{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,10]],"date-time":"2026-11-10T17:24:35Z","timestamp":1794331475800,"version":"4.9.0"},"reference-count":49,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"38","license":[{"start":{"date-parts":[[2024,9,20]],"date-time":"2024-09-20T00:00:00Z","timestamp":1726790400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,9,20]]},"abstract":"<jats:sec>\n            <jats:title>Background:<\/jats:title>\n            <jats:p>This study aimed to evaluate the efficacy and safety between electromagnetic navigational bronchoscopy (ENB) and computed tomography (CT)-guided percutaneous localization before resection of pulmonary nodules.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods:<\/jats:title>\n            <jats:p>Pubmed, Embase, Web of Science, and the Cochrane Library databases were searched from January 1, 2000 to April 30, 2022, for relevant studies. Two reviewers conducted the search, selection, and extraction of data from eligible studies. The risk of bias was assessed using the Newcastle\u2013Ottawa Scale. The primary outcome was the localization success rate, and the secondary outcomes were the pneumothorax incidence and localization time. The meta-analysis was performed by Review Manager 5.4. The protocol for the meta-analysis was registered on PROSPERO (Registration number: CRD42022345972).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>Five cohort studies comprising 441 patients (ENB group: 185, CT group: 256) were analyzed. Compared with the CT-guided group, the ENB-guided group was associated with lower pneumothorax incidence (relative ratio\u2005=\u20050.16, 95% confidence interval [CI]: 0.04\u20130.65, <jats:italic toggle=\"yes\">P<\/jats:italic>\u2005=\u2005.01). No significant differences were found in location success rates (relative ratio\u2005=\u20051.01, 95% CI: 0.98\u20131.05, <jats:italic toggle=\"yes\">P<\/jats:italic>\u2005=\u2005.38) and localization time (mean difference\u2005=\u20050.99, 95% CI: \u22125.73 to 7.71, <jats:italic toggle=\"yes\">P<\/jats:italic>\u2005=\u2005.77) between the ENB group and CT group.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion:<\/jats:title>\n            <jats:p>Both ENB and CT-guided are valuable technologies in localizing lung nodules before video-assisted thoracoscopic surgery based on current investigations. ENB achieved a lower pneumothorax rate than the CT-guided group. In our opinion, there is no perfect method, and decision-making should be given the actual circumstances of each institute. Future prospective studies in the form of a randomized trial are needed to confirm their clinical value.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/md.0000000000039760","type":"journal-article","created":{"date-parts":[[2024,9,23]],"date-time":"2024-09-23T16:02:46Z","timestamp":1727107366000},"page":"e39760","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":5,"title":["Comparison of electromagnetic navigation bronchoscopy localization and CT-guided percutaneous localization in resection of lung nodules: A protocol for systematic review and meta-analysis"],"prefix":"10.1097","volume":"103","author":[{"given":"Yan","family":"Tan","sequence":"first","affiliation":[{"name":"Department of Radiology, Xiaoshan Affiliated Hospital of Wenzhou Medical University, Hangzhou, Zhejiang, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuijun","family":"Shen","sequence":"additional","affiliation":[{"name":"Department of Radiology, Xiaoshan Affiliated Hospital of Wenzhou Medical University, Hangzhou, Zhejiang, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Canyun","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Radiology, Xiaoshan Affiliated Hospital of Wenzhou Medical University, Hangzhou, Zhejiang, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiaojuan","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Radiology, Xiaoshan Affiliated Hospital of Wenzhou Medical University, Hangzhou, Zhejiang, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-8384-0976","authenticated-orcid":false,"given":"Qifeng","family":"Jing","sequence":"additional","affiliation":[{"name":"Department of Radiology, Xiaoshan Affiliated Hospital of Wenzhou Medical University, Hangzhou, Zhejiang, China."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20250503","doi-asserted-by":"crossref","first-page":"1732","DOI":"10.1016\/j.jtho.2019.05.044","article-title":"Lung cancer incidence and mortality with extended follow-up in the national lung screening trial.","volume":"14","year":"2019","journal-title":"J Thorac Oncol"},{"key":"R2-20250503","doi-asserted-by":"crossref","first-page":"503","DOI":"10.1056\/NEJMoa1911793","article-title":"Reduced lung-cancer mortality with volume CT screening in a randomized trial.","volume":"382","author":"de Koning","year":"2020","journal-title":"N Engl J Med"},{"key":"R3-20250503","doi-asserted-by":"crossref","first-page":"840","DOI":"10.1378\/chest.12-1487","article-title":"A practical algorithmic approach to the diagnosis and management of solitary pulmonary nodules: part 2: pretest probability and algorithm.","volume":"143","author":"Patel","year":"2013","journal-title":"Chest"},{"issue":"Suppl 2","key":"R4-20250503","doi-asserted-by":"crossref","first-page":"ii1","DOI":"10.1136\/thoraxjnl-2015-207168","article-title":"British Thoracic Society guidelines for the investigation and management of pulmonary nodules.","volume":"70","author":"Callister","year":"2015","journal-title":"Thorax"},{"key":"R5-20250503","doi-asserted-by":"crossref","first-page":"304","DOI":"10.1148\/radiol.12120628","article-title":"Recommendations for the management of subsolid pulmonary nodules detected at CT: a statement from the Fleischner Society.","volume":"266","author":"Naidich","year":"2013","journal-title":"Radiology"},{"key":"R6-20250503","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1056\/NEJMoa1102873","article-title":"Reduced lung-cancer mortality with low-dose computed tomographic screening.","volume":"365","author":"Aberle","year":"2011","journal-title":"N Engl J Med"},{"key":"R7-20250503","doi-asserted-by":"crossref","first-page":"1198","DOI":"10.1067\/mtc.2002.127331","article-title":"Indication for preoperative localization of small peripheral pulmonary nodules in thoracoscopic surgery.","volume":"124","author":"Saito","year":"2002","journal-title":"J Thorac Cardiovasc Surg"},{"key":"R8-20250503","doi-asserted-by":"crossref","first-page":"1723","DOI":"10.1007\/s00464-010-1502-3","article-title":"Video-assisted thoracoscopic solitary pulmonary nodule resection after CT-guided hookwire localization: 43 cases report and literature review.","volume":"25","author":"Chen","year":"2011","journal-title":"Surg Endosc"},{"key":"R9-20250503","first-page":"3123","article-title":"Percutaneous localization of pulmonary nodules prior to thoracoscopic surgery by CT-guided hook-wire.","volume":"26","author":"Kastl","year":"2006","journal-title":"Anticancer Res"},{"key":"R10-20250503","doi-asserted-by":"crossref","first-page":"575","DOI":"10.1007\/s00268-006-0343-7","article-title":"Video-assisted thoracoscopic resection of a small pulmonary nodule after computed tomography-guided localization with a hook-wire system. 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