Diagnostic Accuracy of Bronchoscopy Procedures: Definitions, Pearls, and Pitfalls

Anne V Gonzalez; David E Ost; Samira Shojaee

doi:10.1097/LBR.0000000000000892

Diagnostic Accuracy of Bronchoscopy Procedures: Definitions, Pearls, and Pitfalls

J Bronchology Interv Pulmonol. 2022 Oct 1;29(4):290-299. doi: 10.1097/LBR.0000000000000892. Epub 2022 Aug 31.

Authors

Anne V Gonzalez^{1

2}, David E Ost³, Samira Shojaee⁴

Affiliations

¹ Respiratory Epidemiology and Clinical Research Unit, McGill University Health Centre Research Institute.
² Respiratory Division, Department of Medicine, McGill University Health Centre, Montréal, Québec, Canada.
³ Department of Pulmonary Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
⁴ Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Virginia Commonwealth University, Richmond, VA, USA.

PMID: 36066281
DOI: 10.1097/LBR.0000000000000892

Abstract

The field of diagnostic bronchoscopy has developed at an accelerated pace. Certain limitations have plagued the evaluation of advanced bronchoscopy techniques, including the use of inconsistently defined measures of diagnostic accuracy, and confusion around the definition of "diagnostic yield." This methodological review outlines standard measures of diagnostic accuracy and highlights how these differ from "diagnostic yield." We draw examples from the interventional bronchoscopy literature to illustrate key concepts and potential pitfalls.

MeSH terms

Bronchoscopy* / methods
Humans
Lung Neoplasms* / diagnosis