Evidence map›Paper›PMID 29616141›Full record

ArticleBMJ open respiratory research2018

Randomised controlled trial to compare the diagnostic yield of positron emission tomography CT (PET-CT) TARGETed pleural biopsy versus CT-guided pleural biopsy in suspected pleural malignancy (TARGET trial).

Duneesha de Fonseka, Wendy Underwood, Louise Stadon, Najib Rahman, Anthony Edey, Chris Rogers, Nick A Maskell

Open access · goldAbstract read
In one paragraph

Article in BMJ open respiratory research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
4.2field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 39 citations in OpenAlex.

  1. PET-CT-guidedThe European respiratory journal · 2024
    Trial
  2. Article
  3. Malignant pleural disease.Breathe (Sheffield, England) · 2023
    Review
  4. Article
  5. Review
  6. Advances in pleural infection and malignancy.European respiratory review : an official journal of the European Respiratory Society · 2021
    Article
  7. Diagnostics in Pleural Disease.Diagnostics (Basel, Switzerland) · 2020
    Review
  8. Review
  9. Malignant Pleural Effusion: Diagnosis and Management.Canadian respiratory journal · 2020
    Review
  10. Article
  11. Review
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Duneesha de FonsekaAcademic Respiratory Unit, University of Bristol, Bristol, UK.ORCID 0000-0002-0060-9671
Wendy UnderwoodClinical Trials and Evaluation Unit, University of Bristol, Bristol, UK.
Louise StadonAcademic Respiratory Unit, North Bristol NHS Trust, Bristol, UK.
Najib RahmanOxford Centre for Respiratory Medicine and Oxford NIHR Biomedical Research Centre, Churchill Hospital, Oxford, UK.
Anthony EdeyDepartment of Radiology, North Bristol NHS Trust, Bristol, UK.
Chris RogersClinical Trials and Evaluation Unit, University of Bristol, Bristol, UK.
Nick A MaskellAcademic Respiratory Unit, University of Bristol, Bristol, UK.
University of Bristol · GBNorth Bristol NHS Trust · GBChurchill Hospital · GB

Funding

Department of Health PB-PG-0214-33095
6 · The paper itself

Abstract

introductionPleural malignancy, particularly malignant pleural mesothelioma (MPM) is increasing in incidence due to the long latency period from exposure to asbestos to development of the disease. MPM can be challenging to diagnose. For patients presenting without a pleural effusion, CT-guided biopsy remains the primary choice of biopsy, but the diagnostic sensitivity of this investigation is 70%-75%. Therefore, a proportion of patients will go on to require further biopsies. If the first biopsy is non-diagnostic, the chances of further non-diagnostic biopsies are high in MPM.

methodsTarget is a multicentre randomised controlled trial, aiming to recruit 78 patients over a 30-month period, from 10 centres in the UK. Patients will be randomised to either the standard arm which is a second CT-guided biopsy, or the interventional arm, a positron emission tomography-CT scan followed by a targeted CT-guided biopsy. Patients will be followed up for 12 months (patients recruited in the last 6 months of recruitment will have 6 months of follow-up). MPM biomarker mesothelin will be checked at baseline, 6 month and 12 month follow-up appointments where patients are able to attend these appointments. ETHICS AND DISSEMINATION: Ethical approval for this trial was granted by the South West-Exeter research and ethics committee (reference number 15/SW/0156). Results of the trial will be published in a peer-reviewed journal and presented at an international conference. TRIAL REGISTRATION NUMBER: ISRCTN 14024829; Pre-results.

Indexed as

imaging/CT MRI etcmesotheliomapleural disease

Identifiers

PMID29616141
PMCPMC5879942
OpenAlexW2788925586

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.