经支气管肺冷冻活检治疗周围肺部病变。叙述性评论。

IF 10.4 2区 医学 Q1 RESPIRATORY SYSTEM
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引用次数: 0

摘要

由于越来越多地采用胸部计算机断层扫描(CT),尤其是低剂量CT进行肺癌筛查,因此检测到越来越多的外周肺病变(PPL),需要组织验证以确定进一步个体化治疗的确切诊断。然而,PPL的形态学诊断仍然具有挑战性。经支气管肺冷冻活检(TBLC)作为一种新兴的诊断PPL的技术,已被证明有潜力解决与当前可用的采样设备(如钳子、针头和刷子)有关的临床困境,并成为PPL的诊断基石。值得注意的是,随着1.1的推出 mm冷冻探针将更兼容先进的支气管镜导航技术,如径向支气管内超声(r-EBUS)、虚拟支气管镜导航(VBN)和电磁导航支气管镜检查(ENB),TBLC的使用有望在PPL的诊断中更受欢迎。虽然使用TBLC技术诊断PPL还有很多有待探索的地方,但可以预见,具有更大数据积累的额外研究的出现将有望增加该领域的大量证据。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Transbronchial lung cryobiopsy for peripheral pulmonary lesions. A narrative review

An increasing number of peripheral pulmonary lesions (PPLs) requiring tissue verification to establish a definite diagnosis for further individualized management are detected due to the growing adoption of lung cancer screening by chest computed tomography (CT), especially low-dose CT. However, the morphological diagnosis of PPLs remains challenging. Transbronchial lung cryobiopsy (TBLC) that can retrieve larger specimens with more preserved cellular architecture and fewer crush artifacts in comparison with conventional transbronchial forceps biopsy (TBFB), as an emerging technology for diagnosing PPLs, has been demonstrated to have the potential to resolve the clinical dilemma pertaining to currently available sampling devices (e.g., forceps, needle and brush) and become a diagnostic cornerstone for PPLs. Of note, with the introduction of the 1.1 mm cryoprobe that will be more compatible with advanced bronchoscopic navigation techniques, such as radial endobronchial ultrasound (r-EBUS), virtual bronchoscopic navigation (VBN) and electromagnetic navigation bronchoscopy (ENB), the use of TBLC is expected to gain more popularity in the diagnosis of PPLs. While much remains for exploration using the TBLC technique for diagnosing PPLs, it can be envisaged that the emergence of additional studies with larger data accrual will hopefully add to the body of evidence in this field.

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来源期刊
Pulmonology
Pulmonology Medicine-Pulmonary and Respiratory Medicine
CiteScore
14.30
自引率
5.10%
发文量
159
审稿时长
19 days
期刊介绍: Pulmonology (previously Revista Portuguesa de Pneumologia) is the official journal of the Portuguese Society of Pulmonology (Sociedade Portuguesa de Pneumologia/SPP). The journal publishes 6 issues per year and focuses on respiratory system diseases in adults and clinical research. It accepts various types of articles including peer-reviewed original articles, review articles, editorials, and opinion articles. The journal is published in English and is freely accessible through its website, as well as Medline and other databases. It is indexed in Science Citation Index Expanded, Journal of Citation Reports, Index Medicus/MEDLINE, Scopus, and EMBASE/Excerpta Medica.
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