Evidence map›Paper›PMID 31058452›Full record

Observational studyThoracic cancer2019

Probe-based confocal laser endomicroscopy for rapid on-site evaluation of transbronchial biopsy specimens.

Masao Takemura, Noriaki Kurimoto, Masahiro Hoshikawa, Toshitaka Maeno, Takeshi Hisada, Masahiko Kurabayashi, Takeo Inoue, Teruomi Miyazawa, Masamichi Mineshita

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Thoracic cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.7field-weighted citation impact, top 15% 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

9 citing papers in PubMed, 17 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. The role of confocal laser endomicroscopy in pulmonary medicine.European respiratory review : an official journal of the European Respiratory Society · 2023
    Review
  5. Article
  6. Review
  7. Targeted detection of cancer cells during biopsy allows real-time diagnosis of pulmonary nodules.European journal of nuclear medicine and molecular imaging · 2022
    Article
  8. Article
  9. Recent developments in advanced diagnostic bronchoscopy.European respiratory review : an official journal of the European Respiratory Society · 2020
    Review
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 3 institutions in 1 country.

Masao TakemuraDivision of Respiratory Medicine, Department of Internal Medicine, St. Marianna University School of Medicine, Kawasaki, Japan.ORCID 0000-0003-1154-1454
Noriaki KurimotoDivision of Medical Oncology and Respiratory Medicine, Department of Internal Medicine, Shimane University Hospital, Izumo, Japan.
Masahiro HoshikawaDepartment of Pathology, St. Marianna University School of Medicine, Kawasaki, Japan.
Toshitaka MaenoDepartment of Respiratory Medicine, Gunma University Graduate School of Medicine, Maebashi, Japan.
Takeshi HisadaDepartment of Respiratory Medicine, Gunma University Graduate School of Medicine, Maebashi, Japan.
Masahiko KurabayashiDepartment of Cardiovascular Medicine, Gunma University Graduate School of Medicine, Maebashi, Japan.
Takeo InoueDivision of Respiratory Medicine, Department of Internal Medicine, St. Marianna University School of Medicine, Kawasaki, Japan.
Teruomi MiyazawaDivision of Respiratory Medicine, Department of Internal Medicine, St. Marianna University School of Medicine, Kawasaki, Japan.
Masamichi MineshitaDivision of Respiratory Medicine, Department of Internal Medicine, St. Marianna University School of Medicine, Kawasaki, Japan.
St. Marianna University School of Medicine · JPGunma University · JPShimane University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProbe-based confocal laser endomicroscopy (pCLE) is a novel, noninvasive technology that provides real-time lung imaging during bronchoscopy. pCLE shows the elastic fiber network without the use of a fluorescent dye. Elastic fibers produce argon laser-induced autofluorescence at a wavelength of 488 nm, but tumor cells do not produce autofluorescence at this wavelength. As a result, the tumor cells cannot be observed directly. Therefore, we stained transbronchial biopsy (TBB) specimens with acriflavine to evaluate the benign and malignant structures using pCLE of ex vivo samples and to determine whether rapid histopathological diagnosis of TBB specimens could be made via pCLE.

methodsAfter bronchoscopy, 36 TBB specimens were stained with acriflavine and observed using pCLE. Benign and malignant lesions were classified by cell density and nuclear magnitude disparity.

resultsWe defined the confocal laser endomicroscopic atypia classification from the findings of the cells. The sensitivity for malignancy was 91.3%, and the specificity was 76.9%. Both inter-observer (κ = 0.48) and intra-observer (κ = 0.57) agreement confirmed moderate agreement.

conclusionpCLE with acriflavine staining was useful to differentiate malignant from benign TBB specimens, and might be useful as a substitute for rapid on-site evaluation of histopathological diagnosis.

Indexed as

AgedBronchoscopyFemaleHumansLungLung DiseasesLung NeoplasmsMaleMicroscopy, ConfocalMiddle AgedProspective StudiesSensitivity and SpecificityAcriflavinebronchoscopelung cancer

Identifiers

PMID31058452
PMCPMC6558449
OpenAlexW2944773366

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.