Evidence map›Paper›PMID 38447771›Full record

ArticleJournal of vascular and interventional radiology : JVIR2024

Comparison of a Patient-Mounted Needle-Driving Robotic System versus Single-Rotation CT Fluoroscopy to Perform CT-Guided Percutaneous Lung Biopsies.

Erica S Alexander, Elena N Petre, Sylvain Bodard, Brett Marinelli, Debkumar Sarkar, Francois H Cornelis

Registry-linked trialOpen access · greenAbstract readComparative Study
In one paragraph

Article in Journal of vascular and interventional radiology : JVIR, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07277088 (A Prospective, Single-center, Randomized Controlled Clinical Study to Evaluate the Efficacy and Safety of the Percutaneous Interventional Surgery Control System for Pulmonary Nodule Biopsy), which is not on this map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
9.6field-weighted citation impact, top 1% 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.

NCT07277088 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

A Prospective, Single-center, Randomized Controlled Clinical Study to Evaluate the Efficacy and Safety of the Percutaneous Interventional Surgery Control System for Pulmonary Nodule Biopsy

TypeinterventionalSponsorJiayuan SunRan2025 to 2027Enrolled158ConditionsPulmonary Nodules, Lung Cancer (Diagnosis), Percutaneous Needle Biopsy, Transthoracic Needle BiopsyArmsPercutaneous Needle Biopsy with Interventional Surgical Control System, Conventional Manual Percutaneous Needle Biopsy
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Robotic navigation-assisted percutaneous liver puncture: a pilot study.Quantitative imaging in medicine and surgery · 2025
    Article
  12. 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

6 authors at 1 institution in 1 country.

Erica S AlexanderDepartment of Radiology, Memorial Sloan Kettering Cancer Center (MSK), New York, New York; Weill Cornell Medical College, Medicine, New York, New York.
Elena N PetreDepartment of Radiology, Memorial Sloan Kettering Cancer Center (MSK), New York, New York.
Sylvain BodardDepartment of Radiology, Memorial Sloan Kettering Cancer Center (MSK), New York, New York.
Brett MarinelliDepartment of Radiology, Memorial Sloan Kettering Cancer Center (MSK), New York, New York; Weill Cornell Medical College, Medicine, New York, New York.
Debkumar SarkarDepartment of Radiology, Memorial Sloan Kettering Cancer Center (MSK), New York, New York; Weill Cornell Medical College, Medicine, New York, New York.
Francois H CornelisDepartment of Radiology, Memorial Sloan Kettering Cancer Center (MSK), New York, New York; Weill Cornell Medical College, Medicine, New York, New York. Electronic address: cornelif@mskcc.org.
Memorial Sloan Kettering Cancer Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

purposeTo compare the effectiveness of percutaneous lung biopsy using a patient-mounted needle-driving robotic system with that using a manual insertion of needles under computed tomography (CT) fluoroscopy guidance. MATERIALS AND

methodsIn this institutional review board approved study, the cohort consisted of a series of patients who underwent lung biopsies following the intention-to-treat protocol from September 2022 to September 2023 using robot (n = 15) or manual insertion under single-rotation CT fluoroscopy (n = 66). Patient and procedure characteristics were recorded as well as outcomes.

resultsAlthough age, body mass index, and skin-to-target distance were not statistically different, target size varied (median, 8 mm [interquartile range, 6.5-9.5 mm] for robot vs 12 mm [8-18 mm] for single-rotation CT fluoroscopy; P = .001). No statistical differences were observed in technical success (86.7% [13/15] vs 89.4% [59/66], P = .673), Grade 3 adverse event (AE) (6.7% [1/15] vs 12.1% [8/66], P = .298), procedural time (28 minutes [22-32 minutes] vs 19 minutes [14.3-30.5 minutes], P = .086), and patient radiation dose (3.9 mSv [3.2-5.6 mSv] vs 4.6 mSv [3.3-7.5 mSv], P = .398). In robot-assisted cases, the median angle out of gantry plane was 10° (6.5°-16°), although it was null (0°-5°) for single-rotation CT fluoroscopy (P = .001).

conclusionsRobot-assisted and single-rotation CT fluoroscopy-guided percutaneous lung biopsies were similar in terms of technical success, diagnostic yield, procedural time, AEs, and radiation dose, although robot allowed for out-of-gantry plane navigation along the needle axis.

Indexed as

Image-Guided BiopsyLungRadiography, InterventionalRobotic Surgical ProceduresTomography, X-Ray ComputedAgedBiopsy, NeedleEquipment DesignFemaleFluoroscopyHumansMaleMiddle AgedNeedlesPredictive Value of TestsRetrospective Studies

Identifiers

PMID38447771
PMCPMC12067536
OpenAlexW4392467826

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.