Advantages and drawbacks associated with the use of endosonography in sarcoidosis.

IF 2.9 3区 医学 Q2 RESPIRATORY SYSTEM
Kuruswamy Thurai Prasad, Sahajal Dhooria, Valliappan Muthu, Inderpaul Singh Sehgal, Ashutosh Nath Aggarwal, Ritesh Agarwal
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引用次数: 0

Abstract

Introduction: Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is a real-time, minimally invasive procedure for sampling intrathoracic lymph nodes. Herein, we discuss EBUS-guided procedures, their benefits, and drawbacks in diagnosing sarcoidosis.

Areas covered: We first describe the utility of various endosonographic imaging techniques like B-mode, elastography, and doppler imaging. We then review the diagnostic yield and safety of EBUS-TBNA and compare it with the other available diagnostic modalities. Subsequently, we discuss the technical aspects of EBUS-TBNA influencing the diagnostic yield. Recent advances in EBUS-guided diagnostics like EBUS-guided intranodal forceps biopsy (EBUS-IFB) and EBUS-guided transbronchial mediastinal cryobiopsy (EBMC) are reviewed. Finally, we summarize the advantages and disadvantages associated with EBUS-TBNA in sarcoidosis and provide an expert opinion on the optimal use of this procedure in patients with suspected sarcoidosis.

Expert opinion: EBUS-TBNA is a minimally invasive, safe procedure with a good diagnostic yield, and should be the preferred diagnostic modality for sampling intrathoracic lymph nodes in patients with suspected sarcoidosis. For optimal diagnostic yield, EBUS-TBNA should be combined with endobronchial biopsy (EBB) and transbronchial lung biopsy (TBLB). Newer endosonographic techniques like EBUS-IFB and EBMC might obviate the need for EBB and TBLB due to their superior diagnostic yield.

在结节病中使用超声检查的利弊。
支气管超声引导下经支气管穿刺(EBUS-TBNA)是一种实时、微创的胸内淋巴结取样方法。在这里,我们讨论ebus指导的程序,他们的好处,以及在结节病诊断的缺点。涵盖的领域:我们首先描述了各种内声成像技术的应用,如b型、弹性成像和多普勒成像。然后,我们回顾了EBUS-TBNA的诊断率和安全性,并将其与其他可用的诊断方式进行了比较。随后,我们讨论了影响诊断良率的EBUS-TBNA技术方面。本文综述了ebus引导下诊断的最新进展,如ebus引导的结内钳活检(EBUS-IFB)和ebus引导的经支气管纵隔低温活检(EBMC)。最后,我们总结了与EBUS-TBNA治疗结节病相关的优点和缺点,并就该手术在疑似结节病患者中的最佳应用提供了专家意见。专家意见:EBUS-TBNA是一种微创、安全的手术,具有良好的诊出率,应作为疑似结节病患者胸内淋巴结取样的首选诊断方式。为获得最佳诊断率,EBUS-TBNA应联合支气管内活检(EBB)和经支气管肺活检(TBLB)。较新的超声技术,如EBUS-IFB和EBMC,由于其更高的诊断率,可能会消除对EBB和TBLB的需要。
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来源期刊
CiteScore
6.80
自引率
2.60%
发文量
90
期刊介绍: Coverage will include the following key areas: - Prospects for new and emerging therapeutics - Epidemiology of disease - Preventive strategies - All aspects of COPD, from patient self-management to systemic effects of the disease and comorbidities - Improved diagnostic methods, including imaging techniques, biomarkers and physiological tests. - Advances in the treatment of respiratory infections and drug resistance issues - Occupational and environmental factors - Progress in smoking intervention and cessation methods - Disease and treatment issues for defined populations, such as children and the elderly - Respiratory intensive and critical care - Updates on the status and advances of specific disease areas, including asthma, HIV/AIDS-related disease, cystic fibrosis, COPD and sleep-disordered breathing morbidity
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