Evidence map›Paper›PMID 42099867›Full record

ArticleFrontiers in bioengineering and biotechnology2026

Evaluation of the efficacy of different lung biopsy modalities in solitary pulmonary nodules.

Wei Zhao, Chen Liu, Yajie Hu, Yanhong Du, Yunhui Zhang

Abstract read
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Article in Frontiers in bioengineering and biotechnology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Wei Zhao *Department of Respiratory Medicine, The First People's Hospital of Yunnan Province, Kunming, China.
Chen Liu *Department of Respiratory Medicine, The First People's Hospital of Yunnan Province, Kunming, China.
Yajie HuDepartment of Respiratory Medicine, The First People's Hospital of Yunnan Province, Kunming, China.
Yanhong DuDepartment of Respiratory Medicine, The First People's Hospital of Yunnan Province, Kunming, China.
Yunhui ZhangDepartment of Respiratory Medicine, The First People's Hospital of Yunnan Province, Kunming, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: This study compared the diagnostic performance and safety of computed tomography (CT)-guided percutaneous transthoracic needle biopsy (PTNB) and virtual bronchoscopic navigation (VBN)-guided transbronchial lung biopsy (TBLB) in patients with solitary pulmonary nodules (SPNs). Methods: A retrospective analysis was conducted on 204 SPN patients, divided into CT-guided (n = 102) and VBN-guided (n = 102) groups. Parameters, including diagnostic yield, procedure time, and complication rates, were compared between the two methods. Results: After applying rigorous diagnostic criteria per ATS/ACCP guidelines, the overall diagnostic yield was higher in the VBN group (64.7%, 66/102) than in the CT group (59.8%, 61/102), though the difference was not statistically significant (P = 0.472). In exploratory subgroup analyses, VBN demonstrated higher diagnostic yield for smaller nodules (8-20 mm) and those located closer to the pleura (2-3 cm) (both P < 0.05). For larger nodules (20-30 mm) or those further from the pleura (3-5 cm), diagnostic rates were comparable between groups. The VBN group had significantly shorter procedure times, including lesion localization (6.62 ± 0.93 vs. 9.27 ± 1.05 min) and total procedure duration (22.04 ± 2.36 vs. 38.16 ± 4.29 min) (P < 0.01). The complication rate was significantly lower in the VBN group (9.80% vs. 29.41%, P < 0.01), with the CT group showing higher incidences of pneumothorax, hemoptysis, and chest pain in nodules 2-3 cm from the pleura. Multivariate analysis identified several factors significantly associated with diagnostic outcomes. Additionally, the VBN group incurred lower medical costs and shorter hospital stays (P < 0.01). Conclusion: VBN-guided biopsy was associated with higher diagnostic yield, fewer complications, shorter procedure times, and lower costs compared to CT-guided biopsy. These findings warrant confirmation in prospective randomized trials.

Indexed as

biopsybronchoscopynavigation systemsneedlesolitary pulmonary noduletomographyX-ray computed

Identifiers

PMID42099867
PMCPMC13144010

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