Evidence map›Paper›PMID 30341097›Full record

ArticleCancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology2019

Accuracy of a Novel Histoplasmosis Enzyme Immunoassay to Evaluate Suspicious Lung Nodules.

Stephen A Deppen, Pierre P Massion, Jeffrey Blume, Ronald C Walker, Sanja Antic, Heidi Chen, Michele M Durkin, L Joseph Wheat, Eric L Grogan

Open access · bronzeAbstract read
In one paragraph

Article in Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.6field-weighted citation impact, top 16% 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

17 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Improving Lung Cancer Diagnosis with CT Radiomics and Serum Histoplasmosis Testing.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2023
    Article
  5. Pulmonary Histoplasmosis: A Clinical Update.Journal of fungi (Basel, Switzerland) · 2023
    Review
  6. Article
  7. Improving malignancy risk prediction of indeterminate pulmonary nodules with imaging features and biomarkers.Clinica chimica acta; international journal of clinical chemistry · 2022
    Article
  8. The impact of the lung EDRN-CVC on Phase 1, 2, & 3 biomarker validation studies.Cancer biomarkers : section A of Disease markers · 2022
    Article
  9. Integrated Biomarkers for the Management of Indeterminate Pulmonary Nodules.American journal of respiratory and critical care medicine · 2021
    Article
  10. Review
  11. Article
  12. Article
  13. Review
  14. Histoplasmosis-related Healthcare Use, Diagnosis, and Treatment in a Commercially Insured Population, United States.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2020
    Article
  15. Review
  16. Review
  17. 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

9 authors at 1 institution in 1 country.

Stephen A DeppenVanderbilt University Medical Center, Nashville, Tennessee.
Pierre P MassionVanderbilt University Medical Center, Nashville, Tennessee.
Jeffrey BlumeVanderbilt University Medical Center, Nashville, Tennessee.
Ronald C WalkerVanderbilt University Medical Center, Nashville, Tennessee.
Sanja AnticVanderbilt University Medical Center, Nashville, Tennessee.
Heidi ChenVanderbilt University Medical Center, Nashville, Tennessee.
Michele M DurkinMiraVista Diagnostics, Indianapolis, Indiana.
L Joseph WheatMiraVista Diagnostics, Indianapolis, Indiana.
Eric L GroganTennessee Valley VA Healthcare System, Nashville, Tennessee. eric.grogan@vanderbilt.edu.
Vanderbilt University Medical Center · US

Funding

Validation of Biomarkers of Risk for the Early Detection of Lung CancerU01CA152662 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI DEPPEN, STEPHEN, GROGAN, ERIC L · 2010 to 2025
$12.8M
NCI NIH HHS U01 CA152662
6 · The paper itself

Abstract

backgroundGranulomas caused by infectious lung diseases present as indeterminate pulmonary nodules (IPNs) on radiography. Newly available serum enzyme immunoassay (EIA) for histoplasmosis has not been studied for the evaluation of IPNs. We investigated serum biomarkers of histoplasmosis antibodies as an indication of benign disease in IPNs from a highly endemic region.

methodsA total of 152 serum samples from patients presenting with pulmonary nodules ≤30 mm in maximum diameter were analyzed for histoplasmosis antibodies by immunodiffusion and EIA IgG and IgM tests. Serology and FDG-PET/CT scan diagnostic test characteristics were estimated and compared.

resultsCancer prevalence was 55% (

conclusionsA positive EIA test for both IgM and IgG strongly suggested histoplasmosis etiology and benign granuloma for 12% of benign nodules arising from a highly endemic region. Presence of either IgG or IgM histoplasma antibodies was associated with benign disease. The EIA test was more sensitive in assessing histoplasma exposure than immunodiffusion serology. IMPACT: A new CLIA-certified histoplasmosis antibody EIA test measures histoplasmosis exposure, offers a possible alternative clinical diagnosis for benign IPNs, and may improve IPN evaluation while avoiding harmful invasive biopsies.

Indexed as

Immunoenzyme TechniquesAgedFemaleGranulomaHistoplasmaHistoplasmosisHumansImmunoglobulin GImmunoglobulin MLung Diseases, FungalLung NeoplasmsMaleMiddle AgedPositron-Emission TomographySensitivity and SpecificityImmunoglobulin GImmunoglobulin M

Identifiers

PMID30341097
PMCPMC6363824
OpenAlexW2897041593

What OpenQuestion holds

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Registered trials

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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.