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Prediction of hemorrhagic complications after ultrasound-guided biopsy of the thyroid and neck
DC Field | Value | Language |
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dc.contributor.author | Lee, Ji Ye | - |
dc.contributor.author | Kim, Ji-hoon | - |
dc.contributor.author | Chung, Hyun-Ah | - |
dc.contributor.author | Nam, Soo Jin | - |
dc.contributor.author | Hwang, Inpyeong | - |
dc.contributor.author | Yoo, Roh-Eul | - |
dc.contributor.author | Yeon, Eung Koo | - |
dc.contributor.author | Kang, Koung Mi | - |
dc.contributor.author | Yun, Tae Jin | - |
dc.contributor.author | Choi, Seung Hong | - |
dc.contributor.author | Sohn, Chul-Ho | - |
dc.date.accessioned | 2022-06-21T06:51:51Z | - |
dc.date.available | 2022-06-21T06:51:51Z | - |
dc.date.created | 2022-05-13 | - |
dc.date.issued | 2022-06 | - |
dc.identifier.citation | European Radiology, Vol.32 No.6, pp.4177-4185 | - |
dc.identifier.issn | 0938-7994 | - |
dc.identifier.uri | https://hdl.handle.net/10371/182586 | - |
dc.description.abstract | © 2022, The Author(s), under exclusive licence to European Society of Radiology.Objectives: Hemorrhage occasionally occurs after ultrasound (US)-guided biopsy of the thyroid and neck and sometimes leads to serious complications. We aimed to identify predictors of hemorrhagic complications after US-guided biopsy of the thyroid and neck. Material and methods: In this retrospective study, we analyzed consecutive patients who underwent US-guided biopsy from April 2020 to November 2020. Procedure characteristics, US features, and peri- and post-procedural patient symptoms and signs were compared between patients with and without post-biopsy hemorrhage. Associations between clinical and imaging variables and post-biopsy hemorrhage were analyzed using univariate and multivariate regression analyses. Results: A total of 305 patients who underwent US-guided biopsy of the thyroid and neck were included (219 women, 86 men; age range, 20–89 years). Seventeen (5.7%) cases of post-biopsy hemorrhage were detected 30 min after biopsy and manual compression. Among them, 10 developed hemorrhage at 30 min without immediate hemorrhage. In the multivariate analysis, a high tenderness score on the visual analog scale (VAS) at 30 min after biopsy (odds ratio [OR] 5.05, p <.001) was identified as an independent predictor of post-biopsy hemorrhage. In patients with hemorrhage at 30 min, tenderness scores significantly increased over 30 min of observation. Conclusions: High tenderness scores at 30 min after biopsy and manual compression were independent predictors of hemorrhage after US-guided biopsy of the thyroid and neck. The tenderness score could serve as a valuable marker to triage patients who require further observation and management after a US-guided biopsy of the thyroid and neck. Key Points: • High tenderness scores at 30 min after compression were associated with the presence of delayed post-biopsy hemorrhage at 30 min. • Patients with hemorrhage at 30 min demonstrated a significant increase in tenderness scores over time. • High tenderness scores after biopsy site compression predicted the presence of delayed post-biopsy hemorrhage in the thyroid and neck. | - |
dc.language | 영어 | - |
dc.publisher | Springer Verlag | - |
dc.title | Prediction of hemorrhagic complications after ultrasound-guided biopsy of the thyroid and neck | - |
dc.type | Article | - |
dc.identifier.doi | 10.1007/s00330-021-08524-2 | - |
dc.citation.journaltitle | European Radiology | - |
dc.identifier.wosid | 000746787600003 | - |
dc.identifier.scopusid | 2-s2.0-85123528429 | - |
dc.citation.endpage | 4185 | - |
dc.citation.number | 6 | - |
dc.citation.startpage | 4177 | - |
dc.citation.volume | 32 | - |
dc.description.isOpenAccess | N | - |
dc.contributor.affiliatedAuthor | Choi, Seung Hong | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
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