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Superdimension bronchoscopy

Sandeep J Khandhar, Mark R Bowling, Javier Flandes, Thomas R Gildea, Kristin L Hood, William S Krimsky, Douglas J Minnich, Septimiu D Murgu, Michael Pritchett, Eric M Toloza, Momen M Wahidi, Jennifer J Wolvers, Erik E Folch
BACKGROUND: Electromagnetic navigation bronchoscopy (ENB) is an image-guided, minimally invasive approach that uses a flexible catheter to access pulmonary lesions. METHODS: NAVIGATE is a prospective, multicenter study of the superDimension™ navigation system. A prespecified 1-month interim analysis of the first 1,000 primary cohort subjects enrolled at 29 sites in the United States and Europe is described. Enrollment and 24-month follow-up are ongoing. RESULTS: ENB index procedures were conducted for lung lesion biopsy (n = 964), fiducial marker placement (n = 210), pleural dye marking (n = 17), and/or lymph node biopsy (n = 334; primarily endobronchial ultrasound-guided)...
April 11, 2017: BMC Pulmonary Medicine
Price Jackson, Daniel P Steinfort, Tomas Kron, Shankar Siva
INTRODUCTION: Stereotactic radiotherapy is a high-dose precision technique necessitating accurate target visualization through either cone beam computed tomography (CBCT) or planar imaging with implanted fiducial markers. We have investigated the properties for image guidance using fiducial markers implanted through minimally invasive bronchoscopy. METHODS: Two fiducial marker types were implanted endobronchially in 10 patients undergoing radical radiation treatment for non-small cell lung cancer (eight using Visicoil linear fiducial markers [IBA Dosimetry GmbH, Schwarzenbruck Germany] and two using superDimension and superLock two-band markers [Covidien Inc...
August 2016: Journal of Thoracic Oncology
Erik E Folch, Mark R Bowling, Thomas R Gildea, Kristin L Hood, Septimiu D Murgu, Eric M Toloza, Momen M Wahidi, Terence Williams, Sandeep J Khandhar
BACKGROUND: Electromagnetic navigation bronchoscopy (ENB) procedures allow physicians to access peripheral lung lesions beyond the reach of conventional bronchoscopy. However, published research is primarily limited to small, single-center studies using previous-generation ENB software. The impact of user experience, patient factors, and lesion/procedural characteristics remains largely unexplored in a large, multicenter study. METHODS/DESIGN: NAVIGATE (Clinical Evaluation of superDimension™ Navigation System for Electromagnetic Navigation Bronchoscopy) is a prospective, multicenter, global, cohort study...
April 26, 2016: BMC Pulmonary Medicine
Mark R Bowling, Matthew W Kohan, Paul Walker, Jimmy Efird, Sharon Ben Or
BACKGROUND: Navigational bronchoscopy is utilized to guide biopsies of peripheral lung nodules and place fiducial markers for treatment of limited stage lung cancer with stereotactic body radiotherapy. The type of sedation used for this procedure remains controversial. We performed a retrospective chart review to evaluate the differences of diagnostic yield and overall success of the procedure based on anesthesia type. METHODS: Electromagnetic navigational bronchoscopy was performed using the superDimension software system...
January 2015: Journal of Bronchology & Interventional Pulmonology
Yoshihiro Nakamura, Masami Sato
Endoscopic technology has developed markedly with endobronchial ultrasonography (EBUS) having become dramatically widespread over the past 10 years. EBUS-guided transbronchial needle aspiration (EBUS-TBNA) has become an important modality for the mediastinal staging of lung cancer as well as mediastinoscopy. The combination of EBUS with a guide sheath( EBUS-GS) and virtual navigation systems, such as Bf-NAVI, LungPoint, superDimension/Bronchus system, is useful for diagnosis of small peripheral pulmonary lesions...
July 2014: Kyobu Geka. the Japanese Journal of Thoracic Surgery
Andrea Magnani, Piero Balbo, Emanuela Facchini, Eraldo Occhetta, Paolo Marino
AIMS: Electromagnetic navigation bronchoscopy (ENB) (Superdimension) is a diagnostic and therapeutic tool in patients with lung lesions. Very small data are available about potential interference of ENB magnetic field to implanted cardioverter-defibrillators (ICDs) and any documentation of ICD behaviour if a ventricular tachyarrhythmia occurs during ENB is lacking. We tested a number of selected ICDs to assess if any interference occurs by ENB magnetic field on detection of clinical ventricular fibrillation and shock delivery...
December 2014: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
Shelley I Odronic, Thomas R Gildea, Deborah J Chute
Many peripheral lung lesions are beyond the reach of conventional bronchoscopes, and require percutaneous CT-guided or open surgical biopsy, which carry increased risks to the patient. Electromagnetic navigation bronchoscopy (ENB) is a relatively new technique, which uses an image guided localization system to direct steerable bronchoscopic tools to predetermined points within the bronchial tree. This technology allows improved access to peripheral lesions in particular. We investigated the sensitivity and specificity of ENB-guided fine needle aspiration (FNA) in the diagnosis of lung lesions...
December 2014: Diagnostic Cytopathology
Kyle R Brownback, Franklin Quijano, Heath E Latham, Steven Q Simpson
BACKGROUND: The diagnosis of pulmonary lesions that are not bronchoscopically visible is a challenging process. Electromagnetic navigation bronchoscopy (ENB) is a new technology designed to diagnose peripheral pulmonary lesions. We sought to determine whether diagnostic yield from ENB was affected by bronchus sign, lesion location, or size. METHODS: Data were obtained retrospectively from all patients undergoing ENB at our institution since 2008. ENB was performed by 3 separate proceduralists at our institution from November 2008 until July 2011 using the superDimension/InReach system...
April 2012: Journal of Bronchology & Interventional Pulmonology
Ahmed Y Khan, David Berkowitz, William S Krimsky, D Kyle Hogarth, Christopher Parks, Rabih Bechara
BACKGROUND: Electromagnetic Navigation Bronchoscopy (ENB) (InReach iLogic system; superDimension Inc) is a relatively new discipline, with promising diagnostic and therapeutic applications in patients with lung lesions. Navigation is performed in a magnetic field and, therefore, has been considered relatively contraindicated in patients with pacemakers and automated implantable cardioverter-defibrillators (AICDs). Potential risks include altering the function and shutting off the device, device damage, lead displacement, and potential overheating...
January 2013: Chest
Andrea Magnani, Roberta Matheoud, Marco Brambilla, Serena Valzano, Eraldo Occhetta, Paolo Marino, Piero Balbo
AIMS: To characterize the electromagnetic field emitted by the electromagnetic navigational bronchoscopy (ENB) superDimension(®) Bronchus system (SDBS) and to determine whether current implantable cardioverter defibrillator (ICD) systems are suitable for use in conjunction with SDBS. METHODS AND RESULTS: The electromagnetic emission of the SDBS location board were measured using a field strength meter connected to a low-frequency (5 Hz-100 kHz) electric and magnetic field analyser; the static magnetic field was measured using a three-axis Tesla meter...
July 2012: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
Bernd Lamprecht, Peter Porsch, Christian Pirich, Michael Studnicka
BACKGROUND: The combination of electromagnetic navigation bronchoscopy (ENB), PET-CT, and rapid on-site cytopathologic examination (ROSE) for the routine diagnostic work-up of peripheral lung lesions has not been evaluated previously. OBJECTIVES: The aim of this study was to determine the accuracy and safety of ENB in combination with PET-CT and ROSE in subjects with endobronchially invisible peripheral lung lesions. METHODS: ENB was performed in 13 subjects with radiologically suspected lung cancer who were referred to our tertiary-care hospital between October 2005 and November 2006...
January 2009: Lung
Luis M Seijo, Gorka Bastarrika, María Dolores Lozano, Javier J Zulueta
Electromagnetic navigation is a new technique that can be used with bronchoscopy to obtain samples of small peripheral nodular lesions and enlarged mediastinal lymph nodes. It is very versatile in that it enables both transbronchial biopsies and fine-needle aspiration to be performed. We describe 2 cases in which navigation with the superDimension/Bronchus system combined with traditional diagnostic techniques facilitated a definitive diagnosis by bronchoscopy. Electromagnetic navigation can obviate the need for more invasive diagnostic procedures such as surgery, thus saving time and money and avoiding complications...
August 2007: Archivos de Bronconeumología
Patrick A Kupelian, Alan Forbes, Twyla R Willoughby, Karen Wallace, Rafael R Mañon, Sanford L Meeks, Luis Herrera, Alan Johnston, Juan J Herran
PURPOSE: To report and describe implantation techniques and stability of metallic fiducials in lung lesions to be treated with external beam radiotherapy. METHODS AND MATERIALS: Patients undergoing radiation therapy for small early-stage lung cancer underwent implantation with small metallic markers. Implantation was either transcutaneous under computed tomographic (CT) or fluoroscopic guidance or transbronchial with the superDimension/Bronchus system (radiofrequency signal-based bronchoscopy guidance related to CT images)...
November 1, 2007: International Journal of Radiation Oncology, Biology, Physics
Ralf Eberhardt, Devanand Anantham, Felix Herth, David Feller-Kopman, Armin Ernst
BACKGROUND: Electromagnetic navigation bronchoscopy (ENB) with biopsy under fluoroscopic guidance has enhanced the yield of flexible bronchoscopy in the diagnosis of peripheral lung lesions. However, the accuracy of ENB navigation suggests that the addition of fluoroscopy is redundant. OBJECTIVES: Data were prospectively collected to determine the yield of ENB without fluoroscopy in the diagnosis of peripheral lung lesions. METHOD: ENB was performed via flexible bronchoscopy (superDimension/Bronchus system; superDimension Inc; Plymouth, MN)...
June 2007: Chest
Thomas R Gildea, Peter J Mazzone, Demet Karnak, Moulay Meziane, Atul C Mehta
RATIONALE: Electromagnetic navigation bronchoscopy using superDimension/Bronchus System is a novel method to increase diagnostic yield of peripheral and mediastinal lung lesions. OBJECTIVES: A prospective, open label, single-center, pilot study was conducted to determine the ability of electromagnetic navigation bronchoscopy to sample peripheral lung lesions and mediastinal lymph nodes with standard bronchoscopic instruments and demonstrate safety. METHODS: Electromagnetic navigation bronchoscopy was performed using the superDimension/Bronchus system consisting of electromagnetic board, position sensor encapsulated in the tip of a steerable probe, extended working channel, and real-time reconstruction of previously acquired multiplanar computed tomography images...
November 1, 2006: American Journal of Respiratory and Critical Care Medicine
Yehuda Schwarz, Joel Greif, Heinrich D Becker, Armin Ernst, Atul Mehta
STUDY OBJECTIVES: To characterize the feasibility, accuracy, and safety of the superDimension/Bronchus system (SDBS) [superDimension, Ltd; Hertzliya, Israel] in navigating to previously unreachable peripheral lung lesions and obtaining biopsy specimens. DESIGN: Open-label, prospective, controlled clinical study. SETTING: Pulmonary institute of a university-affiliated municipal hospital. PATIENTS: Thirteen adult candidates for nonemergency bronchoscopy who gave informed consent to participate...
April 2006: Chest
Yehuda Schwarz, Atul C Mehta, Armin Ernst, Felix Herth, Ahuva Engel, Doron Besser, Heinrich D Becker
BACKGROUND: Flexible bronchoscopy is routinely utilized in the diagnosis and treatment of various lung diseases. Nondiagnostic bronchoscopy leads to more invasive interventions, such as transthoracic needle aspiration, mediastinoscopy or even thoracotomy. Electromagnetic navigation is a novel technology that facilitates approaching peripheral lung lesions, which are difficult to sample by conventional means. The navigation system involves creating an electromagnetic field around the chest and localizing an endoscopic tool using a microsensor overlaid upon previously acquired CT images...
September 2003: Respiration; International Review of Thoracic Diseases
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