Improving diagnostic yield of navigational bronchoscopy for peripheral pulmonary lesions: a review of advancing technology

With recommendations for low dose CT scan for lung cancer screening, there has been an increase in the finding of lung nodules and peripheral pulmonary lesions (PPLs). Additionally, when there is concern for malignancy, guidelines have recommended performing the least invasive evaluation. Convention...

Full description

Saved in:

Bibliographic Details
Published in:	Journal of thoracic disease Vol. 12; no. 12; pp. 7683 - 7690
Main Authors:	Wagh, Ajay, Ho, Elliot, Murgu, Septimiu, Hogarth, Douglas Kyle
Format:	Journal Article
Language:	English
Published:	China AME Publishing Company 01-12-2020
Subjects:	Review on Advance in Bronchoscopy for Peripheral Pulmonary Diseases Bronchoscopy cone beam CT lung nodules robotic bronchoscopy peripheral pulmonary lesions (PPLs) augmented fluoroscopy (AF) electromagnetic navigation bronchoscopy (ENB)
Online Access:	Get full text
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	With recommendations for low dose CT scan for lung cancer screening, there has been an increase in the finding of lung nodules and peripheral pulmonary lesions (PPLs). Additionally, when there is concern for malignancy, guidelines have recommended performing the least invasive evaluation. Conventional bronchoscopy diagnostic yields for PPLs have reportedly been quite low and prior electromagnetic navigation bronchoscopy (ENB) studies have reported variable yields. Navigation bronchoscopy in addition to endobronchial ultrasound allows a physician to evaluate peripheral lung lesions along with mediastinal and hilar lymph nodes for the diagnosis and staging of suspected malignancy in one procedure. More recent advances in navigational bronchoscopy including the use of augmented fluoroscopy (AF), cone beam CT, and robotic bronchoscopy have pushed the boundaries of capability in evaluating PPLs. These added bronchoscopic technologies have shown to improve diagnostic yield especially when modalities are used in combination. The ultimate goal of endoscopically localized ablative and therapeutic treatment for peripheral lung lesions will require a high level of physician confidence, accuracy, and precision. This article will review the innovative characteristics and data of some of the more recently available navigational bronchoscopy devices.
Bibliography:	ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-3 content type line 23 ObjectType-Review-1 Contributions: (I) Conception and design: A Wagh, DK Hogarth; (II) Administrative support: None; (III) Provision of study materials or patients: None; (IV) Collection and assembly of data: All authors; (V) Data analysis and interpretation: All authors; (VI) Manuscript writing: All authors; (VII) Final approval of manuscript: All authors.
ISSN:	2072-1439 2077-6624
DOI:	10.21037/jtd-2020-abpd-003