Evidence map›Paper›PMID 39304805›Full record

ArticleBMC infectious diseases2024

Diagnostic value of the Xpert MTB/RIF assay combined with endobronchial ultrasonography with a guide sheath for peripheral nodular pulmonary tuberculosis.

Lihong Zhou, Yan Yong, Xiaoqin Ran, Hao Li, Qin Hu

Abstract read
In one paragraph

Article in BMC infectious diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Lihong ZhouDepartment of Tuberculosis Diagnosis and Treatment Center of Zhejiang Chinese and Western Medicine Integrated Hospital, No. 208 Huancheng East Road, Gongshu District, Hangzhou, Zhejiang, China.
Yan YongDepartment of Tuberculosis Diagnosis and Treatment Center of Zhejiang Chinese and Western Medicine Integrated Hospital, No. 208 Huancheng East Road, Gongshu District, Hangzhou, Zhejiang, China.
Xiaoqin RanDepartment of Tuberculosis Diagnosis and Treatment Center of Zhejiang Chinese and Western Medicine Integrated Hospital, No. 208 Huancheng East Road, Gongshu District, Hangzhou, Zhejiang, China.
Hao LiDepartment of Tuberculosis Laboratory of Zhejiang Chinese and Western Medicine Integrated Hospital, No. 208 Huancheng East Road, Gongshu District, Hangzhou, Zhejiang, China.
Qin HuDepartment of Tuberculosis Diagnosis and Treatment Center of Zhejiang Chinese and Western Medicine Integrated Hospital, No. 208 Huancheng East Road, Gongshu District, Hangzhou, Zhejiang, China. qinhu19832023@163.com.

Funding

HangZhou Municipal Health Commission A20200673Health Commission of Zhejiang Province 2022KY984
6 · The paper itself

Abstract

backgroundThe diagnosis of peripheral isolated nodular lesions that are suspected as pulmonary tuberculosis (PTB) is challenging, which are not easily accessible via conventional bronchoscopy. This study evaluated the combined use of Xpert MTB/RIF assay and endobronchial ultrasonography with a guide sheath (EBUS-GS) for detecting MTB infection in peripheral lung bands, for early detection of PTB.

methodsThe clinical data of 232 patients with suspected peripheral nodular PTB who underwent EBUS-GS between June 2020 and October 2023 were retrospectively reviewed. The sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and area under the curve (AUC) of acid-fast bacilli smear, culture, Xpert MTB/RIF assay, and pathological examination were calculated. To assess diagnostic accuracy, the results of the four methods were directly compared with the final clinical diagnosis.

resultsIn total, 146 and 86 patients were clinically diagnosed with peripheral nodular PTB and non-PTB, respectively. The sensitivity, specificity, PPV, NPV, and AUC values of combined Xpert MTB/RIF assay and EBUS-GS were 47.26%, 100.0%, 100.0%, 52.76%, and 0.74; those of acid-fast bacilli smear were 8.22%, 97.67%, 85.71%, 38.53%, and 0.53; those of culture were 31.51%, 100.0%, 100.0%, 46.24%, and 0.66; and those of pathological examination were 23.97%, 97.67%, 94.59%, 43.08%, and 0.61, respectively.

conclusionThe diagnostic accuracy of the combined Xpert MTB/RIF assay and EBUS-GS was significantly better than that of other conventional tests. Hence, this novel technique can be routinely applied for diagnosing and managing peripheral nodular PTB.

Indexed as

Mycobacterium tuberculosisSensitivity and SpecificityTuberculosis, PulmonaryAdultAgedBronchoscopyEndosonographyFemaleHumansLungMaleMiddle AgedMolecular Diagnostic TechniquesPredictive Value of TestsRetrospective StudiesEndobronchial ultrasound with guide sheathMycobacterium tuberculosis infectionPeripheral nodular pulmonary tuberculosisPulmonary tuberculosisXpert MTB/RIF

Identifiers

PMID39304805
PMCPMC11414085

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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.