Can you share with us a little bit about the context for this study, how you came about it, and what some of the take homes were for it?

Right.

So the background is that the Commission on Cancer, uh, part of the American, uh, College of Surgeons Cancer Programs, was really one of the largest accrediting cancer bodies, uh, in the United States, and they put out their guidelines, um, and standards, uh, for quality cancer care.

Previously for lung cancer, they had a lymph node standard where centers, in order to be compliant with the s- standard, had to have greater than or equal to ten nodes.

But we all know there's some issues with node counting, uh, especially with minimally invasive approaches.

That's more than robotic, but really any approach, the node fragmentation coming out in pieces, what's really one node, what's four nodes, right? And so in twenty twenty-two into twenty twenty-three, they changed the standard, um, to a station-based standard, um, where to in order to meet the standard, it was three mediastinal or N2 stations and one hilar station or N1 station, so the three plus one, and that's how you met the standard.

And ultimately, to meet the standard, eighty percent of a center's resections, so individual curative resections for lung cancer, need to meet that standard, the three plus one standard, for a center to be compliant.

... to them as much as surgeons.