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  1. Article ; Online: Correction: Understanding the effects of Haemophilus influenzae colonization on bronchiectasis: a retrospective cohort study.

    Yang, Seo-Hee / Song, Myung Jin / Wook Kim, Yeon / Kwon, Byoung Soo / Lim, Sung Yoon / Lee, Yeon-Joo / Park, Jong Sun / Cho, Young-Jae / Lee, Jae Ho / Lee, Choon-Taek / Kim, Hyung-Jun

    BMC pulmonary medicine

    2024  Volume 24, Issue 1, Page(s) 81

    Language English
    Publishing date 2024-02-13
    Publishing country England
    Document type Published Erratum
    ZDB-ID 2059871-3
    ISSN 1471-2466 ; 1471-2466
    ISSN (online) 1471-2466
    ISSN 1471-2466
    DOI 10.1186/s12890-024-02881-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Comparison of electromagnetic navigation bronchoscopy and transthoracic needle biopsy for diagnosing bronchus sign-positive pulmonary lesions.

    Wook Kim, Yeon / Kim, Hyung-Jun / Hyun Yoon, Sung / Jin Song, Myung / Soo Kwon, Byoung / Yoon Lim, Sung / Joo Lee, Yeon / Sun Park, Jong / Cho, Young-Jae / Ho Lee, Jae / Lee, Choon-Taek

    Lung cancer (Amsterdam, Netherlands)

    2023  Volume 181, Page(s) 107234

    Abstract: Objectives: Electromagnetic navigation bronchoscopy (ENB) is an advanced technique for diagnosing peripheral pulmonary lesions, and the bronchus sign is a well-established factor for improving the diagnostic performance. However, ENB is a novel ... ...

    Abstract Objectives: Electromagnetic navigation bronchoscopy (ENB) is an advanced technique for diagnosing peripheral pulmonary lesions, and the bronchus sign is a well-established factor for improving the diagnostic performance. However, ENB is a novel technology compared to the commonly adopted transthoracic needle biopsy (TTNB). There are limited data on the comparison of these techniques for diagnosing bronchus sign-positive lesions. Therefore, we aimed to compare the diagnostic yield and complication rates of ENB and TTNB for diagnosing lung cancer in bronchus sign-positive pulmonary lesions.
    Materials and methods: We assessed 2,258 individuals who underwent either of the techniques for initial biopsy between September 2016 and May 2022 at a tertiary center in South Korea and analyzed 1,248 participants (153 ENB and 1,095 TTNB cases) with a positive bronchus sign. We performed multivariable logistic regression analyses to evaluate the factors associated with the diagnostic yield, sensitivity for malignancy, and procedure-related complications. In addition, the outcomes were compared between the two techniques after a 1:2 propensity score-matching to control for pre-procedural factors.
    Results: After adjustments for clinical/radiological factors, performing TTNB over ENB was not significantly associated with a higher diagnostic yield but with a higher risk of pneumothorax (OR = 9.69, 95% CI = 4.15-22.59). Propensity score-matching resulted in 459 participants (153 ENB and 306 TTNB cases) with balanced pre-procedural characteristics. The overall diagnostic yield did not differ significantly between ENB and TTNB (85.0% vs. 89.9%, p = 0.124). The diagnostic yield (86.7% vs. 90.3%, p = 0.280) and sensitivity for malignancy (85.3% vs. 88.8%, p = 0.361) were comparable among patients with a class 2 bronchus sign. However, TTNB demonstrated a significantly higher complication rate of pneumothorax (28.8% vs. 3.9%, p < 0.001) and pneumothorax requiring tube drainage (6.5% vs. 2.0%, p = 0.034) than ENB.
    Conclusion: ENB demonstrated a diagnostic yield comparable with that of TTNB for diagnosing bronchus sign-positive peripheral pulmonary lesions with significantly lower complication rates.
    MeSH term(s) Humans ; Bronchoscopy/methods ; Lung Neoplasms/pathology ; Pneumothorax/etiology ; Electromagnetic Phenomena ; Bronchi/pathology ; Biopsy, Needle/adverse effects
    Language English
    Publishing date 2023-05-08
    Publishing country Ireland
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 632771-0
    ISSN 1872-8332 ; 0169-5002
    ISSN (online) 1872-8332
    ISSN 0169-5002
    DOI 10.1016/j.lungcan.2023.107234
    Database MEDical Literature Analysis and Retrieval System OnLINE

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