Evidence map›Paper›PMID 41993220›Full record

ArticleERJ open research2026

An autonomous bronchoscopy robot controlled by artificial intelligence (BronchoBot) outperforms experienced bronchoscopists in a simulated setting.

Kristoffer M Cold, Zhuoqi Cheng, Lars Konge, Anne Orholm Nielsen, Christian Skjoldvang Andersen, Thiusius R Savarimuthu, Bruno Oliveira

Erratum issuedAbstract read
In one paragraph

Article in ERJ open research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Kristoffer M ColdCopenhagen Academy for Medical Education and Simulation (CAMES), Rigshospitalet, University of Copenhagen and the Capital Region of Denmark, Copenhagen, Denmark.ORCID https://orcid.org/0000-0001-7715-4073
Zhuoqi ChengSDU Robotics, Maersk McKinney Moller Institute, University of Southern Denmark, Odense, Denmark.
Lars KongeCopenhagen Academy for Medical Education and Simulation (CAMES), Rigshospitalet, University of Copenhagen and the Capital Region of Denmark, Copenhagen, Denmark.
Anne Orholm NielsenCopenhagen Academy for Medical Education and Simulation (CAMES), Rigshospitalet, University of Copenhagen and the Capital Region of Denmark, Copenhagen, Denmark.
Christian Skjoldvang AndersenCopenhagen Academy for Medical Education and Simulation (CAMES), Rigshospitalet, University of Copenhagen and the Capital Region of Denmark, Copenhagen, Denmark.
Thiusius R SavarimuthuDepartment of Urology, Roskilde University Hospital, Roskilde, Denmark.
Bruno OliveiraDepartment of Urology, Roskilde University Hospital, Roskilde, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Performance in flexible bronchoscopy varies even among experienced bronchoscopists. This study aimed to compare an autonomous bronchoscopy robot (BronchoBot) to human bronchoscopists in a standardised simulation-based setting. Methods: We compared 30 bronchoscopies performed by humans (10 novices, 10 intermediates and 10 experienced) to 10 bronchoscopies performed by BronchoBot on a realistic phantom. The primary outcomes were Anatomy Rating (0-12 points) and Dexterity Rating (0-6 points) assessed by two blinded expert raters. Secondary outcomes were Diagnostic Completeness (DC; 0-18 segments), Structured Progress (SP; 0-18 progressions), Procedure Time (PT; seconds) and Mean Intersegmental Time (MIT; seconds per segment), assessed by artificial intelligence (AI). Tertiary outcomes included five targeted navigations by BronchoBot to RB4→RB5→RB6 and LB8→LB9→LB10, following the bronchoscopy skills and task assessment tool (BSTAT), rated by AI. Results: BronchoBot significantly outperformed all three human groups for all outcome measures. Anatomy Rating (novice, intermediate, experienced Conclusions: BronchoBot outperformed experienced human bronchoscopists using validated assessment tools based on expert human and AI ratings. BronchoBot can serve a role as benchmarking expert performance in a simulated setting, but further development and evaluation are required for use in patients.

Identifiers

PMID41993220
PMCPMC13080710

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.