Cone Beam Computed Tomography-Guided Navigation Bronchoscopy with Augmented Fluoroscopy for the Diagnosis of Peripheral Pulmonary Nodules: A Step-by-Step Guide.

IF 3.5 3区医学 Q2 RESPIRATORY SYSTEM

Respiration Pub Date : 2024-09-28 DOI:10.1159/000541691

Ferhat Beyaz, Roel L J Verhoeven, Nico Hoogerwerf, Jo M J Mourisse, Erik H F M van der Heijden

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引用次数: 0

Abstract

Introduction: Cone beam computed tomography-guided navigation bronchoscopy (CBCT-NB) with augmented fluoroscopy (AF) guidance represents a minimally invasive endobronchial technique for diagnosing small, peripheral pulmonary lesions. This approach is characterized by its high diagnostic accuracy and low complication risk. Current pilot trials are exploring the application of localized therapies using this innovative approach. This report aims to provide a detailed procedural guide for performing CBCT-NB with AF guidance as the only tool for navigation and image guided biopsy.

Methods: We outline the procedural steps involved in the CBCT-NB procedure for diagnosing peripheral pulmonary lesions, supported by specific intra-procedural clinical video footage. The steps include (1) preprocedural considerations, (2) a detailed procedural workflow encompassing navigation to the target lesion, (3) position confirmation and tissue acquisition, and (4) postprocedural follow-up.

Conclusion: CBCT-NB with AF guidance is a safe and precise stand-alone navigation modality that offers high-resolution real-time 3D imaging, enhancing the diagnosis and potential treatment of peripheral pulmonary nodules.

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锥形束计算机断层扫描引导下的导航支气管镜与增强透视诊断外周肺结节：分步指南。

导言在增强透视（AF）引导下进行的锥形束 CT 引导下的导航支气管镜检查（CBCT-NB）是一种微创支气管内窥镜技术，用于诊断肺部周围的小病灶。这种方法的特点是诊断准确率高、并发症风险低。目前的试点试验正在探索使用这种创新方法进行局部治疗。本报告旨在提供一份详细的程序指南，指导如何在 AF 引导下进行 CBCT-NB 作为导航和图像引导活检的唯一工具。方法我们概述了 CBCT-NB 诊断周围肺部病变的程序步骤，并辅以具体的术中临床录像。这些步骤包括：（1）术前注意事项；（2）详细的手术流程，包括导航至目标病灶；（3）位置确认和组织采集；以及（4）术后随访。结论 CBCT-NB 与 AF 引导是一种安全、精确的独立导航模式，可提供高分辨率实时三维成像，提高外周肺结节的诊断和潜在治疗效果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Respiration 医学-呼吸系统

CiteScore

7.30

自引率

5.40%

发文量

审稿时长

4-8 weeks

期刊介绍： ''Respiration'' brings together the results of both clinical and experimental investigations on all aspects of the respiratory system in health and disease. Clinical improvements in the diagnosis and treatment of chest and lung diseases are covered, as are the latest findings in physiology, biochemistry, pathology, immunology and pharmacology. The journal includes classic features such as editorials that accompany original articles in clinical and basic science research, reviews and letters to the editor. Further sections are: Technical Notes, The Eye Catcher, What’s Your Diagnosis?, The Opinion Corner, New Drugs in Respiratory Medicine, New Insights from Clinical Practice and Guidelines. ''Respiration'' is the official journal of the Swiss Society for Pneumology (SGP) and also home to the European Association for Bronchology and Interventional Pulmonology (EABIP), which occupies a dedicated section on Interventional Pulmonology in the journal. This modern mix of different features and a stringent peer-review process by a dedicated editorial board make ''Respiration'' a complete guide to progress in thoracic medicine.