{"id":"https://openalex.org/W2401463496","doi":null,"title":"The triage role of fine needle aspiration biopsy of palpable breast masses. Diagnostic accuracy and cost-effectiveness.","display_name":"The triage role of fine needle aspiration biopsy of palpable breast masses. Diagnostic accuracy and cost-effectiveness.","publication_year":1987,"publication_date":"1987-11-01","ids":{"openalex":"https://openalex.org/W2401463496","mag":"2401463496","pmid":"https://pubmed.ncbi.nlm.nih.gov/3425133"},"language":"en","primary_location":{"id":"pmid:3425133","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/3425133","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Acta cytologica","raw_type":"Journal Article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5113634134","display_name":"Jan F. Silverman","orcid":"https://orcid.org/0009-0002-4887-6821","observed_orcids":["https://orcid.org/0009-0002-4887-6821"]},"institutions":[{"id":"https://openalex.org/I186335123","display_name":"East Carolina University","ror":"https://ror.org/01vx35703","country_code":"US","type":"education","lineage":["https://openalex.org/I186335123"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"J F Silverman","raw_affiliation_strings":["Department of Clinical Pathology and Diagnostic Medicine, East Carolina University, School of Medicine, Greenville, NC 27834"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Clinical Pathology and Diagnostic Medicine, East Carolina University, School of Medicine, Greenville, NC 27834","institution_ids":["https://openalex.org/I186335123"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5002012448","display_name":"Donald R. Lannin","orcid":"https://orcid.org/0000-0001-8700-7675","observed_orcids":["https://orcid.org/0000-0001-8700-7675"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"D R Lannin","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5069710745","display_name":"Kevin F. O'Brien","orcid":"https://orcid.org/0000-0002-0413-3076","observed_orcids":["https://orcid.org/0000-0002-0413-3076"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"K O'Brien","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5029734506","display_name":"Norris Ht","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"H T Norris","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":1.2895,"has_fulltext":false,"cited_by_count":90,"citation_normalized_percentile":{"value":0.83411581,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":87,"max":97},"biblio":{"volume":"31","issue":"6","first_page":"731","last_page":"6"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11134","display_name":"Breast Lesions and Carcinomas","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2734","display_name":"Pathology and Forensic Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11134","display_name":"Breast Lesions and Carcinomas","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2734","display_name":"Pathology and Forensic Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10183","display_name":"Breast Cancer Treatment Studies","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/1306","display_name":"Cancer Research"},"field":{"id":"https://openalex.org/fields/13","display_name":"Biochemistry, Genetics and Molecular Biology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},{"id":"https://openalex.org/T10862","display_name":"AI in cancer detection","score":0.0,"subfield":{"id":"https://openalex.org/subfields/1702","display_name":"Artificial Intelligence"},"field":{"id":"https://openalex.org/fields/17","display_name":"Computer Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/fine-needle-aspiration","display_name":"fine-needle aspiration","score":0.9649999737739563},{"id":"https://openalex.org/keywords/breast-mass","display_name":"breast mass","score":0.8159999847412109},{"id":"https://openalex.org/keywords/breast-cancer","display_name":"breast cancer","score":0.6700000166893005},{"id":"https://openalex.org/keywords/diagnostic-accuracy","display_name":"diagnostic accuracy","score":0.925000011920929},{"id":"https://openalex.org/keywords/cost-effectiveness","display_name":"cost-effectiveness","score":0.9570000171661377},{"id":"https://openalex.org/keywords/triage","display_name":"triage","score":0.781000018119812},{"id":"https://openalex.org/keywords/excisional-biopsy","display_name":"excisional biopsy","score":0.9330000281333923},{"id":"https://openalex.org/keywords/frozen-section","display_name":"frozen section","score":0.8659999966621399},{"id":"https://openalex.org/keywords/false-negative-rate","display_name":"false negative rate","score":0.7419999837875366},{"id":"https://openalex.org/keywords/sensitivity-and-specificity","display_name":"sensitivity and specificity","score":0.6480000019073486}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9524112939834595},{"id":"https://openalex.org/C2775934546","wikidata":"https://www.wikidata.org/wiki/Q179991","display_name":"Biopsy","level":2,"score":0.78541100025177},{"id":"https://openalex.org/C2777120189","wikidata":"https://www.wikidata.org/wiki/Q780067","display_name":"Triage","level":2,"score":0.7412701845169067},{"id":"https://openalex.org/C534262118","wikidata":"https://www.wikidata.org/wiki/Q177719","display_name":"Medical diagnosis","level":2,"score":0.7146891355514526},{"id":"https://openalex.org/C2776170712","wikidata":"https://www.wikidata.org/wiki/Q180071","display_name":"Fine-needle aspiration","level":3,"score":0.5557328462600708},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.5359035134315491},{"id":"https://openalex.org/C2777517664","wikidata":"https://www.wikidata.org/wiki/Q4959785","display_name":"Breast biopsy","level":5,"score":0.4233923554420471},{"id":"https://openalex.org/C3019080777","wikidata":"https://www.wikidata.org/wiki/Q1754768","display_name":"Cost effectiveness","level":2,"score":0.4208880364894867},{"id":"https://openalex.org/C3020132585","wikidata":"https://www.wikidata.org/wiki/Q2671652","display_name":"Diagnostic accuracy","level":2,"score":0.4191008508205414},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.3711813688278198},{"id":"https://openalex.org/C2780472235","wikidata":"https://www.wikidata.org/wiki/Q324634","display_name":"Mammography","level":4,"score":0.3004707098007202},{"id":"https://openalex.org/C530470458","wikidata":"https://www.wikidata.org/wiki/Q128581","display_name":"Breast cancer","level":3,"score":0.28216972947120667},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.1434362530708313},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.12479031085968018},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.10857850313186646},{"id":"https://openalex.org/C112930515","wikidata":"https://www.wikidata.org/wiki/Q4389547","display_name":"Risk analysis (engineering)","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000293","descriptor_name":"Adolescent","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001707","descriptor_name":"Biopsy, Needle","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D001707","descriptor_name":"Biopsy, Needle","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D001943","descriptor_name":"Breast Neoplasms","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":true},{"descriptor_ui":"D003365","descriptor_name":"Costs and Cost Analysis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D004632","descriptor_name":"Emergency Medical Services","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D005189","descriptor_name":"False Positive Reactions","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014218","descriptor_name":"Triage","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":2,"locations":[{"id":"pmid:3425133","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/3425133","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Acta cytologica","raw_type":"Journal Article"},{"id":"mag:2401463496","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/3425133","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.9537000060081482,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2083627626","https://openalex.org/W2403437855","https://openalex.org/W2068438698","https://openalex.org/W2013831372","https://openalex.org/W3143713679","https://openalex.org/W2093924438","https://openalex.org/W2060881329","https://openalex.org/W2111433814","https://openalex.org/W1987775528","https://openalex.org/W2460279669"],"abstract_inverted_index":{"A":[0],"total":[1],"of":[2,9,28,40,46,65,79,97,105,109,178,188,220,251,261],"219":[3],"fine":[4],"needle":[5],"aspiration":[6],"(FNA)":[7],"biopsies":[8],"the":[10,15,66,76,80,94,106,119,157,168,174,180,191,210,266],"breast":[11,98,228],"were":[12,154],"performed":[13],"during":[14],"period":[16],"1983":[17],"to":[18,42,58,121,257],"1985":[19],"at":[20],"a":[21,139,184,231,258],"tertiary":[22],"medical":[23,262],"center.":[24],"The":[25,63,84,249],"series":[26],"consisted":[27],"215":[29],"women":[30],"(98.2%)":[31],"and":[32,75,134,160,163,205,234,264],"4":[33],"men":[34],"(1.8%),":[35],"with":[36,89,143,216,275],"an":[37,127,242],"are":[38],"range":[39],"14":[41],"90":[43],"years":[44,60],"(mean":[45],"46.5":[47],"years).":[48],"Histologic":[49],"confirmation":[50],"(93":[51],"cases)":[52],"or":[53,244],"clinical":[54],"follow-up":[55],"for":[56,93,247,268],"up":[57],"two":[59],"was":[61,69,73,82,87],"obtained.":[62],"sensitivity":[64],"FNA":[67,110,175,227,252,273],"procedure":[68,142,181],"82.2%,":[70],"its":[71],"specificity":[72],"98.8%,":[74],"overall":[77],"efficiency":[78],"test":[81],"95.4%.":[83],"false-negative":[85],"rate":[86],"4.4%,":[88],"no":[90],"false-positive":[91,269],"diagnoses":[92,152,165,270],"primary":[95],"diagnosis":[96],"carcinoma.":[99],"We":[100],"have":[101,126,138,195,214],"found":[102],"that":[103,113,193,212,226],"one":[104],"major":[107],"advantages":[108],"biopsy":[111,130,176,204,219,229,246,253,274],"is":[112,230],"it":[114],"lowers":[115],"costs":[116],"by":[117,241,271],"allowing":[118],"surgeon":[120],"triage":[122,149,236],"which":[123,135],"patients":[124,136],"should":[125,137],"outpatient":[128,218],"excisional":[129,243],"under":[131],"local":[132],"anesthesia":[133],"one-stage":[140],"inpatient":[141,203],"frozen":[144],"section":[145],"confirmation.":[146,248,277],"For":[147],"this":[148],"role,":[150],"suspicious":[151],"(3.2%)":[153],"included":[155],"in":[156,167,183],"positive":[158],"group":[159],"atypical":[161],"(1.8%)":[162],"insufficient":[164],"(6.8%)":[166],"negative":[169],"group.":[170],"Taking":[171],"into":[172],"account":[173],"cost":[177,192,211],"$75,":[179],"resulted":[182],"savings":[185],"per":[186,207],"case":[187,208],"$262":[189],"over":[190,209],"would":[194,213],"occurred":[196,215],"if":[197],"all":[198,221],"cases":[199],"had":[200,201],"routine":[202,217],"$154":[206],"cases.":[222],"Our":[223],"results":[224],"indicate":[225],"diagnostically":[232],"accurate":[233],"economical":[235],"procedure,":[237],"even":[238],"when":[239],"followed":[240],"frozen-section":[245,276],"use":[250],"could":[254],"be":[255],"expanded":[256],"greater":[259],"number":[260],"centers":[263],"decrease":[265],"potential":[267],"combining":[272]},"counts_by_year":[{"year":2023,"cited_by_count":1},{"year":2021,"cited_by_count":1},{"year":2020,"cited_by_count":2},{"year":2019,"cited_by_count":2},{"year":2017,"cited_by_count":3},{"year":2016,"cited_by_count":3},{"year":2015,"cited_by_count":4},{"year":2014,"cited_by_count":2},{"year":2013,"cited_by_count":2},{"year":2012,"cited_by_count":2}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}
