Evidence map›Paper›PMID 33447459›Full record

ArticleJournal of thoracic disease2020

The value of virtual bronchoscopic navigation and radial endobronchial ultrasound-guided transbronchial lung cryobiopsies for pulmonary lymphangitic carcinomatosis.

Lingling Pang, Tingshu Jiang, Xueping Liu, Zhan Li, Shenchun Zou, Pengfei Yu

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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. Cited by 2 papers, 1 of them a synthesis that pooled it.

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2citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

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3 · Its place in the literature

Who cites it

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

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Lingling PangDepartment of Pulmonary and Critical Care Medicine, Yantai Yuhuangding Hospital, Yantai, China.
Tingshu JiangDepartment of Pulmonary and Critical Care Medicine, Yantai Yuhuangding Hospital, Yantai, China.
Xueping LiuDepartment of Pulmonary and Critical Care Medicine, Yantai Yuhuangding Hospital, Yantai, China.
Zhan LiDepartment of Pulmonary and Critical Care Medicine, Yantai Yuhuangding Hospital, Yantai, China.
Shenchun ZouDepartment of Pulmonary and Critical Care Medicine, Yantai Yuhuangding Hospital, Yantai, China.
Pengfei YuDepartment of Pulmonary and Critical Care Medicine, Yantai Yuhuangding Hospital, Yantai, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPulmonary lymphangitic carcinomatosis (PLC) is characterized by malignant infiltration into lung lymphatic channels from a primary site and is often observed in advanced malignant tumors. This study aimed to evaluate the diagnostic yield of transbronchial lung cryobiopsy in PLC guided by radial endobronchial ultrasound and virtual bronchoscopic navigation (VBN).

methodsThis prospective study enrolled 40 patients with clinical and radiologic features indicating PLC. The radial endobronchial ultrasound probe was initially advanced to the region of interest of the desired lobe near the pleura with guidance by VBN. Transbronchial lung biopsy and transbronchial lung cryobiopsy were both performed in the same ROI of all patients with the obtained samples being sent to the pathology laboratory for diagnostic analysis. Procedural complications were recorded.

resultsThe average number of transbronchial lung biopsy and transbronchial lung cryobiopsy specimens were 4 (3 to 6) and 2 (1 to 3), respectively (t=10.43, P<0.01), with the corresponding mean diameters per biopsy being 3.7 and 8.7 mm (t=12.37, P<0.01). The diagnostic yields of transbronchial lung biopsy and transbronchial lung cryobiopsy were 70% (28/40) and 92.5% (37/40), respectively. The final positive predictive values of transbronchial lung cryobiopsy and transbronchial lung biopsy for PLC were 94.4% (34/36) and 77.8% (28/36), respectively (χ

conclusionsTransbronchial lung cryobiopsy with the guidance of radial endobronchial ultrasound and VBN without fluoroscopy has a good diagnostic yield for PLC; moreover, it allows one to obtain adequate and intact tissue samples for further molecular analysis.

Indexed as

Pulmonary lymphangitic carcinomatosis (PLC)radial endobronchial ultrasoundtransbronchial lung biopsytransbronchial lung cryobiopsyvirtual bronchoscopic navigation (VBN)

Identifiers

PMID33447459
PMCPMC7797829

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