Evidence map›Paper›PMID 42506863›Full record

ArticleTomography (Ann Arbor, Mich.)2026

Ambient Ozone Exposure and Pneumothorax Risk After CT-Guided Lung Biopsy.

Nour Afilal, Alois Komarek, Michael Dieckmeyer, Elif Can, Martin Jonczyk, Johannes T Heverhagen, Michael P Brönnimann

Abstract read
In one paragraph

Article in Tomography (Ann Arbor, Mich.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Nour AfilalDepartment of Diagnostic, Interventional and Pediatric Radiology, Inselspital, Bern University Hospital, University of Bern, Rosenbühlgasse 27, 3010 Bern, Switzerland.
Alois KomarekDepartment of Diagnostic, Interventional and Pediatric Radiology, Inselspital, Bern University Hospital, University of Bern, Rosenbühlgasse 27, 3010 Bern, Switzerland.ORCID 0009-0003-7840-8153
Michael DieckmeyerDepartment of Diagnostic, Interventional and Pediatric Radiology, Inselspital, Bern University Hospital, University of Bern, Rosenbühlgasse 27, 3010 Bern, Switzerland.ORCID 0000-0002-8349-4813
Elif CanDepartment of Interventional Radiology, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, 79110 Freiburg im Breisgau, Germany.ORCID 0000-0001-5319-7570
Martin JonczykDepartment of Radiology, Charité-Universitätsmedizin, Augustenburger Platz 1, 13353 Berlin, Germany.ORCID 0000-0002-1702-1452
Johannes T HeverhagenDepartment of Diagnostic, Interventional and Pediatric Radiology, Inselspital, Bern University Hospital, University of Bern, Rosenbühlgasse 27, 3010 Bern, Switzerland.
Michael P BrönnimannDepartment of Diagnostic, Interventional and Pediatric Radiology, Inselspital, Bern University Hospital, University of Bern, Rosenbühlgasse 27, 3010 Bern, Switzerland.ORCID 0000-0003-0552-4850

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesTo evaluate whether day-of-procedure ambient ozone exposure is associated with pneumothorax after CT-guided lung biopsy.

methodsThis retrospective single-centre study included 160 CT-guided lung biopsies performed between January 2018 and February 2026. Environmental data from the day of biopsy were assigned from the nearest national monitoring station. The primary outcome was any pneumothorax on post-biopsy CT; the secondary outcome was drainage-requiring pneumothorax. Multivariable logistic regression included ozone exposure, emphysema, and access route through dependent lung area (ARDA). Ozone was analysed as a continuous variable per 10 μg/m

resultsPneumothorax occurred after 86 of 160 biopsies (53.8%), and 13 biopsies (8.1%) required drainage. Ozone was not associated with pneumothorax when modelled linearly (OR, 1.09 per 10 μg/m

conclusionsAmbient ozone showed an exploratory nonlinear association with pneumothorax after CT-guided lung biopsy, with a threshold signal around 70-80 μg/m

Indexed as

Image-Guided BiopsyLungOzonePneumothoraxTomography, X-Ray ComputedAgedFemaleHumansMaleMiddle AgedRadiography, InterventionalRetrospective StudiesRisk FactorsOzoneair pollutantsbiopsycomputed tomographyenvironmental exposureozonepneumothorax

Identifiers

PMID42506863
PMCPMC13416874

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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.