electromagnetic-navigation-transthoracic-nodule-localization-for

Electromagnetic Navigation Transthoracic Nodule Localization for Minimally Invasive Thoracic Surgery

The increased use of chest computed tomography (CT) has led to an increased detection of pulmonary nodules requiring diagnostic evaluation and/or ...

University of North Carolina at Chapel Hill

Stereotactic radiotherapy is a useful therapeutic modality in patients with lung cancer and patients with pulmonary metastases who cannot tolerate, are not candidates for, or do not want surgery. Successful use of radial endobronchial ultrasound (EBUS) and navigation bronchoscopy to guide the placement of the fiducials required for stereotactic radiotherapy in peripheral lung lesions has been previously reported. We present the first series of patients in which convex-probe EBUS was used to deliver fiducials to hilar and mediastinal lymph nodes as well as central thoracic lesions.

Convex Endobronchial Ultrasound-Guided Fiducial Placement for Malignant Central Lung Lesions: A Case Series.

Pleural effusions are considered rare in cystic fibrosis (CF) patients. There is a paucity of available information in the literature concerning the nature and significance of pleural effusions in non-transplanted CF patients.

Pleural effusions in non-transplanted cystic fibrosis patients.

Lung cancer remains a common and deadly disease. Many modalities are available to the bronchoscopist to evaluate and stage lung cancer. We review the role of bronchoscopy in the staging of the mediastinum with convex endobronchial ultrasound (EBUS) and discuss emerging role of esophageal ultrasonography as a complementary modality. In addition, we discuss advances in scope technology and elastography. We review the bronchoscopic methods available for the diagnosis of peripheral lung nodules including radial EBUS and navigational bronchoscopy (NB) with a consideration of the basic methodologies and diagnostic accuracies. We conclude with a discussion of the comparison of the various methodologies.

An update on the role of advanced diagnostic bronchoscopy in the evaluation and staging of lung cancer.

Electromagnetic navigation (EMN) has improved bronchoscopic access to peripheral pulmonary nodules. A novel EMN system utilizing novel tip-tracked instruments for endobronchial [electromagnetic navigation bronchoscopy (ENB)] as well as transthoracic lung biopsy [electromagnetic-guided transthoracic needle aspiration (EMTTNA)] has become available. The system provides real-time feedback as well as the ability to biopsy lesions outside of the airway. These advances have the potential to improve diagnostic yield over previous EMN systems.

Article	Year
Convex Endobronchial Ultrasound-Guided Fiducial Placement for Malignant Central Lung Lesions: A Case Series. Journal of bronchology & interventional pulmonology\| PubMed ID: 26705011	2016
Pleural effusions in non-transplanted cystic fibrosis patients. Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society\| PubMed ID: 27979723	2017
An update on the role of advanced diagnostic bronchoscopy in the evaluation and staging of lung cancer. Therapeutic advances in respiratory disease\| PubMed ID: 28470104	2017
Peripheral Lung Nodule Diagnosis and Fiducial Marker Placement Using a Novel Tip-Tracked Electromagnetic Navigation Bronchoscopy System. Journal of bronchology & interventional pulmonology\| PubMed ID: 30179920	2019

Adam R. Belanger

Biography

JoVE Journal Publications

Other Publications