Evidence map›Paper›PMID 32642249›Full record

ReviewJournal of thoracic disease2020

Navigational bronchoscopy: a guide through history, current use, and developing technology.

Joseph Cicenia, Sameer K Avasarala, Thomas R Gildea

Registry-linked trialAbstract readReview
In one paragraph

Review in Journal of thoracic disease, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05705544 (Robotic Versus Electromagnetic Bronchoscopy for Pulmonary LesIon AssessmeNT), which is not on this map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 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.

NCT05705544 nacompletednot on this mapstarted 2023, after this paper: background citation

Robotic Versus Electromagnetic Bronchoscopy for Pulmonary LesIon AssessmeNT: (the RELIANT Trial)

TypeinterventionalSponsorVanderbilt University Medical CenterRan2023 to 2024Enrolled447ConditionsPeripheral Pulmonary LesionsArmsILLUMISITE™ Platform (EMN bronchoscopy), Ion™ Endoluminal System (SSCB bronchoscopy)
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Distal Bronchopleural Fistula Closure With Robotic Bronchoscopy.Annals of thoracic surgery short reports · 2026
    Article
  4. Article
  5. Article
  6. Diagnostic Bronchoscopy for Peripheral Lung Lesions: When Innovation Races to Meet Demand.American journal of respiratory and critical care medicine · 2025
    Article
  7. Review
  8. Anesthesia for Bronchoscopy-An Update.Journal of clinical medicine · 2024
    Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Journal of thoracic disease · 2023
    Article
  14. Robotic Bronchoscopy: Review of Three Systems.Life (Basel, Switzerland) · 2023
    Review
  15. Article
  16. Advances in Diagnostic Bronchoscopy.Diagnostics (Basel, Switzerland) · 2021
    Review
  17. Article
  18. 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

3 authors.

Joseph CiceniaDivision of Bronchoscopy, Respiratory Institute, Cleveland Clinic, Cleveland, OH, USA.
Sameer K AvasaralaDivision of Bronchoscopy, Respiratory Institute, Cleveland Clinic, Cleveland, OH, USA.
Thomas R GildeaDivision of Bronchoscopy, Respiratory Institute, Cleveland Clinic, Cleveland, OH, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The peripheral pulmonary nodule offers unique challenges to the clinician, especially in regards to diagnostic approach. Quite often the etiology of the nodule is spurious, though the specter of malignancy drives accurate classification of the nodule. Diagnostic approaches range in degrees of invasiveness, accuracy, and morbidity. Bronchoscopic access to these nodules had been plagued by low reported yields, especially in fluoroscopically invisible nodules. Navigational bronchoscopy, however, allowed more accurate access to peripheral nodules while maintaining a low morbidity, and thus reshaped the historic diagnostic algorithms. Though navigational bronchoscopy was initially associated with electromagnetic navigation, newer approaches to navigation and new technologies provide enthusiasm that yield can improve. In this article we will provide a historical approach to navigational bronchoscopy, from its origins to its current state, and we will discuss developing technology and its potential role in the evolving paradigm of the peripheral nodule biopsy.

Indexed as

Bronchoscopyelectromagnetic navigationlung nodulenavigational bronchoscopy

Identifiers

PMID32642249
PMCPMC7330754

What OpenQuestion holds

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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.