Journal
JOURNAL OF BRONCHOLOGY & INTERVENTIONAL PULMONOLOGY
Volume 29, Issue 4, Pages 290-299Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/LBR.0000000000000892
Keywords
diagnostic accuracy; sensitivity; specificity; diagnostic yield; bronchoscopy
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This article discusses the development and limitations of the field of diagnostic bronchoscopy, with a focus on explaining the standard measures of diagnostic accuracy and how they differ from diagnostic yield.
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.
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