Evidence map›Paper›PMID 33447457›Full record

ArticleJournal of thoracic disease2020

Scoring model of convex probe endobronchial ultrasound multimodal imaging in differentiating benign and malignant lung lesions.

Xinxin Zhi, Lei Wang, Junxiang Chen, Xiaoxuan Zheng, Ying Li, Jiayuan Sun

Registry-linked trialOpen access · diamondAbstract read
In one paragraph

Article 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 NCT05512533 (Feasibility and Safety of Thin Convex Probe EBUS Scope BF-UC290F for the Diagnosis of Peripheral Pulmonary Lesions), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.3field-weighted citation impact, top 37% 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.

NCT05512533 nacompletednot on this mapstarted 2022, after this paper: background citation

Feasibility and Safety of Thin Convex Probe EBUS Scope BF-UC290F for the Diagnosis of Peripheral Pulmonary Lesions

TypeinterventionalSponsorShanghai Chest HospitalRan2022 to 2023Enrolled31ConditionsPeripheral Pulmonary LesionsArmsLinear Ultrasound Bronchoscope BF-UC290F (Olympus)
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 6 citations in OpenAlex.

  1. Review
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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

6 authors at 2 institutions in 1 country.

Xinxin ZhiDepartment of Respiratory Endoscopy, Shanghai Jiao Tong University, Shanghai, China.
Lei WangDepartment of Ultrasound, Shanghai Chest Hospital, Shanghai Jiao Tong University, Shanghai, China.
Junxiang ChenDepartment of Respiratory Endoscopy, Shanghai Jiao Tong University, Shanghai, China.
Xiaoxuan ZhengDepartment of Respiratory Endoscopy, Shanghai Jiao Tong University, Shanghai, China.
Ying LiDepartment of Respiratory Endoscopy, Shanghai Jiao Tong University, Shanghai, China.
Jiayuan SunDepartment of Respiratory Endoscopy, Shanghai Jiao Tong University, Shanghai, China.
Shanghai Chest Hospital · CNShanghai Jiao Tong University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundConvex probe endobronchial ultrasound images can reflect the morphology, blood flow status and stiffness of the lesions. Endobronchial ultrasound multimodal imaging has great value for the diagnosis of intrathoracic lymph nodes. This study aimed to analyze the application of endobronchial ultrasound multimodal imaging on lung lesions.

methodsPatients undergoing endobronchial ultrasound-guided transbronchial needle aspiration in Shanghai Chest Hospital from July 2018 to December 2019 were retrospectively enrolled. Nine grayscale features (long and short axes, margin, shape, lobulation sign, echogenicity, necrosis, liquefaction, calcification, and air-bronchogram), blood flow volume and elastography five-score method were analyzed to explore the best diagnostic method. The gold standard for diagnosing lesions depends on the histological and cytopathological findings of endobronchial ultrasound-guided transbronchial needle aspiration, transthoracic biopsy, resected sample of lesions, microbiological examination or clinical follow-up of at least 6 months.

resultsEndobronchial ultrasound multimodal imaging of 97 malignant lung lesions and 19 benign lung lesions from 116 patients were analyzed. There were statistically significant differences in distinct margin, presence of lobulation sign, presence of necrosis, and elastography grading score 4-5 between malignant and benign lung lesions, among which presence of lobulation sign and elastography grading score 4-5 were independent predictors. A diagnostic scoring model was then constructed based on the above four features, and when two or more features were present, the sensitivity, specificity, positive predictive value, negative predictive value and accuracy for malignant lung lesions prediction were 92.78%, 57.89%, 91.84%, 61.11% and 87.07%, respectively.

conclusionsThe combination of endobronchial ultrasound grayscale and elastography has potential value for malignant and benign lung lesions differentiation. The diagnostic scoring model established in this study needs further validation to guide the malignant and benign diagnosis of lung lesions.

Indexed as

diagnosiselastographyEndobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA)grayscalelung lesions

Identifiers

PMID33447457
PMCPMC7797845
OpenAlexW3117613493

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.