Evidence map›Paper›PMID 38868302›Full record

ArticleOpen forum infectious diseases2024

Diagnostic Value of Microbial Cell-free DNA Sequencing for Suspected Invasive Fungal Infections: A Retrospective Multicenter Cohort Study.

Sammy Huygens, Alexander Schauwvlieghe, Nick Wlazlo, Ine Moors, Jerina Boelens, Marijke Reynders, Ga-Lai Chong, Corné H W Klaassen, Bart J A Rijnders

Abstract read
In one paragraph

Article in Open forum infectious diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing 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

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

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

  1. Pooled it
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  7. Review
  8. InvasiveASM case reports · 2026
    Article
  9. Article
  10. Article
  11. A Case Report ofCase reports in infectious diseases · 2026
    Article
  12. Plasma Microbial Cell-free DNA Metagenomic Sequencing for Diagnosis of Invasive Fungal Diseases Among High-risk Outpatient and Inpatient Immunocompromised Hosts.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Article
  13. Article
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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

9 authors.

Sammy HuygensDepartment of Internal Medicine, Section of Infectious Diseases and Department of Medical Microbiology and Infectious Diseases, Erasmus University Medical Center, Rotterdam, The Netherlands.ORCID https://orcid.org/0000-0002-9418-8256
Alexander SchauwvliegheDepartment of Hematology, AZ St-Jan Brugge-Oostende Hospital, Bruges, Belgium.ORCID https://orcid.org/0000-0002-3224-3969
Nick WlazloDepartment of Hematology, Erasmus University Medical Center, Rotterdam, The Netherlands.ORCID https://orcid.org/0000-0003-2512-4600
Ine MoorsDepartment of Hematology, Ghent University Hospital, Ghent, Belgium.ORCID https://orcid.org/0000-0003-3079-8909
Jerina BoelensDepartment of Microbiology, Ghent University Hospital, Ghent, Belgium.ORCID https://orcid.org/0000-0003-2282-8194
Marijke ReyndersDepartment of Laboratory Medicine, Medical Microbiology, AZ St-Jan Brugge-Oostende Hospital, Bruges, Belgium.ORCID https://orcid.org/0000-0003-2079-1279
Ga-Lai ChongDepartment of Medical Microbiology & Infectious Diseases, Erasmus University Medical Center, Rotterdam, The Netherlands.ORCID https://orcid.org/0000-0002-6535-2213
Corné H W KlaassenDepartment of Medical Microbiology & Infectious Diseases, Erasmus University Medical Center, Rotterdam, The Netherlands.ORCID https://orcid.org/0000-0002-3439-0903
Bart J A RijndersDepartment of Internal Medicine, Section of Infectious Diseases and Department of Medical Microbiology and Infectious Diseases, Erasmus University Medical Center, Rotterdam, The Netherlands.ORCID https://orcid.org/0000-0003-3343-9610

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: An early diagnosis and treatment of invasive fungal disease (IFD) is associated with improved outcome, but the moderate sensitivity of noninvasive diagnostic tests makes this challenging. Invasive diagnostic procedures such as bronchoalveolar lavage (BAL) have a higher yield but are not without risk. The detection and sequencing of microbial cell-free DNA (mcfDNA) may facilitate a noninvasive diagnosis. Materials: In a prospective observational study, we collected plasma in the 120 hours preceding or following a BAL in patients with hematological malignancies suspected for a pulmonary IFD. The EORTC/MSGERC2020 criteria were used for IFD classification. Sequencing was performed by Karius (Redwood City, CA) using their Karius Test (KT) on plasma and a "research use only test" on BAL fluid if available. Cases with a probable/proven IFD were identified based on standard diagnostic tests on serum and BAL (microscopy, polymerase chain reaction, galactomannan, culture) and used to calculate the sensitivity, specificity, and additional diagnostic value of the KT. Results: Of 106 patients enrolled, 39 (37%) had a proven/probable invasive aspergillosis, 7 (7%) a non- Conclusions: Sequencing of mcfDNA may facilitate a noninvasive diagnosis of IFD in particular non-

Indexed as

hematological malignancyinvasive fungal diseaseinvasive fungal infectionmicrobial cell-free DNAnext generation sequencing

Identifiers

PMID38868302
PMCPMC11166502

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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.