Evidence map›Paper›PMID 31512814›Full record

ArticlePediatric pulmonology2019

Evaluation of the pulmonary radioaerosol mucociliary clearance scan as an adjunctive test for the diagnosis of primary ciliary dyskinesia in children.

Reza Vali, Hasan Ghandourah, Martin Charron, Kimiya V Nezhad, Yusuaf Omarkhail, Afsoon Khazaee, Amer Shammas, Sharon D Dell

Open access · greenAbstract read
In one paragraph

Article in Pediatric pulmonology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 29% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Guideline
  2. Unrecognized ciliary motility disorders in neutrophilic severe asthma exacerbations.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2026
    Article
  3. Article
  4. 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

8 authors at 3 institutions in 1 country.

Reza ValiDepartment of Medical Imaging, The Hospital for Sick Children, Toronto, Ontario, Canada.
Hasan GhandourahDivision of Respiratory Medicine, The Hospital for Sick Children, Toronto, Ontario, Canada.
Martin CharronBrambton Nuclear Service, Brambton, Ontario, Canada.
Kimiya V NezhadDepartment of Medical Imaging, The Hospital for Sick Children, Toronto, Ontario, Canada.
Yusuaf OmarkhailDepartment of Medical Imaging, The Hospital for Sick Children, Toronto, Ontario, Canada.
Afsoon KhazaeeDepartment of Medical Imaging, The Hospital for Sick Children, Toronto, Ontario, Canada.
Amer ShammasDepartment of Medical Imaging, The Hospital for Sick Children, Toronto, Ontario, Canada.
Sharon D DellDivision of Respiratory Medicine, The Hospital for Sick Children, Toronto, Ontario, Canada.ORCID 0000-0003-2169-9407
Hospital for Sick Children · CALambton College · CAUniversity of Toronto · CA

Funding

The Impact of COVID-19 on People Living with Rare Diseases and Their FamiliesU2CTR002818 · NCATS · CINCINNATI CHILDRENS HOSP MED CTR · PI MICHAEL SEID · 2019 to 2026
$51.2M
Longitudinal Characterization of Respiratory Tract Exacerbations and Treatment Responses in Primary Ciliary DyskinesiaU54HL096458 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI FERKOL, THOMAS W · 2009 to 2023
$20.0M
NCATS NIH HHS U2C TR002818NHLBI NIH HHS U54 HL096458NHLBI NIH HHS U54HL096458
6 · The paper itself

Abstract

introductionThe accuracy of primary ciliary dyskinesia (PCD) diagnosis has improved but no single test is diagnostic and some cases remain unsolved. Data regarding the accuracy of pulmonary radioaerosol mucociliary clearance scan (PRMCC) for the diagnosis of PCD are limited to predominantly adults using a 24-hour test. This study was performed to determine the accuracy of a 60-minute PRMCC test for diagnosing PCD in children.

methodsChildren with suspected PCD and inconclusive clinical diagnostic testing in an expert center were selected for PRMCC testing. Nebulized

resultsFrom 2008 to 2018, 57 patients (6-17 years) participated, of which 16 met criteria for the reference diagnosis of PCD. The PRMCC test was conclusive in 54 patients (94.7%) and had a sensitivity of 100% (95% confidence interval [CI] = 78.2-100), specificity of 85.7% (95% CI = 69.7-95.2), positive predictive value of 75% (95% CI = 57.1-87.1), negative predictive value of 100% (95% CI = 90.2-100), and accuracy of 90% (95% CI = 78.2-96.7).

conclusionThe 60-minute PRMCC test is noninvasive and feasible in children with a high negative predictive value for PCD. It may be a helpful adjunctive test to rule out PCD when clinical suspicion remains after guideline recommended first-line clinical testing.

Indexed as

AdolescentAdultAerosolsChildChild, PreschoolCiliary Motility DisordersDiagnostic Tests, RoutineFemaleHumansMaleMucociliary ClearanceSensitivity and SpecificityYoung AdultAerosolsdiagnosisprimary ciliary dyskinesiapulmonary radioaerosol mucociliary clearance scan

Identifiers

PMID31512814
PMCPMC6851429
OpenAlexW2972494087

What OpenQuestion holds

Textmetadata
LicenceTDM
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.