Comparison of Synapse 3D system (Version 4.4) and DirectPath system (Version 2.0) in virtual bronchoscopic navigation application for peripheral pulmonary nodules DOI Creative Commons
Xiang Li, Sen Tian, Yifei Zhang

et al.

Therapeutic Advances in Respiratory Disease, Journal Year: 2024, Volume and Issue: 18

Published: Jan. 1, 2024

Background: Differences between virtual bronchoscopic navigation (VBN) systems and their impacts on the diagnostic yield of transbronchial biopsy (TBB) peripheral pulmonary nodules (PPNs) remain unclear. Objectives: To compare Synapse 3D system (Version 4.4, Fujifilm, Japan) DirectPath 2.0, Olympus, in VBN application PPNs. Design: Retrospective study with self-paired design exploratory retrospective cohort design. Methods: The analyzed patients PPNs using (Group S) D) compared differences two groups bronchial tree reconstruction, pathway planning, VBN-assisted TBB Results: In all, 289 were ultimately. Bronchial reconstruction quality was better Group S ( p < 0.001). Navigation planning duration longer than that D (median 1.35 vs 1.04 s, Automated success rate higher (36.7% 19.7%, 0.001), CT image parameter nodule diameter, bronchus sign, distance from hilum had significant effects it both groups. Fifty-six forty-two localization not significantly different (85.3% 91.2% 67.6% 61.8%, respectively, > 0.05). Conclusion: 4.4) 2.0) own merits. Localization no statistical difference for these systems. Improvements segmentation algorithms most suitable chest scan data them may be breakthrough to improve efficiency VBN, especially poor experienced interventional physicians.

Language: Английский

Transbronchial lung cryobiopsy for peripheral pulmonary lesions. A narrative review DOI Creative Commons
Yibo Tang, Sen Tian, Hua Chen

et al.

Pulmonology, Journal Year: 2023, Volume and Issue: 30(5), P. 475 - 484

Published: Oct. 31, 2023

An increasing number of peripheral pulmonary lesions (PPLs) requiring tissue verification to establish a definite diagnosis for further individualized management are detected due the growing adoption lung cancer screening by chest computed tomography (CT), especially low-dose CT. However, morphological PPLs remains challenging. Transbronchial cryobiopsy (TBLC) that can retrieve larger specimens with more preserved cellular architecture and fewer crush artifacts in comparison conventional transbronchial forceps biopsy (TBFB), as an emerging technology diagnosing PPLs, has been demonstrated have potential resolve clinical dilemma pertaining currently available sampling devices (e.g., forceps, needle brush) become diagnostic cornerstone PPLs. Of note, introduction 1.1 mm cryoprobe will be compatible advanced bronchoscopic navigation techniques, such radial endobronchial ultrasound (r-EBUS), virtual (VBN) electromagnetic bronchoscopy (ENB), use TBLC is expected gain popularity While much exploration using technique it envisaged emergence additional studies data accrual hopefully add body evidence this field.

Language: Английский

Citations

11
Multimodality Imaging with Confocal Endomicroscopy, Red Dichromatic Imaging, and Virtual Bronchoscopic Navigation Guided Recanalization of Complete Airway Obstruction Caused by Tracheobronchial Amyloidosis DOI

Sen Tian,

Yifei Zhang, Shunmin Zhang

et al.

Archivos de Bronconeumología, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 1, 2025

Language: Английский

Citations

0
Radial endobronchial ultrasound - guided bronchoscopy for the diagnosis of peripheral pulmonary lesions: A systematic review and meta-analysis of prospective trials DOI Creative Commons

Sen Tian,

Xiang Li,

Jian Liu

et al.

Heliyon, Journal Year: 2024, Volume and Issue: 10(8), P. e29446 - e29446

Published: April 1, 2024

The diagnostic yield of radial endobronchial ultrasound (r-EBUS) for the diagnosis peripheral pulmonary lesions (PPLs) varies between studies and is affected by multiple factors. We aimed to evaluate efficacy safety r-EBUS, explore factors influencing r-EBUS in patients with PPLs.

Language: Английский

Citations

3
ETV6-NTRK2 Fusion in a Patient With Metastatic Pulmonary Atypical Carcinoid Successfully Treated With Entrectinib: A Case Report and Review of the Literature DOI
Wusheng Zhang, Sen Tian, X. Li

et al.

Clinical Lung Cancer, Journal Year: 2024, Volume and Issue: 25(3), P. 215 - 224.e3

Published: March 19, 2024

Language: Английский

Citations

2
An explorative analysis on the optimal cryo-passes and freezing time of the ultrathin cryoprobe in endobronchial ultrasound-guided transbronchial mediastinal cryobiopsy DOI Creative Commons
Sze Shyang Kho, Shirin Hui Tan, Chun Ian Soo

et al.

Scientific Reports, Journal Year: 2024, Volume and Issue: 14(1)

Published: Aug. 12, 2024

Abstract EBUS-guided transbronchial mediastinal cryobiopsy (TBMC) has emerged as a promising biopsy tool for diagnosing hilar and pathologies. However, several fundamental technical aspects of TBMC remain unexplored. This study aims to determine the optimal number cryo-passes freezing time ultrathin cryoprobe in EBUS-TBMC concerning specimen size procedural diagnostic yield. We conducted retrospective chart review patients with lesions who underwent between January 2021 April 2023 across three hospitals Malaysia. A total 129 procedures were successfully completed, achieving an overall yield 88.4%. Conclusive associated larger sizes (7.0 vs. 5.0 mm, p < 0.01). Specimen demonstrated positive correlation ( 0.01), plateauing at 4.1–6.0 mm. significant was also observed both 0.01) 0.05). Diagnostic plateaued after 2–3 cryo-passes. In contrast, longer times trended towards smaller specimens lower yield, though not reaching statistical significance. The highest recorded 3.1–4.0 s time. safety profile remains favourable, one case (0.8%) pneumothorax nine cases (7%) self-limiting bleeding. our cohort, performance achieve aggregate mm appeared optimal. Further prospective studies are needed validate these findings.

Language: Английский

Citations

2
Predictive value of the resistance of the probe to pass through the lesion in the diagnosis of peripheral pulmonary lesions using radial probe endobronchial ultrasound with a guide sheath DOI Creative Commons

Zhenli Hu,

Sen Tian,

Xiangqi Wang

et al.

Frontiers in Oncology, Journal Year: 2023, Volume and Issue: 13

Published: July 31, 2023

Transbronchial lung biopsy guided by radial probe endobronchial ultrasonography with a guide sheath (EBUS-GS-TBLB) is becoming significant approach for diagnosing peripheral pulmonary lesions (PPLs). We aimed to explore the clinical value of resistance pass through lesion in diagnosis PPLs when performing EBUS-GS-TBLB, and determine optimum number EBUS-GS-TBLB.We performed prospective, single-center study 126 consecutive patients who underwent EBUS-GS-TBLB solid positive-bronchus-sign where was located within from September 2019 May 2022. The classification each carried out two bronchoscopists independently, final result depended on bronchoscopist responsible procedures. primary endpoint diagnostic yield according pattern. secondary endpoints were factors affecting yield. Procedural complications also recorded.The total 77.8%, including 83.8% malignant 67.4% benign diseases (P=0.033). Probe type II displayed highest (87.5%), followed III (81.0%) I (61.1%). A difference between detected (P = 0.008), whereas others did not. Although most definitive using or could be diagnosed first biopsy, fourth contributed sufficient samples. In contrast, considerably limited tissue specimens obtained I. inter-observer agreement blinded excellent (κ 0.84).The useful predictive factor successful lesion. Four serial biopsies are appropriate both III, additional procedures needed

Language: Английский

Citations

5
Rapid On-Site Evaluation Performed by an Interventional Pulmonologist: A Single-Center Experience DOI Open Access
Emanuela Barisione, Carlo Genova,

Matteo Ferrando

et al.

Journal of Personalized Medicine, Journal Year: 2024, Volume and Issue: 14(7), P. 764 - 764

Published: July 18, 2024

Rapid On-Site Evaluation (ROSE) during bronchoscopy allows us to assess sample adequacy for diagnosis and molecular analyses in the context of precision oncology. While extemporaneous smears are typically evaluated by pathologists, their presence is not always possible. Our aim concordance between ROSE performed interventional pulmonologists cytopathologists. We on 133 samples collected from 108 patients who underwent suspect thoracic findings or mediastinal lymph node staging (May 2023-October 2023). Randomly selected (one each collection site) were independently a pulmonologist pathologist evaluation. Among pathologist, 100 adequate both, 10 inadequate both 23 discordant; hence, global was 82.7%; Cohen's Kappa 0.385, defining fair agreement. Concordance similar irrespective site (lymph nodes vs. pulmonary lesions; p = 0.999) among which considered (p 0.608). Trained can evaluate appropriateness sampling with good work supports autonomous where pathologists immediately available.

Language: Английский

Citations

1
Video gamers demonstrate superior bronchoscopy skills among beginners DOI Creative Commons
Masafumi Shimoda, Yoshiaki Tanaka, Kozo Morimoto

et al.

Scientific Reports, Journal Year: 2024, Volume and Issue: 14(1)

Published: Jan. 27, 2024

Abstract While previous research has explored the connection between video gaming and medical procedures, studies on bronchoscopy techniques are lacking. This study aimed to investigate how experience influences skills, particularly among beginners. was conducted at Fukujuji Hospital from January 2021 October 2023. Twenty-three participants were assigned inexperienced group, eighteen experienced group. The observational time during bronchoscopy, measured using a simulator, playing of SPLATOON 2 (NINTENDO Co. Ltd., Japan) analyzed. Video skills assessed based game completion time, with shorter times indicating faster task completion. Participants also divided into gamer nongamer subgroups for further comparisons. A moderate linear relationship existed bronchoscopic observation in group (r = 0.453, p 0.030). However, no correlation found 0.268, 0.283). Among subgroup (n 12) exhibited significantly than did 11) (median [range]: 200 [129–229] s) vs. 281 [184–342] s, 0.005). demonstrated technique individuals little experience.

Language: Английский

Citations

0
A case of congenital bronchial atresia with tracheobronchial stenosis caused by emphysema: Successful management with thoracoscopic surgery DOI Creative Commons

Huan Lin,

Sen Tian,

Chunlai Niu

et al.

Heliyon, Journal Year: 2024, Volume and Issue: 10(11), P. e32753 - e32753

Published: June 1, 2024

Language: Английский

Citations

0
Pulmonary endoscopy – central to an interventional pulmonology program DOI

Sally Griffiths,

Lucy Power,

DAVID P BREEN

et al.

Expert Review of Respiratory Medicine, Journal Year: 2024, Volume and Issue: 18(11), P. 843 - 860

Published: Oct. 7, 2024

Introduction Pulmonary endoscopy occupies a central role in Interventional Pulmonology and is frequently the mainstay of diagnosis respiratory disease, particular lung malignancy. Older techniques such as rigid bronchoscopy maintain an important airway obstruction. Renewed interest peripheral pulmonary nodule driving major advances technologies to increase diagnostic accuracy advance new potential endoscopic therapeutic options.

Language: Английский

Citations

0