{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T05:09:54Z","timestamp":1780376994728,"version":"3.54.1"},"reference-count":19,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,1,2]],"date-time":"2026-01-02T00:00:00Z","timestamp":1767312000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,2]],"date-time":"2026-01-02T00:00:00Z","timestamp":1767312000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Clinical Ultrasound"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>This study aims to evaluate the effect of the number of needle movements within a thyroid nodule during fine\u2010needle aspiration biopsy (FNAB) on cytopathological outcomes and the need for repeat biopsy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 115 nodules in 101 patients (86 females and 15 males; mean age of 52.39\u2009\u00b1\u200911.9\u2009years) were included. Biopsies were performed without applying negative pressure; instead, a series of forward and backward needle movements were used to sample different areas within the nodule. The number of these movements was recorded. Patients were divided into two groups: Group 1 (\u2264\u200910 intranodular movements) and Group 2 (&gt;\u200910 intranodular movements). Cytopathological outcomes were compared between groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The mean diameter of the biopsied nodules was 19.68\u2009\u00b1\u20099.64\u2009mm (range 5\u201362\u2009mm). Group 1 included 68 nodules (59.1%), while Group 2 included 47 nodules (40.9%). The rate of atypia of undetermined significance (AUS) was significantly lower in group 1 (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.041). Additionally, the need for repeat biopsy was significantly lower in group 1 (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.010).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Excessive intranodular needle movements during FNAB of thyroid nodules were associated with higher rates of AUS and increased likelihood of repeat biopsy. The number of intranodular needle movements may be a critical factor influencing FNAB outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jcu.70164","type":"journal-article","created":{"date-parts":[[2026,1,3]],"date-time":"2026-01-03T05:21:02Z","timestamp":1767417662000},"page":"1107-1112","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Impact of Intranodular Needle Movements on Cytopathological Outcomes in Fine\u2010Needle Aspiration Biopsy of Thyroid Nodules"],"prefix":"10.1002","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9368-8710","authenticated-orcid":false,"given":"Mirsad","family":"Yalcinkaya","sequence":"first","affiliation":[{"name":"Department of Radiology Samsun University Faculty of Medicine  Samsun Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4059-2656","authenticated-orcid":false,"given":"Mesut","family":"Ozturk","sequence":"additional","affiliation":[{"name":"Department of Radiology Samsun University Faculty of Medicine  Samsun Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,1,2]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1089\/thy.2017.0500"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1159\/000444917"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003\u20104819\u2010118\u20104\u2010199302150\u201000007"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/dc.20762"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/dc.20392"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1159\/000504094"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1089\/thy.2017.0643"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.carj.2012.03.003"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrendo.2011.1"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/dc.20829"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1159\/000488104"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13193\u2010024\u201002158\u20108"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.4103\/0973\u20101482.164702"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.14366\/usg.20031"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.disamonth.2004.08.001"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003\u20104819\u2010126\u20103\u2010199702010\u201000009"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacr.2017.01.046"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.22955"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/1097\u20100142(19870315)59:6<1201::aid\u2010cncr2820590628>3.0.co;2\u2010p"}],"container-title":["Journal of Clinical Ultrasound"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jcu.70164","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/jcu.70164","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jcu.70164","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T04:39:07Z","timestamp":1780375147000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jcu.70164"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,2]]},"references-count":19,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["10.1002\/jcu.70164"],"URL":"https:\/\/doi.org\/10.1002\/jcu.70164","archive":["Portico"],"relation":{},"ISSN":["0091-2751","1097-0096"],"issn-type":[{"value":"0091-2751","type":"print"},{"value":"1097-0096","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,2]]},"assertion":[{"value":"2025-02-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-16","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-02","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}