Advantages of thyroid core needle biopsy: an emerging selective first-line biopsy modality.

IF 2.4 3区 医学 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Ultrasonography Pub Date : 2026-05-01 Epub Date: 2026-04-22 DOI:10.14366/usg.25201
Jae Ho Shin, Yeseul Kim, Min Kyoung Lee, Jung Hwan Baek, So Lyung Jung
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引用次数: 0

Abstract

Ultrasound-guided fine needle aspiration biopsy (FNAB) for thyroid lesions has proven safe and effective; however, FNAB has limitations, including the frequent occurrence of nondiagnostic and inconclusive results and technical challenges in specific clinical scenarios. To address these limitations, core needle biopsy (CNB) was introduced, and substantial advancements have been made in CNB devices and techniques. Evidence from large patient cohorts indicates that CNB is not only safe and reliable but also provides superior diagnostic accuracy compared with FNAB. This review discusses recent advancements in CNB techniques to optimize tissue sampling, the diagnostic performance of CNB, and patient-centered perspectives, highlighting the potential of CNB as a selective first-line biopsy modality.

甲状腺核心穿刺活检的优点:一种新兴的选择性一线活检方式。
超声引导下的甲状腺病变细针穿刺活检(FNAB)已被证明是安全有效的;然而,FNAB也有局限性,包括经常出现非诊断性和不确定的结果,以及在特定临床情况下的技术挑战。为了解决这些局限性,引入了核心针活检(CNB),并且在CNB设备和技术方面取得了实质性进展。来自大量患者队列的证据表明,与FNAB相比,CNB不仅安全可靠,而且诊断准确性更高。本综述讨论了CNB技术的最新进展,以优化组织采样,CNB的诊断性能和以患者为中心的观点,强调了CNB作为选择性一线活检方式的潜力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Ultrasonography
Ultrasonography Medicine-Radiology, Nuclear Medicine and Imaging
CiteScore
5.10
自引率
6.50%
发文量
78
审稿时长
15 weeks
期刊介绍: Ultrasonography, the official English-language journal of the Korean Society of Ultrasound in Medicine (KSUM), is an international peer-reviewed academic journal dedicated to practice, research, technology, and education dealing with medical ultrasound. It is renamed from the Journal of Korean Society of Ultrasound in Medicine in January 2014, and published four times per year: January 1, April 1, July 1, and October 1. Original articles, technical notes, topical reviews, perspectives, pictorial essays, and timely editorial materials are published in Ultrasonography covering state-of-the-art content. Ultrasonography aims to provide updated information on new diagnostic concepts and technical developments, including experimental animal studies using new equipment in addition to well-designed reviews of contemporary issues in patient care. Along with running KSUM Open, the annual international congress of KSUM, Ultrasonography also serves as a medium for cooperation among physicians and specialists from around the world who are focusing on various ultrasound technology and disease problems and relevant basic science.
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