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Related Concept Videos

The Thyroid Gland01:23

The Thyroid Gland

The thyroid gland is a small, butterfly-shaped gland located in the neck and covers the anterior surface of the trachea. The gland has two lateral lobes connected by a thin tissue mass called the isthmus. Internally, each lobe comprises many small spherical structures known as thyroid follicles, surrounded by a network of blood vessels.
The follicles have a central cavity lined by simple cuboidal to squamous epithelial cells called follicular cells. These cells produce the glycoprotein...

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Related Experiment Video

Updated: Jul 24, 2026

Substernal Thyroid Biopsy Using Endobronchial Ultrasound-guided Transbronchial Needle Aspiration
10:19

Substernal Thyroid Biopsy Using Endobronchial Ultrasound-guided Transbronchial Needle Aspiration

Published on: November 10, 2014

Utility of thyroid aspiration biopsy

L W Norton, S L Wangensteen, J R Davis

    Surgery
    |October 1, 1982
    PubMed
    Summary

    Fine-needle aspiration biopsy effectively detects thyroid carcinoma, with accuracy varying by interpretation criteria. High negative predictive values suggest its utility in ruling out cancer.

    Area of Science:

    • Endocrinology
    • Oncology
    • Surgical Pathology

    Background:

    • Thyroid nodules are common, and accurate diagnosis is crucial for appropriate management.
    • Fine-needle aspiration biopsy (FNAB) is a primary diagnostic tool for thyroid nodules.
    • Evaluating the diagnostic performance of FNAB is essential for clinical decision-making.

    Purpose of the Study:

    • To assess the diagnostic utility and performance metrics of fine-needle aspiration biopsy in detecting thyroid carcinoma.
    • To compare the accuracy, sensitivity, and specificity of FNAB based on different interpretation criteria.

    Main Methods:

    • A decision-analysis approach was used to evaluate FNAB in 102 patients with thyroid nodules.
    • Cytologic diagnoses were categorized, and follow-up, including thyroidectomy, was performed.

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    Synchronous Triplanar Reconstruction Integrated with Color Doppler Mapping for Precise and Rapid Localization of Thyroid Lesions
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    Published on: February 9, 2024

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  • Diagnostic performance metrics (sensitivity, specificity, predictive values, accuracy) were calculated using two distinct interpretation criteria.
  • Main Results:

    • FNAB demonstrated no morbidity. Accuracy was highest (88%) when atypical results were not considered malignant (Criterion II).
    • Sensitivity was 70% and specificity 90% under Criterion II.
    • Negative predictive values were high (96-99%), while positive predictive values remained low (31-44%) regardless of the criterion used.

    Conclusions:

    • The sensitivity and specificity of FNAB for thyroid carcinoma detection are dependent on the interpretation criteria applied.
    • FNAB is a valuable tool for thyroid nodule evaluation, particularly for excluding malignancy, when interpreted alongside clinical findings.
    • Optimizing interpretation criteria enhances the diagnostic accuracy of FNAB in thyroid cancer detection.