Journals / Uludağ Üniversitesi Tıp Fakültesi Dergisi / 2026 / Cilt: 52

Response to “Comment on: Association of SUVmax with Malignancy in Focal FDG-Avid Thyroid Incidentalomas”

Fokal FDG Tutulumlu Tiroid İnsidentalomalarında SUVmax ile Malignite İlişkisi Üzerine Yoruma Cevap

Hikmet Öztop(BURSA ULUDAG UNIVERSITY)0000-0002-0199-3791
Seckin Bilgic(BURSA ULUDAG UNIVERSITY)0000-0002-3429-7549
Özen Öz Gül(BURSA ULUDAG UNIVERSITY)0000-0002-1332-4165
Pages
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Publication Date
2026-09-02
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

We believe that SUVmax and ultrasound-based risk stratification systems should not be seen as competing tools but rather as mutually supportive elements of a comprehensive clinical decision-making strategy.

📌 3 Key Takeaways

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Objective & Hypothesis:We read with interest the study by Öztürk et al. evaluating the performance of ultrasound risk stratification systems in focal FDG-avid thyroid incidentalomas.
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Key Findings & Data:While TIRADS-based systems have shown high diagnostic performance, the SUVmax cut-off value and negative predictive value reported in their study closely align with our findings.
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Conclusion & Impact:We believe that SUVmax and ultrasound-based risk stratification systems should not be seen as competing tools but rather as mutually supportive elements of a comprehensive clinical decision-making strategy.
🔬Design:Editöre Mektup
📍Scope:Comprehensive Sample
⚙️Variables:FDG PET/BT · tiroid insidentaloma · SUVmax

Abstract

We read with interest the study by Öztürk et al. evaluating the performance of ultrasound risk stratification systems in focal FDG-avid thyroid incidentalomas. While TIRADS-based systems have shown high diagnostic performance, the SUVmax cut-off value and negative predictive value reported in their study closely align with our findings. This suggests that SUVmax offers consistent and complementary metabolic risk information across different centers. We believe that SUVmax and ultrasound-based risk stratification systems should not be seen as competing tools but rather as mutually supportive elements of a comprehensive clinical decision-making strategy.

Özet

Öztürk ve ark.'nın fokal FDG tutulumlu tiroid insidentalomalarında ultrason risk sınıflandırma sistemlerinin performansını değerlendiren çalışması ilgiyle okunmuştur. TIRADS tabanlı sistemler yüksek tanısal performans göstermiş olsa da, çalışmalarında bildirilen SUVmax eşik değeri ve negatif prediktif değer, bulgularımızla yakından örtüşmektedir. Bu, SUVmax'ın farklı merkezlerde tutarlı ve tamamlayıcı metabolik risk bilgisi sunduğunu göstermektedir. SUVmax ve ultrason tabanlı risk sınıflandırma sistemlerinin rakip araçlar olarak değil, kapsamlı bir klinik karar verme stratejisinin karşılıklı destekleyici unsurları olarak görülmesi gerektiğine inanıyoruz.

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Cite This Article

Öztop, H., Hunutlu, F. C., Çolak, E. İ., Bilgic, S., Şahin, A. B., Gül, Ö. Ö., *, H. Ö. (2026). Response to “Comment on: Association of SUVmax with Malignancy in Focal FDG-Avid Thyroid Incidentalomas”. Uludağ Üniversitesi Tıp Fakültesi Dergisi, Cilt: 52. https://doi.org/10.32708/uutfd.2000899

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