Evidence map›Paper›PMID 32441866›Full record

ArticleMolecular oncology2020

Molecular testing on bronchial washings for the diagnosis and predictive assessment of lung cancer.

Roberta Roncarati, Laura Lupini, Elena Miotto, Elena Saccenti, Susanna Mascetti, Luca Morandi, Cristian Bassi, Debora Rasio, Elisa Callegari, Valentina Conti and 9 more

Open access · goldAbstract read
In one paragraph

Article in Molecular oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
1.6field-weighted citation impact, top 17% 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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 30 citations in OpenAlex.

  1. Clinical value of combinedOncology reviews · 2026
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  9. Identification and validation ofOncology letters · 2024
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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

19 authors at 5 institutions in 2 countries.

Roberta RoncaratiDepartment of Morphology, Surgery and Experimental Medicine, University of Ferrara, Italy.ORCID 0000-0002-2371-3316
Laura LupiniDepartment of Morphology, Surgery and Experimental Medicine, University of Ferrara, Italy.
Elena MiottoDepartment of Morphology, Surgery and Experimental Medicine, University of Ferrara, Italy.
Elena SaccentiDepartment of Morphology, Surgery and Experimental Medicine, University of Ferrara, Italy.
Susanna MascettiAzienda Ospedaliero-Universitaria di Ferrara, Division of Respiratory Endoscopy, S. Anna Hospital, Cona, Italy.
Luca MorandiAzienda Ospedaliero-Universitaria di Ferrara, Division of Respiratory Endoscopy, S. Anna Hospital, Cona, Italy.
Cristian BassiDepartment of Morphology, Surgery and Experimental Medicine, University of Ferrara, Italy.
Debora RasioDepartment of Clinical and Molecular Medicine, Sant' Andrea Hospital, University "La Sapienza", Rome, Italy.
Elisa CallegariDepartment of Morphology, Surgery and Experimental Medicine, University of Ferrara, Italy.
Valentina ContiPneumology Division, State Hospital, San Marino, Republic of San Marino.
Rosa RinaldiDivision of Anatomic Pathology, Carlo Poma Hospital, Mantova, Italy.
Giovanni LanzaAzienda Ospedaliero-Universitaria di Ferrara, Division of Anatomic Pathology, S. Anna Hospital, Cona, Italy.
Roberta GafàDepartment of Morphology, Surgery and Experimental Medicine, University of Ferrara, Italy.
Alberto PapiAzienda Ospedaliero-Universitaria di Ferrara, Division of Respiratory Endoscopy, S. Anna Hospital, Cona, Italy.
Antonio FrassoldatiDepartment of Morphology, Surgery and Experimental Medicine, University of Ferrara, Italy.
Silvia SabbioniLaboratorio per le Tecnologie delle Terapie Avanzate, Tecnopolo, University of Ferrara, Italy.
Franco RavennaDivision of Pneumology and Intensive Respiratory Unit, Carlo Poma Hospital, Mantova, Italy.
Gian L CasoniAzienda Ospedaliero-Universitaria di Ferrara, Division of Respiratory Endoscopy, S. Anna Hospital, Cona, Italy.
Massimo NegriniDepartment of Morphology, Surgery and Experimental Medicine, University of Ferrara, Italy.
University of Ferrara · ITArcispedale Sant'Anna · ITAzienda Ospedaliera Carlo Poma · ITAzienda Ospedaliera Sant'Andrea · ITUniversity of the Republic of San Marino · SM

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cytopathological analyses of bronchial washings (BWs) collected during fibre-optic bronchoscopy are often inconclusive for lung cancer diagnosis. To address this issue, we assessed the suitability of conducting molecular analyses on BWs, with the aim to improve the diagnosis and outcome prediction of lung cancer. The methylation status of RASSF1A, CDH1, DLC1 and PRPH was analysed in BW samples from 91 lung cancer patients and 31 controls, using a novel two-colour droplet digital methylation-specific PCR (ddMSP) technique. Mutations in ALK, BRAF, EGFR, ERBB2, KRAS, MAP2K1, MET, NRAS, PIK3CA, ROS1 and TP53 and gene fusions of ALK, RET and ROS1 were also investigated, using next-generation sequencing on 73 lung cancer patients and 14 tumour-free individuals. Our four-gene methylation panel had significant diagnostic power, with 97% sensitivity and 74% specificity (relative risk, 7.3; odds ratio, 6.1; 95% confidence interval, 12.7-127). In contrast, gene mutation analysis had a remarkable value for predictive, but not for diagnostic, purposes. Actionable mutations in EGFR, HER2 and ROS1 as well as in other cancer genes (KRAS, PIK3CA and TP53) were detected. Concordance with gene mutations uncovered in tumour biopsies was higher than 90%. In addition, bronchial-washing analyses permitted complete patient coverage and the detection of additional actionable mutations. In conclusion, BWs are a useful material on which to perform molecular tests based on gene panels: aberrant gene methylation and mutation analyses could be performed as approaches accompanying current diagnostic and predictive assays during the initial workup phase. This study establishes the grounds for further prospective investigation.

Indexed as

Bronchoalveolar LavageMolecular Diagnostic TechniquesAdenocarcinoma of LungAgedAged, 80 and overBiomarkers, TumorDNA MethylationFemaleHumansLung NeoplasmsMaleMiddle AgedMutationBiomarkers, Tumorearly diagnosisliquid biopsylung cancermolecular testtherapeutic decision-making

Identifiers

PMID32441866
PMCPMC7463327
OpenAlexW3026276211

What OpenQuestion holds

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LicenceCC BY
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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.