Evidence map›Paper›PMID 34164180›Full record

ArticleJournal of thoracic disease2021

Pilot study using virtual 4-D tracking electromagnetic navigation bronchoscopy in the diagnosis of pulmonary nodules: a single center prospective study.

Tsukasa Ishiwata, Hideki Ujiie, Alexander Gregor, Terunaga Inage, Yamato Motooka, Tomonari Kinoshita, Masato Aragaki, Zhenchian Chen, Andrew Effat, Nicholas Bernards and 1 more

Open access · diamondAbstract read
In one paragraph

Article in Journal of thoracic disease, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 32% 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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. 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

11 authors at 2 institutions in 1 country.

Tsukasa IshiwataDivision of Thoracic Surgery, Toronto General Hospital, University Health Network, Toronto, Ontario, Canada.
Hideki UjiieDivision of Thoracic Surgery, Toronto General Hospital, University Health Network, Toronto, Ontario, Canada.
Alexander GregorDivision of Thoracic Surgery, Toronto General Hospital, University Health Network, Toronto, Ontario, Canada.
Terunaga InageDivision of Thoracic Surgery, Toronto General Hospital, University Health Network, Toronto, Ontario, Canada.
Yamato MotookaDivision of Thoracic Surgery, Toronto General Hospital, University Health Network, Toronto, Ontario, Canada.
Tomonari KinoshitaDivision of Thoracic Surgery, Toronto General Hospital, University Health Network, Toronto, Ontario, Canada.
Masato AragakiDivision of Thoracic Surgery, Toronto General Hospital, University Health Network, Toronto, Ontario, Canada.
Zhenchian ChenDivision of Thoracic Surgery, Toronto General Hospital, University Health Network, Toronto, Ontario, Canada.
Andrew EffatDivision of Thoracic Surgery, Toronto General Hospital, University Health Network, Toronto, Ontario, Canada.
Nicholas BernardsDivision of Thoracic Surgery, Toronto General Hospital, University Health Network, Toronto, Ontario, Canada.
Kazuhiro YasufukuDivision of Thoracic Surgery, Toronto General Hospital, University Health Network, Toronto, Ontario, Canada.
Toronto General Hospital · CAUniversity Health Network · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundElectromagnetic navigation bronchoscopy (ENB) is a navigation technology intended to improve the diagnostic yield of pulmonary nodules. However, nodule displacement due to respiratory motion may compromise the accuracy of the navigation guidance. The Veran SPiNDrive ENB system employs respiratory-gating (4D-tracking) to compensate for this motion. The aim of the present study was to evaluate the diagnostic performance and safety of the Veran SPiNDrive system for biopsy of pulmonary nodules.

methodsAdult patients with pulmonary nodules of ≥1 cm were enrolled at a single center. Both conventional bronchoscopy and 4D-tracking ENB were performed in one procedure session under general anesthesia, with the procedure order being randomly assigned. Radial probe endobronchial ultrasound and fluoroscopy were used in both groups. The diagnostic performance, safety, total procedure time, and total fluoroscopy time of the ENB phase were compared to the corresponding conventional bronchoscopy phase.

resultsThe study was terminated due to poor accrual; a total of eleven patients were enrolled. The mean size of pulmonary nodules was 2.1 cm. The sensitivity for malignancy was 67% (6/9) and 56% (5/9) with conventional bronchoscopy and with 4D-tracking ENB, respectively. Two cases developed minor bleeding after conventional bronchoscopy, while no complications were observed after 4D-tracking ENB. The mean procedure time was 16.1 and 21.7 min (P=0.090), and the mean duration time for fluoroscopy use was 77 and 44 sec (P=0.056) for the conventional bronchoscopy and the 4D-tracking ENB phases, respectively.

conclusionsThe diagnostic performance of the Veran SPiNDrive 4D-tracking ENB did not exceed that of conventional bronchoscopy for pulmonary nodules. No complications were seen during 4D-tracking ENB. A study with a larger number of participants is required for further assessment.

Indexed as

4D trackingdiagnostic performanceElectromagnetic navigation bronchoscopyprospective study

Identifiers

PMID34164180
PMCPMC8182521
OpenAlexW3160230025

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.