
Therapeutic Advances in Respiratory Disease, Год журнала: 2024, Номер 18
Опубликована: Янв. 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.
Язык: Английский