Evidence map›Paper›PMID 30253411›Full record

ArticleRespiration; international review of thoracic diseases

Endoscopic Ultrasound with Bronchoscope-Guided Fine Needle Aspiration for the Diagnosis of Paraesophageally Located Lung Lesions.

Ida Skovgaard Christiansen, Jolanda Corina Kuijvenhoven, Uffe Bodtger, Therese Maria Henriette Naur, Khaliq Ahmad, Jatinder Singh Sidhu, Rafi Nessar, Goran Nadir Salih, Asbjørn Høegholm, Jouke Tabe Annema and 1 more

Registry-linked trialOpen access · hybridAbstract readCase ReportsMulticenter Study
In one paragraph

Article in Respiration; international review of thoracic diseases. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06848738 (Improving Genomic Profiling and Reducing Time to Non-small Cell Lung Cancer or Lymphoma Treatment Via Targeted Use of Endoscopic Ultrasound), which is not on this map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
3.3field-weighted citation impact, top 7% 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.

NCT06848738 naenrolling by invitationnot on this map

Improving Genomic Profiling and Reducing Time to Non-small Cell Lung Cancer or Lymphoma Treatment Via Targeted Use of Endoscopic Ultrasound: a Randomized Clinical Trial on the Diagnostic Accuracy of Tissue Sampling With FNA Versus FNB

TypeinterventionalSponsorZealand University HospitalRan2024 to 2026Enrolled362ConditionsLung Cancer, Lymphoma, SarcoidosisArmsFNB, FNA
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 35 citations in OpenAlex.

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  15. Intracardiac EUS-B-Guided FNA for Diagnosing Cardiac Tumors.Respiration; international review of thoracic diseases
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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

11 authors at 5 institutions in 2 countries.

Ida Skovgaard ChristiansenDepartment of Internal Medicine, Zealand University Hospital, Roskilde, Denmark.
Jolanda Corina KuijvenhovenAcademic Medical Center, Department of Respiratory Medicine, University of Amsterdam, Amsterdam, The Netherlands.
Uffe BodtgerDepartment of Internal Medicine, Zealand University Hospital, Roskilde, Denmark.
Therese Maria Henriette NaurDepartment of Respiratory Medicine, Næstved Hospital, Næstved, Denmark.
Khaliq AhmadDepartment of Respiratory Medicine, Næstved Hospital, Næstved, Denmark.
Jatinder Singh SidhuDepartment of Respiratory Medicine, Næstved Hospital, Næstved, Denmark.
Rafi NessarDepartment of Internal Medicine, Zealand University Hospital, Roskilde, Denmark.
Goran Nadir SalihDepartment of Internal Medicine, Zealand University Hospital, Roskilde, Denmark.
Asbjørn HøegholmDepartment of Respiratory Medicine, Næstved Hospital, Næstved, Denmark.
Jouke Tabe AnnemaAcademic Medical Center, Department of Respiratory Medicine, University of Amsterdam, Amsterdam, The Netherlands, j.t.annema@amc.nl.
Paul Frost ClementsenDepartment of Internal Medicine, Zealand University Hospital, Roskilde, Denmark.
Næstved Sygehus · DKZealand University Hospital · DKAmsterdam UMC Location University of Amsterdam · NLUniversity of Southern Denmark · DKUniversity of Copenhagen · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiagnosing centrally located lung tumors without endobronchial abnormalities and not located near the major airways is a diagnostic challenge. Tumors near or adjacent to the esophagus can be aspirated and detected with esophageal ultrasound (EUS) using gastrointestinal endoscopes.

objectiveTo assess the feasibility and diagnostic yield of endoscopic ultrasound with bronchoscope-guided fine needle aspiration (EUS-B-FNA) in paraesophageally located lung tumors and its added value to bronchoscopy and endobronchial ultrasound (EBUS).

methodsRetrospective, multicenter international study (from January 1, 2015 until January 1, 2018) of patients with suspected lung cancer, undergoing bronchoscopy, EBUS, and endoscopic ultrasound bronchoscopy (EUS-B) in one session by a single operator (pulmonologist), in whom the primary lung tumor was detected and aspirated by EUS-B. In the absence of malignancy following endoscopy, transthoracic ultrasound needle aspiration, clinical and radiological follow-up of at least 6 months was performed. The yield and sensitivity of EUS-B-FNA and its added value to bronchoscopy and EBUS was assessed.

results58 patients were identified with the following diagnosis: non-small-cell lung cancer (n = 43), small-cell lung cancer (n = 6), mesothelioma (n = 2), metastasis (n = 1), nonmalignant (n = 6). The yield and sensitivity of EUS-B-FNA for detecting lung cancer was 90%. In 26 patients (45%), the intrapulmonary tumor was exclusively detected by EUS-B. Adding EUS-B to conventional bronchoscopy and EBUS increased the diagnostic yield for diagnosing lung cancer in para-esophageally located lung tumors from 51 to 91%. No EUS-B-related complications were observed.

conclusionEUS-B-FNA is a feasible and safe technique for diagnosing centrally located intrapulmonary tumors that are located near or adjacent to the esophagus. EUS-B should be considered in the same endoscopy session following nondiagnostic bronchoscopy and EBUS.

Indexed as

Endoscopic Ultrasound-Guided Fine Needle AspirationAdenocarcinomaAdultAgedAged, 80 and overFeasibility StudiesFemaleHumansLung NeoplasmsMaleMiddle AgedRetrospective StudiesDiagnosisEndobronchial ultrasoundEsophageal ultrasoundLung cancer

Identifiers

PMID30253411
PMCPMC6518855
OpenAlexW2893725601

What OpenQuestion holds

Textmetadata
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Registered trials

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.