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https://www.readbyqxmd.com/read/29785294/development-of-a-precision-multimodal-surgical-navigation-system-for-lung-robotic-segmentectomy
#1
Jean Marc Baste, Valentin Soldea, Samy Lachkar, Philippe Rinieri, Mathieu Sarsam, Benjamin Bottet, Christophe Peillon
Minimally invasive sublobar anatomical resection is becoming more and more popular to manage early lung lesions. Robotic-assisted thoracic surgery (RATS) is unique in comparison with other minimally invasive techniques. Indeed, RATS is able to better integrate multiple streams of information including advanced imaging techniques, in an immersive experience at the level of the robotic console. Our aim was to describe three-dimensional (3D) imaging throughout the surgical procedure from preoperative planning to intraoperative assistance and complementary investigations such as radial endobronchial ultrasound (R-EBUS) and virtual bronchoscopy for pleural dye marking...
April 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29785291/using-novel-technology-to-augment-complex-video-assisted-thoracoscopic-single-basilar-segmentectomy
#2
Zaid M Abdelsattar, Shanda H Blackmon
There are many novel technologies that enable complex segmentectomy to be performed. As lung cancer screening becomes more prevalent, patients are increasingly diagnosed with early stage lung cancer, multifocal disease, and second primary tumors. This shift to an earlier clinical presentation combined with advances in technology and an emphasis on minimally invasive techniques have led to the current developments we are now seeing with anatomic segmentectomy. In this paper, we describe the operative technique of an indocyanine green (ICG)-guided video-assisted thoracoscopic surgery (VATS) single basilar segmental resection, augmented with methylene blue dye marker localization via SuperDimension electromagnetic navigational bronchoscopy...
April 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29785290/endobronchial-treatment-of-peripheral-tumors-ongoing-development-and-perspectives
#3
Thibault Vieira, Jean-Baptiste Stern, Philippe Girard, Raffaelle Caliandro
The expanded possibilities to explore the lung deeper with new tools such as electromagnetic navigation bronchoscopy (ENB) or radial probe endobronchial ultrasonography (radial EBUS), combined with miniaturization of traditional local therapies such as radiofrequency ablation (RFA), radiotherapy, cryotherapy or photodynamic therapy, let the bronchoscopists hope for new ways of endoscopic treatments. This challenge could change the practice in the upcoming decades but raise some physical and technical issues...
April 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29732199/electromagnetic-navigation-bronchoscopy-under-intravenous-sedation-tips-and-tricks
#4
Suet-Lai Cheng, Chung-Ming Chu
Electromagnetic navigation bronchoscopy (ENB) is gaining acceptance and popularity amongst bronchoscopists as one of the tools to diagnose pulmonary nodules (PNs). Although the majority of ENBs in earlier studies were performed under general anaesthesia (GA), later reports suggest that the diagnostic yield of ENB under intravenous sedation (IVS) was comparable, and was time saving. ENB under IVS may potentially improve access of the techniques to practitioners and patients. However, it is technically challenging when compared to its performance under GA...
April 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29732198/electromagnetic-navigation-bronchoscopy-in-the-thoracic-hybrid-operating-room-a-powerful-tool-for-a-new-era
#5
EDITORIAL
Andres Obeso, Calvin S H Ng
No abstract text is available yet for this article.
April 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29732195/the-feasibility-of-electromagnetic-navigational-bronchoscopic-localization-with-fluorescence-and-radiocontrast-dyes-for-video-assisted-thoracoscopic-surgery-resection
#6
REVIEW
Kook Nam Han, Hyun Koo Kim
Recently, some groups have reported the utilization of electromagnetic navigational bronchoscopy (ENB) for localization of pulmonary lesion. Its application for intraoperative visual localization with dyes to determine the target area has been increasing. In this paper, we reviewed the feasibility of ENB utilization for video-assisted thoracoscopic surgery (VATS) or robotic sublobar resection as a localization tool, and its future application in minimally invasive thoracic surgery.
April 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29732193/photodynamic-therapeutic-ablation-for-peripheral-pulmonary-malignancy-via-electromagnetic-navigation-bronchoscopy-localization-in-a-hybrid-operating-room-or-a-pioneering-study
#7
Ke-Cheng Chen, Jang-Ming Lee
Background: With the aid of electromagnetic navigation bronchoscopy (ENB), it has become possible to approach peripheral lung tumors from the airway. Meanwhile, local ablation using photodynamic therapy (PDT) has shown increasing promise in the realm of lung cancer treatment. The purpose of this study was to explore an alternative ablation method using PDT with SuperDimension ENB localization in a hybrid operating theater. Methods: Our study includes patients with primary or metastatic lung cancer who underwent PDT via ENB in the hybrid operating room (OR) of National Taiwan University Hospital between January 2016 and January 2017...
April 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29732192/electromagnetic-navigation-bronchoscopy-chungnam-national-university-hospital-experience
#8
Hyun Jin Cho, Md Roknuggaman, Woo Sik Han, Shin Kwang Kang, Min-Woong Kang
Background: To find small pulmonary nodules or ground grass nodules (GGNs) with video-assisted thoracoscopic surgery (VATS) is very difficult. There are several conventional methods to localize small nodules or GGNs, which require additional radiation exposure and may cause some complications such as pneumothorax or hemothorax. We aimed to evaluate the effectiveness and feasibility of electromagnetic navigational bronchoscopy-guided pulmonary localization in a minimally invasive thoracic surgery field...
April 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29723514/the-evolutional-history-of-electromagnetic-navigation-bronchoscopy-state-of-the-art
#9
REVIEW
Atul C Mehta, Kristin L Hood, Yehuda Schwarz, Stephen B Solomon
Electromagnetic navigation bronchoscopy (ENB) has come a long way from the early roots of electromagnetic theory. Current ENB devices have the potential to change the way lung cancer is detected and treated. This paper provides an overview of the history, current state, and future of ENB.
April 30, 2018: Chest
https://www.readbyqxmd.com/read/29703098/pulmonologist-evaluation-on-new-ct-visualization-for-guidance-to-lung-lesions-during-bronchoscopy
#10
Pall Jens Reynisson, Håkon Olav Leira, Thomas Langø, Geir Arne Tangen, Peter Hatlen, Tore Amundsen, Erlend Fagertun Hofstad
OBJECTIVE: Endoluminal visualization in virtual and video bronchoscopy lacks information about the surrounding structures, and the traditional 2 D axial, coronal and sagittal CT views can be difficult to interpret. To address this challenge, we previously introduced a novel visualization technique, Anchored to Centerline Curved Surface, for navigated bronchoscopy. The current study compares the ACCuSurf to the standard ACS CT views as planning and guiding tools in a phantom study. MATERIAL AND METHODS: Bronchoscope operators navigated in physical phantom guided by virtual realistic image data constructed by fusion of CT dataset of phantom and anonymized patient CT data...
April 27, 2018: Minimally Invasive Therapy & Allied Technologies: MITAT
https://www.readbyqxmd.com/read/29675281/coexistent-non-small-cell-carcinoma-and-small-cell-carcinoma-in-a-patient-presenting-with-hyponatremia
#11
Mitchell D Ross, Sreeja Biswas Roy, Pradnya D Patil, Jasmine L Huang, Nitika Thawani, Ralph Drosten, Tanmay S Panchabhai
Despite recent advances in screening methods, lung cancer remains the leading cause of cancer-related deaths worldwide. By the time lung cancer becomes symptomatic and patients seek treatment, it is often too advanced for curative measures. Low-dose computed tomography (CT) screening has been shown to reduce mortality in patients at high risk of lung cancer. We present a 66-year-old man with a 50-pack-year smoking history who had a right upper lobe (RUL) pulmonary nodule and left lower lobe (LLL) consolidation on a screening CT...
2018: Case Reports in Pulmonology
https://www.readbyqxmd.com/read/29661040/use-of-augmented-fluoroscopic-imaging-during-diagnostic-bronchoscopy
#12
D Kyle Hogarth
The single pulmonary nodule evaluation is a complex problem. In particular, attempts to biopsy peripheral nodules with bronchoscopy have been hampered by difficulty navigating to the correct airway and then confirming the instruments' proximity to the nodule. Virtual systems in use do not provide real-time feedback of a live image of the nodule in question. Fluoroscopy has traditionally offered limited assistance as often the nodule is not visible and provides no information on airways/pathways to the nodule...
April 17, 2018: Future Oncology
https://www.readbyqxmd.com/read/29614893/cerebral-artery-gas-embolism-following-navigational-bronchoscopy
#13
Keren Fogelfeld, Richie K Rana, Guy W Soo Hoo
INTRODUCTION: Cerebral artery gas embolism (CAGE) is a rare but serious adverse event with potentially devastating neurologic sequelae. Bronchoscopy is a frequently performed procedure but with only a few reported cases of CAGE. METHODS: We report the first documented case of CAGE associated with electromagnetic navigational bronchoscopy. RESULTS: A 61-year-old man with a left lower lobe nodule underwent electromagnetic navigational bronchoscopy...
January 1, 2018: Journal of Intensive Care Medicine
https://www.readbyqxmd.com/read/29608113/3d-virtual-broncoscopy-before-feto-procedure-in-a-fetus-with-severe-isolated-left-congenital-diaphragmatic-hernia
#14
Gabriele Tonni, Rodrigo Ruano, Renato Sà, Fernando Maia Peixoto Filho, Jorge Lopes, Heron Werner
INTRODUCTION: Congenital diaphragmatic hernia (CDH) is a life-threatening event in severe forms and fetuses affected may benefit from in utero treatment by fetoscopic endotracheal occlusion (FETO). MATERIALS AND METHODS: Application of 3D virtual bronchoscopy in a case of severe, isolated, left CDH before performing FETO procedure at 27 week's gestation is reported. RESULTS: The 3D virtual imaging of the fetal trachea was technically useful in planning the real FETO procedure...
April 2, 2018: Fetal and Pediatric Pathology
https://www.readbyqxmd.com/read/29581760/a-new-and-safe-mode-of-ventilation-for-interventional-pulmonary-medicine-the-ease-of-nasal-superimposed-high-frequency-jet-ventilation
#15
Wolfgang Hohenforst-Schmidt, Paul Zarogoulidis, Haidong Huang, Yan-Gao Man, Stella Laskou, Charilaos Koulouris, Dimitris Giannakidis, Stylianos Mantalobas, Maria C Florou, Aikaterini Amaniti, Michael Steinheimer, Anil Sinha, Lutz Freitag, J Francis Turner, Robert Browning, Thomas Vogl, Andrei Roman, Naim Benhassen, Isaak Kesisoglou, Konstantinos Sapalidis
We use pulmonary interventional procedures for the diagnosis of pulmonary diseases either for benign or malignant lesions. Flexible bronchoscopy with or without radial endobronchial ultrasound, convex-probe endobronchial ultrasound and electromagnetic navigation are procedures performed in centers with experience in diagnostic pulmonary medicine. The method of sedation and ventilation is very important in order to avoid or handle with success complications. Proper respiration during pulmonary (or other interventional) procedures is a key factor...
2018: Journal of Cancer
https://www.readbyqxmd.com/read/29530773/bronchoscopy-simulation-training-as-a-tool-in-medical-school-education
#16
Mallika Gopal, Alexus A Skobodzinski, Helene M Sterbling, Sowmya R Rao, Christopher LaChapelle, Kei Suzuki, Virginia R Litle
BACKGROUND: Procedural simulation training is rare at the medical school level and little is known about its usefulness in improving anatomical understanding and procedural confidence in students. Our aim is to assess the impact of bronchoscopy simulation training on bronchial anatomy knowledge and technical skills in medical students. METHODS: Medical students were recruited by email, consented, and asked to fill out a survey regarding their baseline experience...
March 9, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29505729/advanced-endoscopic-navigation-surgical-big-data-methodology-and-applications
#17
Xiongbao Luo, Kensaku Mori, Terry M Peters
Interventional endoscopy (e.g., bronchoscopy, colonoscopy, laparoscopy, cystoscopy) is a widely performed procedure that involves either diagnosis of suspicious lesions or guidance for minimally invasive surgery in a variety of organs within the body cavity. Endoscopy may also be used to guide the introduction of certain items (e.g., stents) into the body. Endoscopic navigation systems seek to integrate big data with multimodal information (e.g., computed tomography, magnetic resonance images, endoscopic video sequences, ultrasound images, external trackers) relative to the patient's anatomy, control the movement of medical endoscopes and surgical tools, and guide the surgeon's actions during endoscopic interventions...
March 5, 2018: Annual Review of Biomedical Engineering
https://www.readbyqxmd.com/read/29486178/robotic-endoscopic-airway-challenge-reach-assessment
#18
Alexander C Chen, Colin T Gillespie
PURPOSE: Bronchoscopy for peripheral pulmonary lesions continues to present challenges to clinicians. One potential limitation may be the inability to advance conventional bronchoscopes into close proximity of peripheral lesions prior to biopsy. This study was performed to assess the reach of a robotic endoscopic system within human cadaveric lungs compared to conventional thin bronchoscopes. DESCRIPTION: All segmental bronchi (RB1-10, LB1-10) were accessed in two human cadavers using a conventional thin bronchoscope and robotic endoscope of identical outer diameter...
February 24, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29473313/vectorial-localization-of-peripheral-pulmonary-lesion-guided-by-electromagnetic-navigation-a-novel-method-for-diagnostic-surgical-resection-without-dye-marking
#19
Tong Qiu, Baohua Yu, Yunpeng Xuan, Haihong Luan, Wenjie Jiao
We describe a novel method using electromagnetic navigation bronchoscopy (ENB) without dye marking to perform vectorial localization for an impalpable peripheral lesion in the right lower lobe during diagnostic surgical resection in a 52-year-old woman. After the ENB registration process, the anesthetist changed the single-lumen endotracheal tube to a double-lumen endobronchial tube. Guided by the ENB system, the operator delivered the probe of the locatable guide to the planned site through the right lumen of the endobronchial tube...
April 2018: Thoracic Cancer
https://www.readbyqxmd.com/read/29433709/state-of-the-art-modalities-for-peripheral-lung-nodule-biopsy
#20
REVIEW
Satish Kalanjeri, Robert C Holladay, Thomas R Gildea
Lung nodules are being increasingly detected, particularly with lung cancer screening with low-dose computed tomography. Although the vast majority of lung nodules are benign, many often require tissue diagnosis. Several modalities to obtain diagnostic tissue from peripheral lung nodules are available. Bronchoscopic modalities such as radial ultrasound and electromagnetic navigational bronchoscopy are becoming increasingly used because of their superior safety profile and improving diagnostic yield. Although these modalities continue to become more advanced, newer and complementary technologies appear promising...
March 2018: Clinics in Chest Medicine
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