Diagnostics,
Год журнала:
2022,
Номер
12(12), С. 3127 - 3127
Опубликована: Дек. 12, 2022
Predicting
factors
of
diagnostic
yield
in
electromagnetic
navigation
bronchoscopy
(ENB)
have
been
explored
a
number
previous
studies
based
on
data
from
experienced
operators.
However,
little
is
known
about
predicting
when
the
procedure
carried
out
by
operators
beginning
their
learning
curve.
We
here
aim
to
identify
role
operators’
experience
as
well
lesion–
and
characteristics
ENB
procedures
hands
novice
Four
three
centers
without
prior
were
enrolled.
The
outcome
consecutive
was
assessed
classified
either
or
non-diagnostic
assessed.
A
total
215
122
(57%)
resulted
biopsies.
Diagnostic
associated
with
minor
yet
significant
difference
tumor
size
compared
non-diagnostic/inconclusive
(28
mm
vs.
24
mm;
p
=
0.03).
visible
lesions
at
fluoroscopy
(p
0.003)
radial
endobronchial
ultrasound
(rEBUS),
0.001).
In
logistic
regression
model,
lesion
visibility
fluoroscopy,
but
none
operator
experience,
presence
bronchus
sign,
size,
location
nor
rEBUS
significantly
impacted
yield.
operators,
only
factor
found
increase
chance
obtaining
sample.
Journal of Visualized Surgery,
Год журнала:
2023,
Номер
9, С. 42 - 42
Опубликована: Сен. 1, 2023
Background
and
Objective:
With
the
increasing
volumes
of
computed
tomography
(CT)
done
in
daily
practice,
there
is
an
ever-increasing
role
for
diagnostic
bronchoscopy
sampling
peripheral
lung
nodules.
The
past
twenty
years
have
led
to
significant
advances
electromagnetic
navigation
systems
are
dominated
by
superDimension™
system
(Medtronic,
Minneapolis,
MN,
USA)
Veran®
SPiN
(Veran
Medical
Technologies,
St.
Louis,
MO,
USA).
Their
yield
available
studies
as
low
33%
when
used
without
other
localization
systems.
In
2019,
two
robotic
were
approved:
Monarch®
(Auris
Health,
Redwood
City,
CA,
which
utilizes
Ion™
(Intuitive
Medical,
Sunnyvale,
uses
shape-sensing
technology.
When
comparing
traditional
many
advantages
including
small
catheter
(i.e.,
bronchoscope)
size,
ability
lock
place,
integration
with
While
preliminary
data
suggestive
improved
yield,
remains
limited.
This
review
will
provide
a
brief
history
using
discuss
differences
compared
bronchoscope.
VietNam Military Medical Unisversity,
Год журнала:
2024,
Номер
49(2), С. 11 - 19
Опубликована: Фев. 1, 2024
Nội
soi
phế
quản
đã
phát
triển
mạnh
mẽ
trong
vài
thập
kỷ
qua
và
được
sử
dụng
rộng
rãi
chẩn
đoán
điều
trị
các
bệnh
hô
hấp.
Hiện
nay,
có
nhiều
kỹ
thuật
nội
mới
như
siêu
âm,
nhỏ,
hướng
dẫn
điện
từ…
can
thiệp
xâm
lấn
tối
thiểu
liên
quan
đến
đường
thở,
nhu
mô
phổi
màng
áp
trên
lâm
sàng.
Sự
của
mang
lại
vai
trò
trọng
hấp
mở
phạm
vi
chỉ
định
so
với
trước
đây;
hiệu
quả
chính
xác
cao,
an
toàn,
ít
tai
biến
chứng
hơn.
Các
này
đang
góp
phần
nâng
cao
thế
giới
tại
Việt
Nam.
Ukrainian Scientific Medical Youth Journal,
Год журнала:
2024,
Номер
144(1), С. 128 - 133
Опубликована: Март 28, 2024
Bronchoscopy
is
a
diagnostic
and
follow-up
procedure.
Despite
the
fact
that
this
manipulation
itself
minimally
invasive,
it
can
be
difficult
test
for
both
patient
doctor.
Therefore,
definitely
requires
anesthesia
sedation.
This
study
compared
dexmedetomidine
propofol
sedation
methods
during
bronchoscopy
to
assess
their
safety,
effectiveness,
satisfaction.
The
results
show
high
level
of
safety
methods,
although
some
significant
differences
affecting
choice
method
were
found.
32
patients
participated
in
study,
divided
into
two
groups
depending
on
used
sedation:
or
dexmedetomidine.
Pulse
oximetry,
heart
rate,
capnography
parameters
measured,
number
severity
iatrogenic
lesions
trachea,
as
well
satisfaction
care
doctors
assessed.
In
groups,
there
was
Dexmedetomidine
associated
with
fewer
cough
episodes
greater
satisfaction,
but
had
longer
induction
time
propofol.
A
low
incidence
serious
complications
observed
groups.
considered
safe
effective
option
bronchoscopy,
offering
additional
benefits
such
reduced
increased
based
individual
characteristics
available
resources
hospital.
Journal of radiology and nuclear medicine,
Год журнала:
2024,
Номер
105(1), С. 29 - 36
Опубликована: Июнь 19, 2024
Determining
the
nature
of
nodular
alternations
in
lungs
still
remains
an
urgent
problem
oncology,
pulmonology,
and
radiology.
In
some
cases,
final
diagnosis
can
be
established
only
on
basis
studying
material
obtained
during
bronchobiopsy,
transthoracic
biopsy,
surgical
treatment.
Bronchobiopsy
is
first
stage
minimally
invasive
diagnostics
towards
detecting
changes
lung
tissue,
effectiveness
which
depends
preliminary
navigation
to
region
interest
using
computed
tomography
(CT).
The
article
presents
five
clinical
cases
demonstrating
use
CT
technology
for
performing
bronchobiopsy
patients
with
peripheral
pulmonary
nodules.
BMC Pulmonary Medicine,
Год журнала:
2023,
Номер
23(1)
Опубликована: Дек. 4, 2023
Abstract
Background
Peripheral
lung
lesions
can
be
sampled
using
various
techniques,
including
computer
tomography-guided
transthoracic
needle
aspiration,
electromagnetic
navigation
bronchoscopy,
virtual
and
radial
probe
endobronchial
ultrasound
transbronchial
biopsy.
Mediastinal
techniques
like
convex
ultrasound-guided
aspiration
(CEBUS-TBNA)
endoscopic
ultrasound-fine-needle
aspiration.
However,
effective,
safe
for
adjacent
to
the
segmental
or
subsegmental
bronchi
are
lacking.
Herein,
we
retrospectively
evaluated
diagnostic
yield
safety
of
ultrasound-assisted
(REBUS-TBNA)
bronchi,
explored
factors
related
yield.
Methods
We
analyzed
REBUS-TBNA
cases
performed
in
our
department
from
January
2019
December
2022.
Observation
group
patients
had
undergone
bronchi;
control
CEBUS-TBNA
mediastinal
hilar
lesions.
Patient
characteristics
lesion
sizes,
yield,
adverse
events,
relations
between
clinical
were
analyzed.
Results
There
not
statistically
significant
between-group
differences
sex,
age,
rate
events.
The
observation
(n
=
25;
17
male,
8
female)
a
mean
age
64.76
±
10.75
years.
average
size
was
4.66
1.07
cm,
predominantly
upper
lobes
(80%).
84%,
with
no
events
reported.
Diagnostic
associated
extent
bronchial
stenosis;
however,
it
positively
correlated
number
punctures.
Patients
>
3
punctures
significantly
higher
than
those
≤
Conclusions
is
safe,
effective
technique,
particularly
lobe.
Performing
more
three
during
procedure
improves
Larger-scale
studies
warranted
confirm
these
results,
further
explore
value
REBUS-TBNA.
Thoracic Cancer,
Год журнала:
2022,
Номер
13(24), С. 3467 - 3476
Опубликована: Окт. 22, 2022
Abstract
Background
An
increasing
number
of
patients
are
being
diagnosed
with
synchronous
multiple
primary
lung
cancer
(SMPLC)
the
popularization
screening
programs.
However,
a
strategy
for
accurate
location
and
suitable
surgery
therapy
is
still
lacking.
The
present
study
aimed
to
explore
accuracy
feasibility
electromagnetic
navigation
bronchoscopy
(ENB)‐guided
thoracoscopic
sublobectomy
stage
IA
SMPLC.
Methods
Patients
SMPLC
who
underwent
ENB‐guided
from
January
2020
June
2022
were
enrolled
in
this
study.
analysis
localization
ENB
surgical
outcome
was
conducted.
Results
Overall,
138
353
malignant
nodules
enrolled.
tumor
size
0.7
cm
(range
0.5
1.1
cm).
performed
on
162
nodules,
customized
scoring
system
developed
evaluate
accuracy.
success
rate
98.3%
(178/181).
Notably,
positively
correlated
bronchial
signs
(
p
<
0.01)
negatively
distance
nodule
pleura
=
0.02).
All
completely
resected.
Operation
time,
drainage
volume
third
postoperative
day,
catheter
time
significantly
resected
lesion
numbers
0.009,
0.004,
0.01,
respectively).
Conclusions
uniportal
video‐assisted
provides
preoperative
avoids
unnecessary
resection
complete
multilocation
(more
than
four
lesions)
increases
risk
complications.
A
new
combined
treatment
should
be
explored.
Diagnostics,
Год журнала:
2022,
Номер
12(11), С. 2813 - 2813
Опубликована: Ноя. 16, 2022
Organizing
pneumonia
(OP)
is
a
pulmonary
disease
histopathologically
characterized
by
plugs
of
loose
connective
tissue
in
distal
airways.
The
clinical
and
radiological
presentations
are
not
specific
they
usually
require
biopsy
confirmation.
This
paper
presents
the
case
patient
with
opacity
sampled
combined
technique
ultrathin
bronchoscopy
cone-beam
CT.
A
64-year-old
female,
former
smoker,
was
admitted
to
hospital
Reggio
Emilia
(Italy)
for
exertional
dyspnea
dry
cough
without
fever.
history
included
primary
Sjögren
Syndrome
interstitial
lung
(pSS-ILD)
non-specific
(NSIP)
pattern;
this
condition
successfully
treated
up
18
months
before
new
admission.
CT
scan
showed
appearance
right
lower
lobe
an
uncertain
origin
that
required
histological
exam
diagnosis.
lesion
difficult
reach
traditional
percutaneous
approach
excluded.
Thus,
CT,
augmented
fluoroscopy
were
chosen
collect
sample.
histopathological
suggestive
OP,
occurring
4–11%
cases.
that,
correct
context,
even
biopsies
taken
small
forceps
can
lead
diagnosis
OP.
Moreover,
it
underlined
combination
multiple
advanced
technologies
same
procedure
help
target
lesions,
providing
proper
samples
Diagnostics,
Год журнала:
2022,
Номер
12(12), С. 3127 - 3127
Опубликована: Дек. 12, 2022
Predicting
factors
of
diagnostic
yield
in
electromagnetic
navigation
bronchoscopy
(ENB)
have
been
explored
a
number
previous
studies
based
on
data
from
experienced
operators.
However,
little
is
known
about
predicting
when
the
procedure
carried
out
by
operators
beginning
their
learning
curve.
We
here
aim
to
identify
role
operators’
experience
as
well
lesion–
and
characteristics
ENB
procedures
hands
novice
Four
three
centers
without
prior
were
enrolled.
The
outcome
consecutive
was
assessed
classified
either
or
non-diagnostic
assessed.
A
total
215
122
(57%)
resulted
biopsies.
Diagnostic
associated
with
minor
yet
significant
difference
tumor
size
compared
non-diagnostic/inconclusive
(28
mm
vs.
24
mm;
p
=
0.03).
visible
lesions
at
fluoroscopy
(p
0.003)
radial
endobronchial
ultrasound
(rEBUS),
0.001).
In
logistic
regression
model,
lesion
visibility
fluoroscopy,
but
none
operator
experience,
presence
bronchus
sign,
size,
location
nor
rEBUS
significantly
impacted
yield.
operators,
only
factor
found
increase
chance
obtaining
sample.
