Evidence map›Paper›PMID 39237960›Full record

ArticleBMC pulmonary medicine2024

Value of ultrathin bronchoscope in improving the endobronchial ultrasound localization rate and diagnosing peripheral pulmonary nodules by cryobiopsy.

Xinying Sun, Hui Chen, Sha Li, Xuechan Yu, Ruyi Xu, Lin Zheng, Dan Lv, Xiaoyan Jin, Yan Zhang, Hongying Ma and 3 more

Abstract read
In one paragraph

Article in BMC pulmonary medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Review
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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

13 authors.

Xinying SunDepartment of Respiratory and Critical Care Medicine, Key Laboratory of Respiratory Disease of Ningbo, The First Affiliated Hospital of Ningbo University, 59 Liuting Road, Ningbo, 315010, China.
Hui ChenDepartment of Respiratory and Critical Care Medicine, Key Laboratory of Respiratory Disease of Zhejiang Province, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Sha LiDepartment of Endoscopic Center, The First Affiliated Hospital of Ningbo University, 59 Liuting Road, Ningbo, 315010, China.
Xuechan YuDepartment of Respiratory and Critical Care Medicine, Key Laboratory of Respiratory Disease of Ningbo, The First Affiliated Hospital of Ningbo University, 59 Liuting Road, Ningbo, 315010, China.
Ruyi XuDepartment of Respiratory and Critical Care Medicine, Key Laboratory of Respiratory Disease of Ningbo, The First Affiliated Hospital of Ningbo University, 59 Liuting Road, Ningbo, 315010, China.
Lin ZhengDepartment of Microbiology, The First Affiliated Hospital of Ningbo University, 59 Liuting Road, Ningbo, 315010, China.
Dan LvDepartment of Respiratory and Critical Care Medicine, Key Laboratory of Respiratory Disease of Ningbo, The First Affiliated Hospital of Ningbo University, 59 Liuting Road, Ningbo, 315010, China.
Xiaoyan JinDepartment of Endoscopic Center, The First Affiliated Hospital of Ningbo University, 59 Liuting Road, Ningbo, 315010, China.
Yan ZhangDepartment of Endoscopic Center, The First Affiliated Hospital of Ningbo University, 59 Liuting Road, Ningbo, 315010, China.
Hongying MaDepartment of Respiratory and Critical Care Medicine, Key Laboratory of Respiratory Disease of Ningbo, The First Affiliated Hospital of Ningbo University, 59 Liuting Road, Ningbo, 315010, China.
Zaichun DengDepartment of Respiratory and Critical Care Medicine, Key Laboratory of Respiratory Disease of Ningbo, The First Affiliated Hospital of Ningbo University, 59 Liuting Road, Ningbo, 315010, China.
Yiming YuDepartment of Respiratory and Critical Care Medicine, Key Laboratory of Respiratory Disease of Ningbo, The First Affiliated Hospital of Ningbo University, 59 Liuting Road, Ningbo, 315010, China. yuyiming0205@163.com.
Zhongbo ChenDepartment of Respiratory and Critical Care Medicine, Key Laboratory of Respiratory Disease of Ningbo, The First Affiliated Hospital of Ningbo University, 59 Liuting Road, Ningbo, 315010, China. leonczb@163.com.

Funding

Clinical Medicine Special Fund Project of Zhejiang Medical Association 2022ZYC-Z31Key Research and development plan of Ningbo City 2023Z179Ningbo Health Youth Technical Key Talents Training Special Project 2020SWSQNGG-05Ningbo Social and Scientific Development Fund 2015C50012Special Project on Scientific and Technological Research of COVID-19 Infection Diseases Normal project No.6The Affiliated Hospital of Medical School of Ningbo University Youth Talent Cultivation Program FYQM-LC-202003the Natural Science Foundation of Ningbo 2018A610271,2017A610250,2022J232Zhejiang basic public welfare research project LGF21C010001Zhejiang Medical and Health Science and Technology Plan Project 2016KYB268Zhejiang Provincial Health Science and Technology Plan 2022RC247
6 · The paper itself

Abstract

backgroundA 3.0-mm ultrathin bronchoscope (UTB) with a 1.7-mm working channel provides better accessibility to peripheral bronchi. A 4.0-mm thin bronchoscope with a larger 2.0-mm working channel facilitates the use of a guide sheath (GS), ensuring repeated sampling from the same location. The 1.1-mm ultrathin cryoprobe has a smaller diameter, overcoming the limitation of the size of biopsy instruments used with UTB. In this study, we compared the endobronchial ultrasound localization rate and diagnostic yield of peripheral lung lesions by cryobiopsy using UTB and thin bronchoscopy combined with GS.

methodsWe retrospectively evaluated 133 patients with peripheral pulmonary lesions with a diameter less than 30 mm who underwent bronchoscopy with either thin bronchoscope or UTB from May 2019 to May 2023. A 3.0-mm UTB combined with rEBUS was used in the UTB group, whereas a 4.0-mm thin bronchoscope combined with rEBUS and GS was used for the thin bronchoscope group. A 1.1-mm ultrathin cryoprobe was used for cryobiopsy in the two groups.

resultsAmong the 133 patients, peripheral pulmonary nodules in 85 subjects were visualized using r-EBUS. The ultrasound localization rate was significantly higher in the UTB group than in the thin bronchoscope group (96.0% vs. 44.6%, respectively; P < 0.001). The diagnostic yield of cryobiopsy specimens from the UTB group was significantly higher compared to the thin bronchoscope group (54.0% vs. 30.1%, respectively; p = 0.006). Univariate analysis demonstrated that the cryobiopsy diagnostic yields of the UTB group were significantly higher for lesions ≤ 20 mm, benign lesions, upper lobe lesions, lesions located lateral one-third from the hilum, and lesions without bronchus sign.

conclusionsUltrathin bronchoscopy combined with cryobiopsy has a superior ultrasound localization rate and diagnostic yield compared to a combination of cryobiopsy and thin bronchoscopy.

Indexed as

BronchoscopesBronchoscopyEndosonographyLung NeoplasmsAdultAgedBiopsyCryosurgeryFemaleHumansLungMaleMiddle AgedMultiple Pulmonary NodulesRetrospective StudiesCryobiopsyLocation raterEBUSThin bronchoscopeUltrathin bronchoscope

Identifiers

PMID39237960
PMCPMC11378380

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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.