The Value of Combined Radial Endobronchial Ultrasound-Guided Transbronchial Lung Biopsy and Metagenomic Next-Generation Sequencing for Peripheral Pulmonary Infectious Lesions
Table 2
The relationship between clinical and image characteristics of PPLs and the diagnostic yield of R-EBUS-guided TBLB detected infectious pathogens by mNGS.
Variables
mNGS diagnostic
mNGS nondiagnostic
Univariate
Multivariate
OR value
OR value
Lesion size
>3 cm
38 (79.2)
5 (38.5)
6.080 0.013
8.757 0.067
≤3 cm
10 (20.1)
8 (61.5)
Distance from the chest wall
>3 cm
29 (60.4)
4 (30.8)
3.434 0.057
≤3 cm
19 (39.6)
9 (69.2)
R-EBUS probe position
Within
34 (70.8)
4 (30.8)
5.464 0.009
17.742 0.030
Adjacent to
14 (29.2)
9 (69.2)
Internal echoes
Homogeneity
35 (72.9)
4 (30.8)
6.058 0.005
8.598 0.061
Heterogeneity
13 (27.1)
9 (69.2)
Anechoic areas
Yes
5 (10.4)
8 (61.5)
13.760 < 0.001
17.878 0.019
No
43 (89.6)
5 (38.5)
Luminant areas
Yes
8 (16.7)
8 (61.5)
8 0.001
16.745 0.042
No
40 (83.3)
5 (38.5)
Total cases
48
13
PPLs, peripheral lung lesions. R-EBUS, radial endobronchial ultrasound. TBLB, transbronchial lung biopsy. mNGS, metagenomic next-generation sequencing. Data are presented as no. (%) unless otherwise indicated.