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Keywords Electromagnetic navigation bro...

Electromagnetic navigation bronchoscopy

https://read.qxmd.com/read/37940942/the-effect-of-combining-different-sampling-tools-on-the-performance-of-electromagnetic-navigational-bronchoscopy-for-the-evaluation-of-peripheral-lung-lesions-and-factors-associated-with-its-diagnostic-yield
#21
JOURNAL ARTICLE
Javier Flandes, Francisco B Martinez-Muñiz, Juan José Cruz-Rueda, Francisco J Soto, Adnan Majid, Eduardo Tuta-Quintero, Luis F Giraldo-Cadavid
BACKGROUND: We assessed the performance of Electromagnetic navigational bronchoscopy (ENB) as a standalone diagnostic technique and the performance of different sampling tools used during the procedure. METHODS: We recruited 160 consecutive patients who underwent ENB for peripheral lung lesions (PLL) at a tertiary care centre. The diagnostic performance of ENB and sampling tools was assessed using a logistic regression model and a ROC-curve in which the dependent variable was diagnostic success...
November 8, 2023: BMC Pulmonary Medicine
https://read.qxmd.com/read/37936613/accurate-and-non-invasive-localization-of-multi-focal-ground-glass-opacities-via-electromagnetic-navigation-bronchoscopy-assisting-video-assisted-thoracoscopic-surgery-a-single-center-study
#22
JOURNAL ARTICLE
Chenxi Zeng, Guang Yang, Lu Wei, Junhui Wang, Xue Wang, Fan Ye, Xiangning Fu, Yixin Cai, Jianing Wang
BACKGROUND: Accurate localization of multi-focal ground-glass opacities (GGOs) is crucial for successful video-assisted thoracoscopic surgery (VATS). Electromagnetic navigation bronchoscopy (ENB) provides a minimally invasive and dependable approach for precise localization. This study assessed the accuracy and safety of ENB-guided localization in cases involving multi-focal GGOs. METHODS: This retrospective study presents a single-center investigation into ENB-guided localization, utilizing methylene blue, for multi-focal GGOs assisting VATS...
2023: Frontiers in Oncology
https://read.qxmd.com/read/37930633/advances-in-navigating-to-the-nodule-and-targeting
#23
REVIEW
Jeffrey Graham, Madeleine Basist, Laura Frye, Abhinav Agrawal, Faria Nasim
PURPOSE OF REVIEW: The multitude of available platforms and imaging modalities for navigational bronchoscopy, in combination with the various sampling tools that can be used intra-procedurally, is complex. This review seeks to describe the recent developments in peripheral bronchoscopy in regards to navigation, imaging, and sampling target lesions in the pulmonary parenchyma. RECENT FINDINGS: Robotic assisted bronchoscopy has improved navigation to the peripheral airways for sampling of peripheral parenchymal lesions...
January 1, 2024: Current Opinion in Pulmonary Medicine
https://read.qxmd.com/read/37929989/radial-endobronchial-ultrasound-and-electromagnetic-navigation-bronchoscopy-with-fluoroscopy-for-the-diagnosis-of-peripheral-lung-lesions
#24
JOURNAL ARTICLE
Amanda Dandanell Juul, Alexis Pulga, Arman Arshad
Diagnosing lung cancer using a flexible bronchoscope is a safe procedure with a very low risk of complications. Bronchoscopy has high diagnostic accuracy for endobronchial lesions, but it falls short when sampling peripheral lesions. Therefore, several modalities have been invented to guide the bronchoscope to the lesion and confirm the location of the tumor before tissue sampling. Fluoroscopy is used during bronchoscopy to provide a 2D X-ray image of the thorax during the procedure. The bronchoscope and tools will be visible, as well as lesions if larger than 2...
October 20, 2023: Journal of Visualized Experiments: JoVE
https://read.qxmd.com/read/37914556/transbronchial-lung-cryobiopsy-for-peripheral-pulmonary-lesions-a-narrative-review
#25
REVIEW
Yilian Tang, Sen Tian, Hui Chen, Xiang Li, Xiang Pu, Xiaoqin Zhang, Yan Zheng, Yonghua Li, Haidong Huang, Chong Bai
An increasing number of peripheral pulmonary lesions (PPLs) requiring tissue verification to establish a definite diagnosis for further individualized management are detected due to the growing adoption of lung cancer screening by chest computed tomography (CT), especially low-dose CT. However, the morphological diagnosis of PPLs remains challenging. Transbronchial lung cryobiopsy (TBLC) that can retrieve larger specimens with more preserved cellular architecture and fewer crush artifacts in comparison with conventional transbronchial forceps biopsy (TBFB), as an emerging technology for diagnosing PPLs, has been demonstrated to have the potential to resolve the clinical dilemma pertaining to currently available sampling devices (e...
October 30, 2023: Pulmonology
https://read.qxmd.com/read/37868856/utility-of-multimodal-sampling-and-testing-during-advanced-bronchoscopy-for-diagnosing-atypical-respiratory-infections-in-a-coccidioides-endemic-region
#26
JOURNAL ARTICLE
Ara A Chrissian, Sevwandi De Silva, Michele Quan, Erin Wiltchik, Pranjal Patel, Brian Furukawa, Daniel Rogstad, Nicholas Rockwood, Elliot Ho, Gregory Cheek
BACKGROUND: The role of advanced diagnostic bronchoscopy (ADB) for assessing atypical respiratory infections is unclear. The purpose of this study was to ascertain: (I) the diagnostic utility of ADB-tissue sampling in patients with focal thoracic lesions due to atypical respiratory infections; (II) how multimodal bronchoscopic sampling and testing enhance diagnosis in a Coccidioides -endemic region. METHODS: A retrospective observational cohort study analyzing all ADBs performed over a 10-year period in patients with focal thoracic lesions diagnosed with a non-malignant disorder...
September 28, 2023: Journal of Thoracic Disease
https://read.qxmd.com/read/37861531/outcomes-of-the-electromagnetic-navigation-bronchoscopy-using-forceps-for-lung-lesion-suspected-malignancy-a-retrospective-study
#27
JOURNAL ARTICLE
Tae Hun Kim, Mi-Ae Kim, Hyun Jung Kim, Yong Shik Kwon, Jae Seok Park, Sun Hyo Park
Many studies have reported electromagnetic navigation bronchoscopy (ENB) diagnostic yields and the importance of size and computed tomography (CT) bronchus sign. This study aimed to determine the diagnostic yield of ENB alone, using forceps biopsy and cytology. We analyzed the factors associated with yield and complications according to gross specimen size. This retrospective study included patients who underwent ENB using forceps for suspected lung lesions on CT between January 2020 and December 2022 in South Korea...
October 20, 2023: Medicine (Baltimore)
https://read.qxmd.com/read/37798173/-advanced-bronchoscopic-techniques-for-the-diagnosis-of-peripheral-lung-nodule
#28
REVIEW
S Lachkar, F Guisier, L Thiberville, E Dantoing, M Salaün
The endoscopic diagnosis of peripheral lung nodules is a challenging aspect of oncological practice. More often than not inaccessible by traditional endoscopy, these nodules necessitate multiple imagery tests, as well as diagnostic surgery for benign lesions. Even though transthoracic ultrasonography has a high diagnostic yield, a sizeable complication rate renders it suboptimal. Over recent years, a number of safe and accurate navigational bronchoscopic procedures have been developed. In this first part, we provide an overview of the bronchoscopic techniques currently applied for the excision and diagnostic analysis of peripheral lung nodules; emphasis is laid on electromagnetic navigation bronchoscopy and the association of virtual bronchoscopy planner with radial endobronchial ultrasound...
2023: Revue des Maladies Respiratoires
https://read.qxmd.com/read/37769170/diagnostic-performance-and-safety-profile-of-robotic-assisted-bronchoscopy-a-systematic-review-and-meta-analysis
#29
JOURNAL ARTICLE
Muhammad Sajawal Ali, Uzair Khan Ghori, Max Theodore Wayne, Eugene Shostak, Jose De Cardenas
Rationale: Conventional electromagnetic navigation bronchoscopy and other guided bronchoscopic modalities have a very desirable safety profile, but their diagnostic yield is only 60-70% for pulmonary lesions. Recently, robotic-assisted bronchoscopy (RAB) platforms have been introduced to improve the diagnostic performance of bronchoscopic modalities. Objectives: To determine the diagnostic performance and safety profile of RAB (using shape-sensing and electromagnetic navigation-based platforms) by performing a systematic review and meta-analysis...
December 2023: Annals of the American Thoracic Society
https://read.qxmd.com/read/37747275/transbronchial-microwave-ablation-of-peripheral-lung-tumors-the-navablate-study
#30
JOURNAL ARTICLE
Kelvin K W Lau, Rainbow W H Lau, Ralitsa Baranowski, Julie Krzykowski, Calvin S H Ng
BACKGROUND: Image-guided thermal ablation is a minimally invasive local therapy for lung malignancies. NAVABLATE characterized the safety and performance of transbronchial microwave ablation (MWA) in the lung. METHODS: The prospective, single-arm, 2-center NAVABLATE study (NCT03569111) evaluated transbronchial MWA in patients with histologically confirmed lung malignancies ≤30 mm in maximum diameter who were not candidates for, or who declined, both surgery and stereotactic body radiation therapy...
September 25, 2023: Journal of Bronchology & Interventional Pulmonology
https://read.qxmd.com/read/37734951/novel-electromagnetic-navigation-bronchoscopy-system-for-the-diagnosis-of-peripheral-pulmonary-nodules-a-prospective-multicentre-study
#31
JOURNAL ARTICLE
Ying Li, Wei Chen, Fangfang Xie, Rui Huang, Xiang Liu, Yang Xiao, Liming Cao, Yi Hu, Mingyao Ke, Shiman Wu, Jiayuan Sun
BACKGROUND: Traditional electromagnetic navigation bronchoscopy (ENB) is a real-time image-guided system and used with thick bronchoscopes for the diagnosis of peripheral pulmonary nodules (PPNs). A novel ENB that could be used with thin bronchoscopes was developed. This study aimed to evaluate the diagnostic yield and the experience of using this ENB system in a real clinical scenario. METHODS: This multicentre study enrolled consecutive patients with PPNs adopting ENB from March 2019 to August 2021...
September 21, 2023: Thorax
https://read.qxmd.com/read/37714780/immunotherapy-for-the-elderly-maybe-the-best-option-for-lung-cancer
#32
JOURNAL ARTICLE
Paul Zarogoulidis, Dimitris Matthaios, Panagoula Oikonomou, Christina Nikolaou, Charalampos Charalampidis, Chrysanthi Sardeli
Lung cancer is usually diagnosed at advanced stage and systematic therapy is administered. New current diagnostic techniques such as the convex-endobronchial ultrasound, radial endobronchial ultrasound, cone beam ct, electromagnetic navigation and robotic bronchoscopy provide us with a high diagnostic yield. These techniques are minimal invasive and patients with comorbidities such as chronic obstructive pulmonary disease and heart failure can be diagnosed with minimal adverse effects. All these techniques provide sufficient sample for molecular investigation...
September 12, 2023: Cancer Treatment and Research Communications
https://read.qxmd.com/read/37699144/electromagnetic-navigation-bronchoscopy-and-trans-thoracic-sampling-of-peripheral-pulmonary-nodules-one-step-back-one-leap-forward-for-the-evaluation-of-technology-targeting-the-lung-periphery
#33
JOURNAL ARTICLE
David M DiBardino, Anne V Gonzalez
No abstract text is available yet for this article.
September 12, 2023: American Journal of Respiratory and Critical Care Medicine
https://read.qxmd.com/read/37693467/robotic-versus-electromagnetic-bronchoscopy-for-pulmonary-lesion-assessment-the-reliant-pragmatic-randomized-trial
#34
Rafael Paez, Robert J Lentz, Cristina Salmon, Justin K Siemann, See-Wei Low, Jonathan D Casey, Heidi Chen, Sheau-Chiann Chen, Sameer Avasarala, Samira Shojaee, Otis B Rickman, Christopher J Lindsell, Cheryl L Gatto, Todd W Rice, Fabien Maldonado
BACKGROUND: Robotic assisted bronchoscopy has recently emerged as an alternative to electromagnetic navigational bronchoscopy for the evaluation of peripheral pulmonary lesions. While robotic assisted bronchoscopy is proposed to have several advantages, such as an easier learning curve, it is unclear if it has comparable diagnostic utility as electromagnetic navigational bronchoscopy. METHODS: R obotic versus E lectromagnetic Bronchoscopy for Pulmonary L es I on A ssessme NT (RELIANT) is an investigator-initiated, single-center, open label, noninferiority, cluster randomized controlled trial conducted in two operating rooms at Vanderbilt University Medical Center...
August 28, 2023: Research Square
https://read.qxmd.com/read/37679360/close-to-lesion-transbronchial-biopsy-a-novel-technique-to-improve-suitability-of-specimens-for-genetic-testing-in-patients-with-peripheral-pulmonary-lesions
#35
JOURNAL ARTICLE
Yoichi Nishii, Tadashi Sakaguchi, Seiya Esumi, Maki Esumi, Yuki Nakamura, Yuta Suzuki, Kentaro Ito, Kentaro Fujiwara, Hiroki Yasui, Atsushi Ito, Tomohito Tarukawa, Tatsuki Tsuruga, Corina N D'Alessandro-Gabazza, Taro Yasuma, Hajime Fujimoto, Fumihiro Asano, Esteban C Gabazza, Tetsu Kobayashi, Osamu Taguchi, Osamu Hataji
Bronchoscopy with radial-probe endobronchial ultrasound, a guide sheath, and electromagnetic navigation can improve the diagnostic yield of peripheral lung nodules. However, the suitability of specimens for genetic analysis remains unsatisfactory. We hypothesized that a transbronchial biopsy performed after closely approaching the bronchoscope tip to the lesion might provide more suitable specimens for genetic analysis. We enrolled 155 patients with peripheral pulmonary lesions who underwent bronchoscopy with a thin or ultrathin bronchoscope...
September 7, 2023: Scientific Reports
https://read.qxmd.com/read/37675336/cone-beam-ct-in-lung-biopsy-a-clinical-practice-review-on-lessons-learned-and-future-perspectives
#36
REVIEW
Roel L J Verhoeven, Stephan E P Kops, Inge N Wijma, Desi K M Ter Woerds, Erik H F M van der Heijden
Pulmonary nodules with intermediate to high risk of malignancy should preferably be diagnosed with image guide minimally invasive diagnostics before treatment. Several technological innovations have been developed to endobronchially navigate to these lesions and obtain tissue for diagnosis. This review addresses these technological advancements in navigation bronchoscopy in three basic steps: navigation, position confirmation and acquisition, with a specific focus on cone-beam computed tomography (CBCT). For navigation purposes ultrathin bronchoscopy combined with virtual bronchoscopy navigation, electromagnetic navigation and robotic assisted bronchoscopy all achieve good results as a navigation guidance tool, but cannot confirm location or guide biopsy positioning...
August 30, 2023: Annals of Translational Medicine
https://read.qxmd.com/read/37590540/transbronchial-lung-cryobiopsy-for-diagnosing-interstitial-lung-diseases-and-peripheral-pulmonary-lesions-a-stepwise-approach
#37
JOURNAL ARTICLE
Jesper R Davidsen, Christian B Laursen, Søren H Skaarup, Sissel B Kronborg-White, Amanda D Juul
Transbronchial lung cryobiopsy (TBLC) is an invasive procedure increasingly implemented during the last decade as an alternative to video-assisted thoracic surgery lung biopsy (SLB) for diagnosing interstitial lung diseases (ILDs). The indication for TBLC has primarily been to sub-classify a specific ILD subtype when this cannot be achieved on the basis of a preceding multidisciplinary team discussion. Although SLB is considered the gold standard for establishing a histological diagnosis, TBLC has been gradually suggested as the first-choice histological diagnostic modality in patients with unclassified ILDs due to a comparable diagnostic yield with SLB, but superior to SLB in terms of complications, including mortality...
July 21, 2023: Journal of Visualized Experiments: JoVE
https://read.qxmd.com/read/37582154/a-multicenter-single-arm-prospective-trial-assessing-the-diagnostic-yield-of-electromagnetic-bronchoscopic-and-transthoracic-navigation-for-peripheral-pulmonary-nodules
#38
JOURNAL ARTICLE
Jeffrey Thiboutot, Nicholas J Pastis, Jason Akulian, Gerard A Silvestri, Alexander Chen, Momen M Wahidi, Christopher R Gilbert, Cheng Ting Lin, Jenna Los, Eric Flenaugh, Roy Semaan, A Cole Burks, Priya Sathyanarayan, Sam Wu, David Feller-Kopman, George Z Cheng, Raed Alalawi, Najib M Rahman, Fabien Maldonado, Hans J Lee, Lonny Yarmus
RATIONALE: Strict adherence to procedural protocols and diagnostic definitions is critical to understand the efficacy of new technologies. Electromagnetic navigational bronchoscopy (ENB) for lung nodule biopsy has been utilized for decades without a solid understanding of its efficacy but offers the opportunity for simultaneous tissue acquisition via electromagnetic navigation transthoracic biopsy (EMN-TTNA), and staging via endobronchial ultrasound (EBUS). OBJECTIVE: To evaluate the diagnostic yield of EBUS, ENB, and EMN-TTNA during a single procedure using a strict a priori definition of diagnostic yield, with central pathology adjudication...
August 15, 2023: American Journal of Respiratory and Critical Care Medicine
https://read.qxmd.com/read/37577320/diagnostic-accuracy-and-safety-of-electromagnetic-navigation-transthoracic-needle-biopsy-under-moderate-sedation-for-the-diagnosis-of-peripheral-pulmonary-lesions
#39
JOURNAL ARTICLE
SoJeong Kim, NaYoung Kim, SooJie Chung, JungHyun Kim, InGyu Hyun, JeongHee Choi, HeeSung Lee
BACKGROUND: Novel approaches using virtual computed tomography (CT) guidance, namely electromagnetic navigation transthoracic needle biopsy (EMN-TTNB), enable physicians to perform percutaneous lung biopsies. However, there are very few studies on the clinical experiences of EMN-TTNB, and in previous studies, the procedure was usually performed under deep sedation. This study aimed to determine the diagnostic accuracy and safety of EMN-TTNB under moderate sedation. METHODS: We conducted a retrospective analysis of patients who underwent EMN-TTNB under moderate sedation between May 2021 and November 2022 at Hallym University Dongtan Sacred Heart Hospital in South Korea...
July 31, 2023: Translational Lung Cancer Research
https://read.qxmd.com/read/37448240/five-year-survival-of-resectable-stage%C3%A2-iiia-non-small-cell-lung-cancer-in-brazil
#40
JOURNAL ARTICLE
Maria Laura Gritti Paes de Barros, Vinícius G Silva, Frederico Rafael Moreira, Stela V Perez, Riad N Younes, Fernando Conrado Abrão
BACKGROUND: In stage IIIA non-small cell lung cancer (NSCLC), surgery plays a role in terms of multimodal treatment. Surgery rates have increased in recent years, mainly due to the combination of more accurate imaging tools, electromagnetic navigation bronchoscopy, robotic bronchoscopy, robotic surgery, and a wide range of challenging clinical scenarios to lead surgeons and oncologists to include surgery as an option in therapeutic management. OBJECTIVES: To assess the prognostic factors, the 5-year overall survival (OS) and cancer-specific survival (CSS) of patients with resectable stage III-NSCLC...
July 13, 2023: Journal of Surgical Oncology
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