Evidence map›Paper›PMID 37775526›Full record

ArticleCommunications medicine2023

Conversion of the bronchial tree into a conforming electrode to ablate the lung nodule in a porcine model.

Izaz Ali Shah, Hee Yun Seol, Youngdae Cho, Wonjun Ji, Jaeyoung Seo, Cheolmin Lee, Min-Ku Chon, Donghoon Shin, Justin H Kim, Ki-Seok Choo and 4 more

Open access · goldAbstract read
In one paragraph

Article in Communications medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 28% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Review
  2. 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

14 authors at 6 institutions in 2 countries.

Izaz Ali Shah *Department of Electronic Engineering, Hanyang University, Seoul, 04763, Republic of Korea.ORCID http://orcid.org/0000-0002-8297-3863
Hee Yun Seol *Department of Internal Medicine, School of Medicine, Pusan National University, Pusan National University Yangsan Hospital, Research Institute for Convergence of Biomedical Science and Technology, Yangsan, Republic of Korea.
Youngdae ChoDepartment of Electronic Engineering, Hanyang University, Seoul, 04763, Republic of Korea.ORCID http://orcid.org/0000-0002-0521-9103
Wonjun JiDepartment of Pulmonary and Critical Care Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
Jaeyoung SeoDepartment of R&D Center, Tau Medical Inc, Busan, Republic of Korea.
Cheolmin LeeDepartment of R&D Center, Tau Medical Inc, Busan, Republic of Korea.
Min-Ku ChonDepartment of Cardiology, School of Medicine & Cardiovascular center, Pusan National University & Pusan National University Yangsan Hospital, Yangsan, Republic of Korea.
Donghoon ShinDepartment of Pathology, School of Medicine, Pusan National University & Pusan National University Yangsan Hospital, Yangsan, Republic of Korea.
Justin H KimDepartment of R&D Center, Tau Medical Inc, Busan, Republic of Korea.
Ki-Seok ChooDepartment of Radiology, School of Medicine & Medical Research Institute, Pusan National University & Pusan National University Yangsan Hospital, Yangsan, Republic of Korea.
Junhui ParkMajor of Human Bioconvergence, College of Information Technology and Convergence, Pukyong National University, Busan, Republic of Korea.
Juhyung KimDepartment of Physiology, University of Toronto, Toronto, Canada.
Hyoungsuk YooDepartment of Electronic Engineering, Hanyang University, Seoul, 04763, Republic of Korea. hsyoo@hanyang.ac.kr.
June-Hong KimDepartment of Cardiology, School of Medicine & Cardiovascular center, Pusan National University & Pusan National University Yangsan Hospital, Yangsan, Republic of Korea. junehongk@gmail.com.ORCID http://orcid.org/0000-0003-0653-0929
Pusan National University Yangsan Hospital · KRHanyang University · KRUniversity of Toronto · CABusan Medical Center · KRPukyong National University · KRUlsan College · KR

Funding

Korea Institute for Advancement of Technology (KIAT) RS-2023-00232376, 1415187080
6 · The paper itself

Abstract

backgroundRadiofrequency ablation (RFA) is one of the treatment options for lung nodules. However, the need for exact delivery of the rigid metal electrode into the center of the target mass often leads to complications or suboptimal results. To overcome these limitations, a concept of conforming electrodes using a flexible material has been tested in this study.

methodsA bronchoscopy-guided RFA (CAROL) under a temperature-controlled mode was tested in in-vivo and ex-vivo porcine lungs. Gallium-based liquid metal was used for turning the bronchial tree into temporary RF electrodes. A customized bronchoscopy-guided balloon-tipped guiding catheter (CAROL catheter) was used to make the procedure feasible under fluoroscopy imaging guidance. The computer simulation was also performed to gain further insight into the ablation results. Safety was also assessed including the liquid metal remaining in the body.

resultsThe bronchial electrode injected from the CAROL catheter was able to turn the target site bronchial air pipe into a temporally multi-tined RF electrode. The mean volume of Gallium for each effective CAROL was 0.46 ± 0.47 ml. The ablation results showed highly efficacious and consistent results, especially in the peripheral lung. Most bronchial electrodes were also retrieved by either bronchoscopic suction immediately after the procedure or by natural expectoration thereafter. The liquid metal used in these experiments did not have any significant safety issues. Computer simulation also supports these results.

conclusionThe CAROL ablation was very effective and safe in porcine lungs showing encouraging potential to overcome the conventional approaches.

Identifiers

PMID37775526
PMCPMC10541426
OpenAlexW4387164023

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.