy in thyroid nodules: performance, accuracy, and complications vol.29, pp.9, 2019, https://doi.org/10.1007/s00330-019-06038-6
  40. Ultrasound-Guided Core Needle Biopsy Techniques for Intermediate or Low Suspicion Thyroid Nodules: Which Method is Effective for Diagnosis? vol.20, pp.10, 2017, https://doi.org/10.3348/kjr.2018.0841
  41. Revisiting Rupture of Benign Thyroid Nodules after Radiofrequency Ablation: Various Types and Imaging Features vol.34, pp.4, 2017, https://doi.org/10.3803/enm.2019.34.4.415
  42. Thyroid Nodules with Isolated Macrocalcifications: Malignancy Risk of Isolated Macrocalcifications and Postoperative Risk Stratification of Malignant Tumors Manifesting as Isolated Macrocalcifications vol.21, pp.None, 2020, https://doi.org/10.3348/kjr.2019.0523
  43. Characteristics of Recent Articles Published in the Korean Journal of Radiology Based on the Citation Frequency vol.21, pp.12, 2020, https://doi.org/10.3348/kjr.2020.1322
  44. A Case of Papillary Thyroid Carcinoma with an Unexpected Foreign Body vol.81, pp.1, 2020, https://doi.org/10.3919/jjsa.81.20
  45. The Clinical Application of Core-Needle Biopsy after Radiofrequency Ablation for Low-risk Papillary Thyroid Microcarcinoma: A Large Cohort of 202 Patients Study vol.11, pp.18, 2017, https://doi.org/10.7150/jca.42673
  46. 2019 Practice guidelines for thyroid core needle biopsy: a report of the Clinical Practice Guidelines Development Committee of the Korean Thyroid Association vol.54, pp.1, 2017, https://doi.org/10.4132/jptm.2019.12.04
  47. CT features of thyroid nodules with isolated macrocalcifications detected by ultrasonography vol.39, pp.2, 2017, https://doi.org/10.14366/usg.19045
  48. Distribution and malignancy risk of six categories of the pathology reporting system for thyroid core-needle biopsy in 1,216 consecutive thyroid nodules vol.39, pp.2, 2020, https://doi.org/10.14366/usg.19056
  49. The relationship of thyroid nodule size on malignancy risk according to histological type of thyroid cancer vol.61, pp.5, 2017, https://doi.org/10.1177/0284185119875642
  50. Thyroid Radiology Practice: Diagnosis and Interventional Treatment of Patients with Thyroid Nodules vol.81, pp.3, 2017, https://doi.org/10.3348/jksr.2020.81.3.530
  51. The 2019 core-needle biopsy practice guidelines vol.39, pp.3, 2017, https://doi.org/10.14366/usg.20053
  52. Diagnostic Efficacy and Safety of Core Needle Biopsy as a First-Line Diagnostic Method for Thyroid Nodules: A Prospective Cohort Study vol.30, pp.8, 2017, https://doi.org/10.1089/thy.2019.0444
  53. Clinical applications of Doppler ultrasonography for thyroid disease: consensus statement by the Korean Society of Thyroid Radiology vol.39, pp.4, 2017, https://doi.org/10.14366/usg.20072
  54. Ultrasound-Guided Thyroid Fine Needle Aspiration Biopsy: Basic Techniques for Clinicians vol.5, pp.2, 2017, https://doi.org/10.18525/cu.2020.5.2.42
  55. Comparison Between Fine Needle Aspiration and Core Needle Biopsy for the Diagnosis of Thyroid Nodules: Effective Indications According to US Findings vol.10, pp.None, 2017, https://doi.org/10.1038/s41598-020-60872-z
  56. Long-Term Follow-Up Results of Ultrasound-Guided Radiofrequency Ablation for Low-Risk Papillary Thyroid Microcarcinoma: More Than 5-Year Follow-Up for 84 Tumors vol.30, pp.12, 2017, https://doi.org/10.1089/thy.2020.0106
  57. Percutaneous Ultrasound-Guided Fine-Needle Aspiration Cytology and Core-Needle Biopsy for Laryngeal and Hypopharyngeal Masses vol.22, pp.4, 2021, https://doi.org/10.3348/kjr.2020.0396
  58. 2021 Korean Thyroid Imaging Reporting and Data System and Imaging-Based Management of Thyroid Nodules: Korean Society of Thyroid Radiology Consensus Statement and Recommendations vol.22, pp.None, 2021, https://doi.org/10.3348/kjr.2021.0713
  59. Introducing “Recommendation and Guideline” of the Korean Journal of Radiology vol.22, pp.12, 2017, https://doi.org/10.3348/kjr.2021.0785
  60. Late recurrence of papillary thyroid cancer from needle tract implantation after core needle biopsy: A case report vol.9, pp.1, 2017, https://doi.org/10.12998/wjcc.v9.i1.218
  61. Radiofrequency Thermal Ablation for a Small Papillary Thyroid Carcinoma in a Patient Unfit for Surgery: A Case Report vol.12, pp.None, 2017, https://doi.org/10.3389/fendo.2021.566362
  62. Diagnostic performance of core needle biopsy as a first‐line diagnostic tool for thyroid nodules according to ultrasound patterns: Comparison with fine needle aspiration using propensity score m vol.94, pp.3, 2017, https://doi.org/10.1111/cen.14321
  63. Ultrasonographic characteristics of medullary thyroid carcinoma according to nodule size: application of the Korean Thyroid Imaging Reporting and Data System and American Thyroid Association guideline vol.62, pp.4, 2017, https://doi.org/10.1177/0284185120929699
  64. Assessing the diagnostic performance of thyroid biopsy with recommendations for appropriate interpretation vol.40, pp.2, 2017, https://doi.org/10.14366/usg.19099
  65. Comparison of core-needle biopsy and repeat fine-needle aspiration for thyroid nodules with inconclusive initial cytology vol.278, pp.8, 2017, https://doi.org/10.1007/s00405-020-06473-y
  66. Ultrasound Guided Thyroid Biopsy vol.24, pp.3, 2017, https://doi.org/10.1016/j.tvir.2021.100768
  67. Comparison of the diagnostic performance of the modified Korean Thyroid Imaging Reporting and Data System for thyroid malignancy with three international guidelines vol.40, pp.4, 2017, https://doi.org/10.14366/usg.21056
  68. Ultrasound-Guided Radiofrequency Ablation Versus Thyroid Lobectomy for Low-Risk Papillary Thyroid Microcarcinoma: A Propensity-Matched Cohort Study of 884 Patients vol.31, pp.11, 2017, https://doi.org/10.1089/thy.2021.0100
  69. Factors related to the absorption rate of benign thyroid nodules after image-guided microwave ablation: a 3-year follow-up vol.39, pp.1, 2017, https://doi.org/10.1080/02656736.2021.1995632