{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T11:42:06Z","timestamp":1792755726786,"version":"4.5.0"},"reference-count":30,"publisher":"Elsevier BV","issue":"5","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T00:00:00Z","timestamp":1786320000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Taibah University Medical Sciences"],"published-print":{"date-parts":[[2026,10]]},"DOI":"10.1016\/j.jtumed.2026.08.004","type":"journal-article","created":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T07:01:02Z","timestamp":1788505262000},"page":"965-973","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Diagnostic accuracy of computed tomography alone versus computed tomography combined with ultrasound for diagnosing lymph node metastasis in thyroid cancer"],"prefix":"10.1016","volume":"21","author":[{"given":"Hussain A.","family":"Alharbi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laila Z.","family":"Alzamil","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9608-6253","authenticated-orcid":false,"given":"Sumaiya H.","family":"Muathen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hadad H.","family":"Alkaff","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3429-5786","authenticated-orcid":false,"given":"Omar","family":"AbuSuliman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Faisal A.","family":"Saati","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ameen Z.","family":"Alherabi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jtumed.2026.08.004_bib1","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1016\/S2213-8587(21)00027-9","article-title":"Thyroid cancer incidence trends by histology in 25 countries: a population-based study","volume":"9","author":"Miranda-Filho","year":"2021","journal-title":"Lancet Diabetes Endocrinol"},{"key":"10.1016\/j.jtumed.2026.08.004_bib2","doi-asserted-by":"crossref","first-page":"2638","DOI":"10.1002\/(SICI)1097-0142(19981215)83:12<2638::AID-CNCR31>3.0.CO;2-1","article-title":"A national cancer data base report on 53,856 cases of thyroid carcinoma treated in the U.S., 1985-1995","volume":"83","author":"Hundahl","year":"1998","journal-title":"Cancer"},{"key":"10.1016\/j.jtumed.2026.08.004_bib3","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1016\/S1055-3207(18)30404-6","article-title":"Thyroid cancer nodal metastases: biologic significance and therapeutic considerations","volume":"5","author":"Grebe","year":"1996","journal-title":"Surg Oncol Clin N Am"},{"key":"10.1016\/j.jtumed.2026.08.004_bib4","doi-asserted-by":"crossref","first-page":"559","DOI":"10.1007\/BF00353765","article-title":"Prognostic significance and surgical management of locoregional lymph node metastases in papillary thyroid cancer","volume":"18","author":"Scheumann","year":"1994","journal-title":"World J Surg"},{"key":"10.1016\/j.jtumed.2026.08.004_bib5","first-page":"409","article-title":"Factors influencing the survival of patients with follicular carcinoma of the thyroid gland","volume":"160","author":"Crile","year":"1985","journal-title":"Surg Gynecol Obstet"},{"key":"10.1016\/j.jtumed.2026.08.004_bib6","doi-asserted-by":"crossref","first-page":"1241","DOI":"10.1046\/j.0007-1323.2001.01843.x","article-title":"Pattern of cervical lymph node metastases from papillary carcinoma of the thyroid","volume":"88","author":"Sivanandan","year":"2001","journal-title":"Br J Surg"},{"key":"10.1016\/j.jtumed.2026.08.004_bib7","doi-asserted-by":"crossref","first-page":"2706","DOI":"10.1210\/jc.2012-1553","article-title":"Suspicious cervical lymph nodes detected after thyroidectomy for papillary thyroid cancer usually remain stable over years in properly selected patients","volume":"97","author":"Robenshtok","year":"2012","journal-title":"J Clin Endocrinol Metab"},{"key":"10.1016\/j.jtumed.2026.08.004_bib8","doi-asserted-by":"crossref","first-page":"1144","DOI":"10.1089\/thy.2012.0043","article-title":"The prognostic significance of nodal metastases from PTC can be stratified based on the size and number of metastatic lymph nodes, as well as the presence of extranodal extension","volume":"22","author":"Randolph","year":"2012","journal-title":"Thyroid"},{"key":"10.1016\/j.jtumed.2026.08.004_bib9","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1089\/thy.2015.0020","article-title":"2015 American thyroid association management guidelines for adult patients with thyroid nodules and differentiated thyroid cancer: the American thyroid association guidelines task force on thyroid nodules and differentiated thyroid cancer","volume":"26","author":"Haugen","year":"2016","journal-title":"Thyroid"},{"key":"10.1016\/j.jtumed.2026.08.004_bib10","doi-asserted-by":"crossref","first-page":"1552","DOI":"10.1007\/s00268-008-9588-7","article-title":"Diagnostic accuracy of CT and ultrasonography for evaluating metastatic cervical lymph nodes in patients with thyroid cancer","volume":"32","author":"Ahn","year":"2008","journal-title":"World J Surg"},{"key":"10.1016\/j.jtumed.2026.08.004_bib11","doi-asserted-by":"crossref","first-page":"194","DOI":"10.1258\/0022215021910519","article-title":"Computed tomography and ultrasonographic evaluation of metastatic cervical lymph nodes with surgico-clinicopathologic correlation","volume":"116","author":"Sarvanan","year":"2002","journal-title":"J Laryngol Otol"},{"key":"10.1016\/j.jtumed.2026.08.004_bib12","doi-asserted-by":"crossref","first-page":"871","DOI":"10.2214\/AJR.09.2386","article-title":"Preoperative staging of papillary thyroid carcinoma: comparison of ultrasound imaging and CT","volume":"193","author":"Choi","year":"2009","journal-title":"Am J Roentgenol"},{"key":"10.1016\/j.jtumed.2026.08.004_bib13","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1148\/radiol.14140481","article-title":"Papillary thyroid cancer: dual-energy spectral CT quantitative parameters for preoperative diagnosis of metastasis to the cervical lymph nodes","volume":"275","author":"Liu","year":"2015","journal-title":"Radiology"},{"key":"10.1016\/j.jtumed.2026.08.004_bib14","doi-asserted-by":"crossref","first-page":"411","DOI":"10.1089\/thy.2007.0269","article-title":"Preoperative diagnosis of cervical metastatic lymph nodes in papillary thyroid carcinoma: comparison of ultrasound, computed tomography, and combined ultrasound with computed tomography","volume":"18","author":"Kim","year":"2008","journal-title":"Thyroid"},{"key":"10.1016\/j.jtumed.2026.08.004_bib15","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2016-012799","article-title":"STARD 2015 guidelines for reporting diagnostic accuracy studies: explanation and elaboration","volume":"6","author":"Cohen","year":"2016","journal-title":"BMJ Open"},{"key":"10.1016\/j.jtumed.2026.08.004_bib16","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1001\/jamaoto.2021.3387","article-title":"Diagnostic test accuracy of ultrasonography vs computed tomography for papillary thyroid cancer cervical lymph node metastasis: a systematic review and meta-analysis","volume":"148","author":"Alabousi","year":"2022","journal-title":"JAMA Otolaryngol Head Neck Surg"},{"key":"10.1016\/j.jtumed.2026.08.004_bib17","doi-asserted-by":"crossref","first-page":"4439","DOI":"10.1245\/s10434-019-07618-y","article-title":"Preoperative computed tomography changes surgical management for clinically low-risk well-differentiated thyroid cancer","volume":"26","author":"Bongers","year":"2019","journal-title":"Ann Surg Oncol"},{"key":"10.1016\/j.jtumed.2026.08.004_bib18","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1002\/hed.23277","article-title":"Papillary thyroid carcinoma nodal surgery directed by a preoperative radiographic map utilizing CT scan and ultrasound in all primary and reoperative patients","volume":"36","author":"Lesnik","year":"2014","journal-title":"Head Neck"},{"key":"10.1016\/j.jtumed.2026.08.004_bib19","article-title":"Cervical lymph node metastases in papillary thyroid cancer: preoperative staging with ultrasound and\/or computed tomography","volume":"101","author":"Lu","year":"2022","journal-title":"Medicine (Baltim)"},{"key":"10.1016\/j.jtumed.2026.08.004_bib20","doi-asserted-by":"crossref","first-page":"1212","DOI":"10.21037\/gs-22-347","article-title":"Diagnostic performance of ultrasound and computed tomography in parallel for the diagnosis of lymph node metastasis in patients with thyroid cancer: a systematic review and meta-analysis","volume":"11","author":"Wang","year":"2022","journal-title":"Gland Surg"},{"key":"10.1016\/j.jtumed.2026.08.004_bib21","doi-asserted-by":"crossref","first-page":"1190","DOI":"10.3390\/cancers12051190","article-title":"Added value of computed tomography to ultrasonography for assessing LN metastasis in preoperative patients with thyroid cancer: node-by-node correlation","volume":"12","author":"Yoo","year":"2020","journal-title":"Cancers (Basel)"},{"key":"10.1016\/j.jtumed.2026.08.004_bib22","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1007\/s12070-007-0005-6","article-title":"Comparison of the efficacy of clinical examination, ultrasound neck and computed tomography in detection and staging of cervical lymph node metastasis in head and neck cancers","volume":"59","author":"Anand","year":"2007","journal-title":"Indian J Otolaryngol Head Neck Surg"},{"key":"10.1016\/j.jtumed.2026.08.004_bib23","doi-asserted-by":"crossref","first-page":"2137","DOI":"10.1002\/hed.25202","article-title":"Value of CT added to ultrasonography for the diagnosis of lymph node metastasis in patients with thyroid cancer","volume":"40","author":"Lee","year":"2018","journal-title":"Head Neck"},{"key":"10.1016\/j.jtumed.2026.08.004_bib24","doi-asserted-by":"crossref","DOI":"10.1016\/j.ejrad.2020.109103","article-title":"Thyroid cancer neck lymph nodes metastasis: meta-analysis of US and CT diagnosis","volume":"129","author":"Xing","year":"2020","journal-title":"Eur J Radiol"},{"key":"10.1016\/j.jtumed.2026.08.004_bib25","doi-asserted-by":"crossref","first-page":"154","DOI":"10.3174\/ajnr.A4967","article-title":"Performance of CT in the preoperative diagnosis of cervical lymph node metastasis in patients with papillary thyroid cancer: a systematic review and meta-analysis","volume":"38","author":"Suh","year":"2017","journal-title":"Am J Neuroradiol"},{"key":"10.1016\/j.jtumed.2026.08.004_bib26","doi-asserted-by":"crossref","first-page":"568","DOI":"10.1016\/j.ultrasmedbio.2012.01.002","article-title":"Differences in the diagnostic performances of staging US for thyroid malignancy according to experience","volume":"38","author":"Moon","year":"2012","journal-title":"Ultrasound Med Biol"},{"key":"10.1016\/j.jtumed.2026.08.004_bib27","doi-asserted-by":"crossref","first-page":"731","DOI":"10.1016\/j.jss.2014.07.065","article-title":"Preoperative contrast-enhanced computerized tomography should not delay radioiodine ablation in differentiated thyroid carcinoma patients","volume":"193","author":"Mishra","year":"2015","journal-title":"J Surg Res"},{"key":"10.1016\/j.jtumed.2026.08.004_bib28","doi-asserted-by":"crossref","first-page":"1098","DOI":"10.15537\/smj.2020.10.25417","article-title":"Role of fine-needle aspiration cytology in evaluating thyroid nodules","volume":"41","author":"Bahaj","year":"2020","journal-title":"SMJ"},{"key":"10.1016\/j.jtumed.2026.08.004_bib29","doi-asserted-by":"crossref","first-page":"1330","DOI":"10.15537\/smj.2020.12.25575","article-title":"Thyroid neoplasm in Makkah region, Saudi Arabia","volume":"41","author":"Alkaff","year":"2020","journal-title":"SMJ"},{"key":"10.1016\/j.jtumed.2026.08.004_bib30","doi-asserted-by":"crossref","DOI":"10.1016\/j.amsu.2021.102217","article-title":"The impact of thyroid tumor features on lymph node metastasis in papillary thyroid carcinoma patients in head and neck department at KAMC: a retrospective cross-sectional study","volume":"64","author":"Aljohani","year":"2021","journal-title":"Ann Med Surg"}],"container-title":["Journal of Taibah University Medical Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S165836122600106X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S165836122600106X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T11:24:32Z","timestamp":1792754672000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S165836122600106X"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":30,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["S165836122600106X"],"URL":"https:\/\/doi.org\/10.1016\/j.jtumed.2026.08.004","relation":{},"ISSN":["1658-3612"],"issn-type":[{"value":"1658-3612","type":"print"}],"subject":[],"published":{"date-parts":[[2026,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Diagnostic accuracy of computed tomography alone versus computed tomography combined with ultrasound for diagnosing lymph node metastasis in thyroid cancer","name":"articletitle","label":"Article Title"},{"value":"Journal of Taibah University Medical Sciences","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jtumed.2026.08.004","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Authors. Published by Elsevier B.V.","name":"copyright","label":"Copyright"}]}}