Evidence map›Paper›PMID 31339018›Full record

ArticleKorean journal of radiology2019

Diagnostic Accuracy of Percutaneous Transthoracic Needle Lung Biopsies: A Multicenter Study.

Kyung Hee Lee, Kun Young Lim, Young Joo Suh, Jin Hur, Dae Hee Han, Mi Jin Kang, Ji Yung Choo, Cherry Kim, Jung Im Kim, Soon Ho Yoon and 2 more

Registry-linked trialAbstract readMulticenter Study
In one paragraph

Article in Korean journal of radiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07277088 (A Prospective, Single-center, Randomized Controlled Clinical Study to Evaluate the Efficacy and Safety of the Percutaneous Interventional Surgery Control System for Pulmonary Nodule Biopsy), which is not on this map. Cited by 38 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

NCT07277088 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

A Prospective, Single-center, Randomized Controlled Clinical Study to Evaluate the Efficacy and Safety of the Percutaneous Interventional Surgery Control System for Pulmonary Nodule Biopsy

TypeinterventionalSponsorJiayuan SunRan2025 to 2027Enrolled158ConditionsPulmonary Nodules, Lung Cancer (Diagnosis), Percutaneous Needle Biopsy, Transthoracic Needle BiopsyArmsPercutaneous Needle Biopsy with Interventional Surgical Control System, Conventional Manual Percutaneous Needle Biopsy
3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

12 authors.

Kyung Hee LeeDepartment of Radiology, Seoul National University Bundang Hospital, Seongnam, Korea.ORCID 0000-0003-2248-2525
Kun Young LimDepartment of Radiology, National Cancer Center, Goyang, Korea.ORCID 0000-0002-8220-1476
Young Joo SuhDepartment of Radiology, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.ORCID 0000-0002-2078-5832
Jin HurDepartment of Radiology, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.ORCID 0000-0002-8651-6571
Dae Hee HanDepartment of Radiology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.ORCID 0000-0002-5239-9207
Mi Jin KangDepartment of Radiology, Inje University Sanggye Paik Hospital, Seoul, Korea.ORCID 0000-0001-8510-3268
Ji Yung ChooDepartment of Radiology, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, Korea.ORCID 0000-0003-1244-0102
Cherry KimDepartment of Radiology, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, Korea.ORCID 0000-0002-3361-5496
Jung Im KimDepartment of Radiology, Kyung Hee University Hospital at Gangdong, College of Medicine, Kyung Hee University, Seoul, Korea.ORCID 0000-0001-6242-486X
Soon Ho YoonDepartment of Radiology, Seoul National University College of Medicine, Seoul, Korea.ORCID 0000-0002-3700-0165
Woojoo LeeDepartment of Statistics, Inha University, Incheon, Korea.ORCID 0000-0001-7447-7045
Chang Min ParkDepartment of Radiology, Seoul National University College of Medicine, Seoul, Korea.ORCID 0000-0003-1884-3738

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo measure the diagnostic accuracy of percutaneous transthoracic needle lung biopsies (PTNBs) on the basis of the intention-to-diagnose principle and identify risk factors for diagnostic failure of PTNBs in a multi-institutional setting. MATERIALS AND

methodsA total of 9384 initial PTNBs performed in 9239 patients (mean patient age, 65 years [range, 20-99 years]) from January 2010 to December 2014 were included. The accuracy, sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of PTNBs for diagnosis of malignancy were measured. The proportion of diagnostic failures was measured, and their risk factors were identified.

resultsThe overall accuracy, sensitivity, specificity, PPV, and NPV were 91.1% (95% confidence interval [CI], 90.6-91.7%), 92.5% (95% CI, 91.9-93.1%), 86.5% (95% CI, 85.0-87.9%), 99.2% (95% CI, 99.0-99.4%), and 84.3% (95% CI, 82.7-85.8%), respectively. The proportion of diagnostic failures was 8.9% (831 of 9384; 95% CI, 8.3-9.4%). The independent risk factors for diagnostic failures were lesions ≤ 1 cm in size (adjusted odds ratio [AOR], 1.86; 95% CI, 1.23-2.81), lesion size 1.1-2 cm (1.75; 1.45-2.11), subsolid lesions (1.81; 1.32-2.49), use of fine needle aspiration only (2.43; 1.80-3.28), final diagnosis of benign lesions (2.18; 1.84-2.58), and final diagnosis of lymphomas (10.66; 6.21-18.30). Use of cone-beam CT (AOR, 0.31; 95% CI, 0.13-0.75) and conventional CT-guidance (0.55; 0.32-0.94) reduced diagnostic failures.

conclusionThe accuracy of PTNB for diagnosis of malignancy was fairly high in our large-scale multi-institutional cohort. The identified risk factors for diagnostic failure may help reduce diagnostic failure and interpret the biopsy results.

Indexed as

AdultAgedAged, 80 and overBiopsy, Fine-NeedleCone-Beam Computed TomographyDiagnostic ErrorsDiagnostic Tests, RoutineFemaleHumansImage-Guided BiopsyMaleMiddle AgedNeoplasmsOdds RatioRetrospective StudiesRisk FactorsImage-guided biopsyLung neoplasmsMulticenter studySensitivity and specificity

Identifiers

PMID31339018
PMCPMC6658880

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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.