{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:47:35Z","timestamp":1787014055484,"version":"build-2736575974"},"reference-count":26,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2015,3,3]],"date-time":"2015-03-03T00:00:00Z","timestamp":1425340800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Respiratory J"],"published-print":{"date-parts":[[2016,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aims<\/jats:title>\n                    <jats:p>\n                      It is not yet known if transbronchial cryobiopsy (\n                      <jats:styled-content style=\"fixed-case\">TCB<\/jats:styled-content>\n                      ) is a reliable and safe diagnostic tool in the investigation of interstitial lung disease (\n                      <jats:styled-content style=\"fixed-case\">ILD<\/jats:styled-content>\n                      ). To date, there have been no studies directly comparing the value of\n                      <jats:styled-content style=\"fixed-case\">TCB<\/jats:styled-content>\n                      with that of surgical lung biopsy (\n                      <jats:styled-content style=\"fixed-case\">SLB<\/jats:styled-content>\n                      ). The study was initiated to determine whether the samples taken by\n                      <jats:styled-content style=\"fixed-case\">TCB<\/jats:styled-content>\n                      lead to a reliable diagnosis and whether\n                      <jats:styled-content style=\"fixed-case\">SLB<\/jats:styled-content>\n                      can be avoided in a relevant percentage of cases.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We analyzed 32 subjects with suspected\n                      <jats:styled-content style=\"fixed-case\">ILD<\/jats:styled-content>\n                      who underwent a\n                      <jats:styled-content style=\"fixed-case\">TCB<\/jats:styled-content>\n                      . Subjects' baseline characteristics, pathological findings after\n                      <jats:styled-content style=\"fixed-case\">TCB<\/jats:styled-content>\n                      and\n                      <jats:styled-content style=\"fixed-case\">SLB<\/jats:styled-content>\n                      , and complication rates were analyzed. The pathological inter\u2010rater agreement was quantified statistically.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The overall inter\u2010rater agreement concerning\n                      <jats:styled-content style=\"fixed-case\">TCB<\/jats:styled-content>\n                      sample evaluation was good with a kappa value of 0.80. In 23\/32 cases (72%), the findings from the\n                      <jats:styled-content style=\"fixed-case\">TCB<\/jats:styled-content>\n                      showed a strong congruence with all other clinical data, thereby enabling a definitive diagnosis. Eight of the remaining nine subjects gave their consent for an\n                      <jats:styled-content style=\"fixed-case\">SLB<\/jats:styled-content>\n                      , which led to a definitive histological diagnosis in six cases (75%). Following\n                      <jats:styled-content style=\"fixed-case\">TCB<\/jats:styled-content>\n                      , pneumothorax occurred in 6\/32 subjects (19%) and endobronchial bleeding was moderate in 8\/32 (25%) and was severe in 17\/32 cases (53%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      This is the first study to correlate histological results and complications following\n                      <jats:styled-content style=\"fixed-case\">TCB<\/jats:styled-content>\n                      and\n                      <jats:styled-content style=\"fixed-case\">SLB<\/jats:styled-content>\n                      in\n                      <jats:styled-content style=\"fixed-case\">ILD<\/jats:styled-content>\n                      subjects, some of whom underwent both procedures.\n                      <jats:styled-content style=\"fixed-case\">TCB<\/jats:styled-content>\n                      is a suitable diagnostic tool in\n                      <jats:styled-content style=\"fixed-case\">ILD<\/jats:styled-content>\n                      , potentially completely dispensing with the need for an\n                      <jats:styled-content style=\"fixed-case\">SLB<\/jats:styled-content>\n                      in some cases. In all cases, an interdisciplinary case evaluation is necessary as a final step.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/crj.12261","type":"journal-article","created":{"date-parts":[[2015,1,26]],"date-time":"2015-01-26T04:12:28Z","timestamp":1422245548000},"page":"589-595","source":"Crossref","is-referenced-by-count":72,"title":["The role of transbronchial cryobiopsy and surgical lung biopsy in the diagnostic algorithm of interstitial lung disease"],"prefix":"10.1111","volume":"10","author":[{"given":"Lars","family":"Hagmeyer","sequence":"first","affiliation":[{"name":"Clinic for Pneumology and Allergology Center of Sleep Medicine and Respiratory Care Bethanien Hospital  Solingen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dirk","family":"Theegarten","sequence":"additional","affiliation":[{"name":"Institute for Pathology and Neuropathology University Hospital Essen University Duisburg\u2010Essen  Duisburg\u2010Essen 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