Evidence map›Paper›PMID 34705111›Full record

ArticleSurgery today2022

Electromagnetic navigation bronchoscopy versus virtual bronchoscopy navigation for improving the diagnosis of peripheral lung lesions: analysis of the predictors of successful diagnosis.

Yojiro Yutaka, Toshihiko Sato, Masahide Isowa, Yoshitake Murata, Satona Tanaka, Yoshito Yamada, Akihito Ohsumi, Daisuke Nakajima, Masatsugu Hamaji, Toshi Menju and 2 more

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Article in Surgery today, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

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0cells of the map it votes in
11citing 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

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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

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

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  5. Advanced Bronchoscopic Diagnostic Techniques in Lung Cancer.Tuberculosis and respiratory diseases · 2024
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4 · The record

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5 · Who and what money

Authors and funding

12 authors.

Yojiro YutakaDepartment of Thoracic Surgery, Kyoto University Hospital, Kyoto, Japan. yutaka7@kuhp.kyoto-u.ac.jp.ORCID http://orcid.org/0000-0003-4220-969X
Toshihiko SatoDepartment of Thoracic, Breast and Pediatric Surgery, Fukuoka University, Fukuoka, Japan.
Masahide IsowaDepartment of Thoracic Surgery, Kyoto University Hospital, Kyoto, Japan.
Yoshitake MurataDepartment of Thoracic Surgery, Kyoto University Hospital, Kyoto, Japan.
Satona TanakaDepartment of Thoracic Surgery, Kyoto University Hospital, Kyoto, Japan.
Yoshito YamadaDepartment of Thoracic Surgery, Kyoto University Hospital, Kyoto, Japan.
Akihito OhsumiDepartment of Thoracic Surgery, Kyoto University Hospital, Kyoto, Japan.
Daisuke NakajimaDepartment of Thoracic Surgery, Kyoto University Hospital, Kyoto, Japan.
Masatsugu HamajiDepartment of Thoracic Surgery, Kyoto University Hospital, Kyoto, Japan.
Toshi MenjuDepartment of Thoracic Surgery, Kyoto University Hospital, Kyoto, Japan.
Toyofumi Fengshi Chen-YoshikawaDepartment of Thoracic Surgery, Nagoya University Hospital, Nagoya, Japan.
Hiroshi DateDepartment of Thoracic Surgery, Kyoto University Hospital, Kyoto, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo investigate if electromagnetic navigation bronchoscopy (ENB) improves the diagnostic yield for peripheral lung lesions from that achieved by virtual bronchoscopy navigation (VBN).

methodsThis retrospective study compared the results of 100 ENB-transbronchial lung biopsies (TBLBs) with those of 50 VBN-TBLBs at a single institution.

resultsENB improved the diagnostic yield significantly compared with VBN (64.0% for 19.4 ± 9.0 mm tumors vs. 46.0% for 27.6 ± 8.9 mm tumors; p < 0.0001). Irrespective of the bronchus sign, ENB was more favorable than VBN, with 81.0% (47/58) achieved by ENB vs. 60.0% (21/35) achieved by VBN in the presence of the positive bronchus sign (p = 0.0283), and 40.5% (17/42) achieved by ENB vs. 13.3% (2/15) achieved by VBN in the absence of the bronchus sign (p = 0.0431). Univariate analysis identified tumor size (p = 0.0048), amount of intravenous sedation (p = 0.0182), registration time (p = 0.0111), minimum distance to target (p = 0.0244), and the bronchus sign (p < 0.0001) as factors that affected the yield significantly for ENB. Multivariate analysis identified the bronchus sign (odds ratio 6.74; 95% CI 1.84-24.7) and the registration time (OR 1.01; 95% CI 1.00-1.02) as significant factors.

conclusionsDespite the bronchus sign being a significant factor, ENB improved the diagnostic yield of smaller lesions significantly, compared with VBN, regardless of the bronchus sign.

Indexed as

BronchoscopyLung NeoplasmsElectromagnetic PhenomenaHumansLungRetrospective StudiesBronchus signDiagnostic yieldElectromagnetic navigation bronchoscopyPeripheral lung lesionVirtual bronchoscopy navigation

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