Evidence map›Paper›PMID 42307043›Full record

ArticleRespirology (Carlton, Vic.)2026

Diagnostic Yield of EBUS Mediastinal Cryobiopsy Versus TBNA in Suspected Lymphoproliferative Disorders: A Prospective Multicentre Study.

Yaniv Dotan, Ayal Romem, Elad Guber, Michael Kassirer, Daphne Felus, Nimrod Urtreger, Ophir Freund, Hanna A Dawood, Boaz Tiran, Doron Cohn-Schwartz and 3 more

Abstract readMulticenter StudyComparative Study
In one paragraph

Article in Respirology (Carlton, Vic.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Article
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.

Yaniv DotanPulmonary Institute, Rambam Health Care Campus and Ruth and Bruce Rappaport Faculty of Medicine, Haifa, Israel.
Ayal RomemPulmonary Department, Meir Medical Center, Kfar Saba, Israel.
Elad GuberPulmonary Department, Meir Medical Center, Kfar Saba, Israel.
Michael KassirerPulmonary Division, Soroka Medical Center, Faculty of Medicine, Ben Gurion University, Beer Sheva, Israel.
Daphne FelusPulmonary Institute, Rambam Health Care Campus and Ruth and Bruce Rappaport Faculty of Medicine, Haifa, Israel.
Nimrod UrtregerFaculty of Medicine, Tel Aviv University, Tel Aviv, Israel.ORCID https://orcid.org/0009-0006-8556-4383
Ophir FreundFaculty of Medicine, Tel Aviv University, Tel Aviv, Israel.ORCID https://orcid.org/0000-0002-7272-5284
Hanna A DawoodPulmonary Institute, Rambam Health Care Campus and Ruth and Bruce Rappaport Faculty of Medicine, Haifa, Israel.
Boaz TiranFaculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Doron Cohn-SchwartzFaculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Sarah BorsekofskyFaculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Amir Bar-ShaiFaculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Evgeni GershmanFaculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Funding

Chief Scientist Office of the Ministry of Health, Israel 3000-18747Israel Lung Association
6 · The paper itself

Abstract

BACKGROUND AND

objectivesThe diagnosis of mediastinal lymphoproliferative disorders (LPDs) is often challenging and requires histopathological assessment from large tissue samples. As a result, new diagnostic techniques have been introduced alongside the commonly used endobronchial ultrasound-guided trans-bronchial needle aspiration (EBUS-TBNA). Among them, EBUS-guided transbronchial mediastinal cryobiopsy (EBUS-TBMC) has shown promising potential, although high-quality evidence remains limited. The aim of the study was to assess the diagnostic yield of EBUS-TBMC compared with EBUS-TBNA in patients with suspected mediastinal LPDs.

methodsThis prospective multicentre study enrolled patients with suspected mediastinal LPDs undergoing bronchoscopy with EBUS for mediastinal lymph node sampling. All participants had either B symptoms or a history of LPD. All patients underwent EBUS-TBNA followed by EBUS-TBMC from the same mediastinal lymph node. Final diagnoses were confirmed after a 6-month follow-up.

resultsFifty-eight patients underwent EBUS, of whom 50 completed both EBUS-TBNA and EBUS-TBMC. There were eight cases of failed EBUS-TBMC who were not included in the analysis. The most frequent diagnoses were LPDs (54%) and sarcoidosis (30%). EBUS-TBNA and EBUS-TBMC had overall diagnostic yield of 52% and 80%, respectively. Among non-diagnostic EBUS-TBNA samples, 80% were diagnostic with EBUS-TBMC (odds ratio 4.89, 95% CI 1.76-13.6). For confirmed LPDs, diagnostic yield was 41% for EBUS-TBNA and 85% for EBUS-TBMC. No major complications during or following the EBUS-TBMC were observed.

conclusionEBUS-TBMC was superior to EBUS-TBNA and achieved a high diagnostic yield in patients with suspected mediastinal LPDs.

Indexed as

BronchoscopyEndoscopic Ultrasound-Guided Fine Needle AspirationLymph NodesLymphoproliferative DisordersMediastinal DiseasesMediastinumAdultAgedFemaleHumansMaleMiddle AgedProspective Studiesbronchoscopy and interventional techniqueshistology/cytologylymphomapathology

Identifiers

PMID42307043
PMCPMC13535719

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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.