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Efficiency of Electromagnetic Navigation Bronchoscopy and Virtual Bronchoscopic Navigation.

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Citation: Annals of Thoracic Surgery. 109(6):1731-1740, 2020 06.PMID: 32112724Institution: MedStar Franklin Square Medical CenterDepartment: Angelos Center for Lung Disease | Interventional Pulmonary/Critical Care MedicineForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Bronchoscopy/mt [Methods] | *Multiple Pulmonary Nodules/pa [Pathology] | Electromagnetic Phenomena | Humans | Sensitivity and Specificity | User-Computer InterfaceYear: 2020 Local holdings: Available online from MWHC library: 1995 - present, Available in print through MWHC library:1999-2007ISSN:

0003-4975

Name of journal: The Annals of thoracic surgeryAbstract: BACKGROUND: Image-guided bronchoscopy techniques have emerged as a means of improving pulmonary nodule biopsy yield. However comparisons of the diagnostic efficacy of electromagnetic navigation bronchoscopy (ENB) and virtual bronchoscopic navigation (VBN) have not reached a consensus. This meta-analysis evaluates the overall diagnostic yield and accuracy of ENB and VBN for pulmonary nodules.CONCLUSIONS: Both ENB and VBN are valuable tools in the diagnosis of lung nodules. ENB achieved a higher specificity than VBN in the diagnose of lung nodules, whereas ENB performed better than VBN for pulmonary nodules. These results are due to the real-time positioning function of ENB. Copyright (c) 2020. Published by Elsevier Inc.METHODS: A systematic search was conducted to identify relevant articles. Meta-analysis was used to summarize the sensitivities, specificities, and area under the curve for ENB and VBN.RESULTS: Thirty-two studies (1981 patients with pulmonary nodules) were included in this analysis. The pooled sensitivity, specificity, and area under the curve (95% confidence interval) of ENB were 0.80 (0.73-0.85), 0.81 (0.71-0.88), and 0.87 (0.84-0.90), respectively. Corresponding VBN values were 0.80 (0.76-0.83), 0.65 (0.56-0.73), and 0.81 (0.78-0.85), respectively. Comparison of the 2 techniques revealed that ENB had higher specificity and area under the curve but no difference in sensitivity.All authors: Deng Y, Krimsky WS, Qian K, Sarkar SAOriginally published: Annals of Thoracic Surgery. 2020 Feb 26Fiscal year: FY2020Digital Object Identifier:

https://dx.doi.org/10.1016/j.athoracsur.2020.01.019

Date added to catalog: 2020-07-09

Holdings ( 1 )
Title notes ( 6 )

Holdings
Item type	Current library	Collection	Call number	Status	Date due	Barcode
Journal Article	MedStar Authors Catalog	Article	32112724	Available		32112724

Available online from MWHC library: 1995 - present, Available in print through MWHC library:1999-2007

BACKGROUND: Image-guided bronchoscopy techniques have emerged as a means of improving pulmonary nodule biopsy yield. However comparisons of the diagnostic efficacy of electromagnetic navigation bronchoscopy (ENB) and virtual bronchoscopic navigation (VBN) have not reached a consensus. This meta-analysis evaluates the overall diagnostic yield and accuracy of ENB and VBN for pulmonary nodules.

CONCLUSIONS: Both ENB and VBN are valuable tools in the diagnosis of lung nodules. ENB achieved a higher specificity than VBN in the diagnose of lung nodules, whereas ENB performed better than VBN for pulmonary nodules. These results are due to the real-time positioning function of ENB. Copyright (c) 2020. Published by Elsevier Inc.

METHODS: A systematic search was conducted to identify relevant articles. Meta-analysis was used to summarize the sensitivities, specificities, and area under the curve for ENB and VBN.

RESULTS: Thirty-two studies (1981 patients with pulmonary nodules) were included in this analysis. The pooled sensitivity, specificity, and area under the curve (95% confidence interval) of ENB were 0.80 (0.73-0.85), 0.81 (0.71-0.88), and 0.87 (0.84-0.90), respectively. Corresponding VBN values were 0.80 (0.76-0.83), 0.65 (0.56-0.73), and 0.81 (0.78-0.85), respectively. Comparison of the 2 techniques revealed that ENB had higher specificity and area under the curve but no difference in sensitivity.

English