Thyroid Scanning or Fine-Needle Biopsy
Authors: JOHN E. NESTLER
Journal: Annals of Internal Medicine (1985)

Letters and Corrections1 June 1985Thyroid Scanning or Fine-Needle BiopsyJOHN E. NESTLER, M.D.JOHN E. NESTLER, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-102-6-870 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptTo the editor: The suggestion of Reasner and Isley (1)that fine-needle aspiration biopsy may be more cost effective as the initial diagnostic procedure in the evaluation of a solitary thyroid nodule may not be valid. They cite a study (2) that used a decision-analysis model to ascertain the comparative cost effectiveness of radioisotope scanning and aspiration biopsy for initial screening of solitary nodules. In this study, scans of solitary nodules were assigned to one of two categories, hot (hyperfunctional) or cold (isofunctional or hypofunctional). According to the decision tree, if a scan was obtained first and the nodule was cold,...References1. REASNER C and ISLEY W. Thyroid scanning in patients with suspected thyroid diseases. Ann Intern Med. 1985;102:209-10. LinkGoogle Scholar2. SOLOMON D. Cost-effective analysis of the evaluation of thyroid nodule, pp 227-31. In: VAN HERLE AJ, moderator. The thyroid nodule. Ann Intern Med. 1982;96:221-32. MedlineGoogle Scholar3. ATTIE J. The use of radioactive iodine in the evaluation of thyroid nodules. Surgery. 1960;47:611-4. MedlineGoogle Scholar4. LIECHTY R, STOFFEL P, ZIMMERMAN D, and SILVERBERG S. Solitary thyroid nodules. Arch Surg. 1977;112:59-61. CrossrefMedlineGoogle Scholar1. REASNER C and ISLEY W. Thyroid scanning in patients with suspected thyroid disease. Ann Intern Med. 1985;102:209-10. LinkGoogle Scholar2. SOLOMON D. Cost-effective analysis of the evaluation of thyroid nodule, pp 227-31. In: VAN HERLE AJ, moderator. The thyroid nodule. Ann Intern Med. 1982;96:221-32. MedlineGoogle Scholar3. LJUNG B. Fine-needle aspiration of the thyroid nodule, pp 223-35. In: VAN HERLE AJ, moderator. The thyroid nodule. Ann Intern Med. 1982;96:221-32. MedlineGoogle Scholar4. ASHCRAFT M and VAN HERLE A. Management of thyroid nodules: II. Scanning techniques, thyroid suppressive therapy, and fine needle aspiration. Head Neck Surg. 1981;3:297-322. CrossrefMedlineGoogle Scholar1. TAYLOR S. Sporadic nontoxic goiter. In: WERNER SC, INGBAR SH, eds. The Thyroid. 4th ed. New York: Harper and Row Books; 1978:505-12. Google Scholar2. MILLER J, KINI S, and HAMBURGER J. Needle Biopsy of the Thyroid. New York: Praeger Press; 1983. Google Scholar3. ASHCRAFT M and VAN HERLE A. Management of thyroid nodules: II. Scanning techniques, thyroid suppressive therapy, and fine needle aspiration. Head Neck Surg. 1981;3:297-322. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: JOHN E. NESTLER, M.D. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 1 June 1985Volume 102, Issue 6Page: 870-871KeywordsBiopsyDecision treesRadionuclide imagingThyroid ePublished: 1 December 2008 Issue Published: 1 June 1985 PDF downloadLoading ...