Evidence map›Paper›PMID 41001381›Full record

ReviewFrontiers in medicine2025

Mediastinal infections: diagnostic and therapeutic advances from traditional surgery to novel minimally invasive techniques.

Yansong Xu, Guanbiao Liang, Chanyu Huang, Yuewu Wang, Zheng Liang, Yun Jiang, Cuiqing Huang, Junting Liu

Abstract readReview
In one paragraph

Review in Frontiers in medicine, 2025. 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

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

1 citing paper in PubMed.

  1. Review
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

8 authors.

Yansong Xu *Emergency Surgery Section, First Affiliated Hospital of Guangxi Medical University, Nanning, China.
Guanbiao Liang *Thoracic Surgery Section, First Affiliated Hospital of Guangxi Medical University, Nanning, China.
Chanyu HuangEmergency Surgery Section, First Affiliated Hospital of Guangxi Medical University, Nanning, China.
Yuewu WangEmergency Surgery Section, First Affiliated Hospital of Guangxi Medical University, Nanning, China.
Zheng LiangEmergency Surgery Section, First Affiliated Hospital of Guangxi Medical University, Nanning, China.
Yun JiangEmergency Surgery Section, First Affiliated Hospital of Guangxi Medical University, Nanning, China.
Cuiqing HuangEmergency Surgery Section, First Affiliated Hospital of Guangxi Medical University, Nanning, China.
Junting LiuEmergency Surgery Section, First Affiliated Hospital of Guangxi Medical University, Nanning, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mediastinal infections present significant diagnostic and therapeutic challenges, contributing to highly variable mortality. Diagnostic dilemmas arise from complex anatomy and radiographic similarities to malignancies. Endobronchial Ultrasound-guided Transbronchial Needle Aspiration (EBUS-TBNA) and cultures are constrained by small samples, architectural distortion, low sensitivity, and slow results in special circumstances. Therapeutic obstacles include antibiotic resistance, poor antimicrobial penetration due to altered vascularity, and high surgical morbidity. Endobronchial ultrasound-guided transbronchial mediastinal cryobiopsy (EBUS-TMC) provides larger histologically preserved specimens; metagenomic next-generation sequencing (mNGS) achieves rapid sensitive pathogen detection; advanced imaging (Dual Energy Computed Tomography, DECT; Positron Emission Tomography/Computed Tomography, PET/CT) enhances lesion differentiation and intervention planning; while minimally invasive drainage, nanocarrier-based targeted antimicrobial delivery, and reconstructive techniques collectively reduce complications and improve therapeutic efficacy. Multidisciplinary integration of these innovations is advancing precision medicine approaches.

Indexed as

diagnostic challengesmediastinal infectionsmortalityprecision medicinetherapeutic challenges

Identifiers

PMID41001381
PMCPMC12457417

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.