Evidence map›Paper›PMID 42698384›Full record

ArticleLiver international : official journal of the International Association for the Study of the Liver2026

Next Generation Sequencing for the Differentiation of Benign and Malignant Biliary Strictures.

Antonia Gillmeister, Julia Husman, Renate Schmelz, Stefan Brückner, Jochen Hampe, Daniela Aust, Sebastian Zeissig

Abstract read
In one paragraph

Article in Liver international : official journal of the International Association for the Study of the Liver, 2026. 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. Next Generation Sequencing for the Differentiation of Benign and Malignant Biliary Strictures.Liver international : official journal of the International Association for the Study of the Liver · 2026
    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

7 authors.

Antonia GillmeisterDepartment of Medicine I, University Hospital Carl Gustav Carus Dresden, Technische Universität Dresden (TUD), Dresden, Germany.ORCID https://orcid.org/0009-0004-0939-3573
Julia HusmanDepartment of Medicine I, University Hospital Carl Gustav Carus Dresden, Technische Universität Dresden (TUD), Dresden, Germany.
Renate SchmelzDepartment of Medicine I, University Hospital Carl Gustav Carus Dresden, Technische Universität Dresden (TUD), Dresden, Germany.
Stefan BrücknerDepartment of Medicine I, University Hospital Carl Gustav Carus Dresden, Technische Universität Dresden (TUD), Dresden, Germany.
Jochen HampeDepartment of Medicine I, University Hospital Carl Gustav Carus Dresden, Technische Universität Dresden (TUD), Dresden, Germany.ORCID https://orcid.org/0000-0002-2421-6127
Daniela AustInstitute for Pathology, University Hospital Carl Gustav Carus Dresden, Technische Universität Dresden (TUD), Dresden, Germany.
Sebastian ZeissigDepartment of Medicine I, University Hospital Carl Gustav Carus Dresden, Technische Universität Dresden (TUD), Dresden, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The differentiation between benign and malignant biliary strictures remains a significant clinical challenge. Recent studies have suggested that next generation sequencing (NGS) can improve the diagnostic accuracy. However, evidence on its performance in routine clinical practice is limited. Therefore, validation of the diagnostic value of NGS using real-world clinical data is warranted. We compared the performance of NGS analysis of cholangiocellular carcinoma (CCC)-associated mutations in endoscopic biopsies with that of histopathology, CA19-9 and cross-sectional imaging. NGS showed higher sensitivity for malignancy (65%) compared to histopathology (52%) at similar specificity (96% vs. 100%). The combination of NGS and histopathology further increased sensitivity for malignancy to 78% (p = 0.03) at similar specificity (96%). Our data provide support for the use of NGS in the diagnostic workup of biliary strictures.

Indexed as

Bile Duct NeoplasmsCholangiocarcinomaCholestasisHigh-Throughput Nucleotide SequencingBile Ducts, IntrahepaticBiopsyCA-19-9 AntigenCholangiopancreatography, Endoscopic RetrogradeConstriction, PathologicDiagnosis, DifferentialFemaleHumansMutationSensitivity and SpecificityCA-19-9 Antigenbiliary specimensbiliary stricturesBiliSeqERCPnext generation sequencing (NGS)

Identifiers

PMID42698384
PMCPMC13545652

What OpenQuestion holds

Textmetadata
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.