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CT-body divergence limits the accuracy of electromagnetic navigation bronchoscopy(ENB) in peripheral lung lesions diagnosis. Finding one effective and safe method to eliminating CT-body divergence may improve ENB accuracy. Thus, we developed a modified ENB which combining traprocedural guided avigation with entilatory strategy for telectasis to eliminate CT-body divergence. We called it inCTNVA-ENB. We present the case of an 80-year-old female with peripheral pulmonary nodule (without bronchial direct connection). She underwent inCTNVA-ENB, and the navigation probe accurately reached 6mm next to the target lesion without complications. The operation time was 42 minutes, and rapid on-site evaluation showed adenocarcinoma cells. CT data revealed the CT-body divergence caused by atelectasis was reduced.
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http://dx.doi.org/10.1016/j.rmcr.2024.102124 | DOI Listing |
J Bronchology Interv Pulmonol
October 2025
Section of Interventional Pulmonology, Bronchoscopy, and Pleural Diseases, Division of Pulmonary, Critical Care, & Sleep Medicine. UC San Diego Health, La Jolla, CA.
Background: The optimal airway registration strategy for shape-sensing robotic-assisted bronchoscopy (ssRAB) is uncertain. This study explored if "partial" registration improves efficiency of ssRAB while maintaining procedure performance, and investigated other factors impacting procedure duration.
Methods: A retrospective analysis of prospectively collected data of 201 consecutive ssRABs.
Respir Med Case Rep
September 2024
Department of Thoracic Surgery, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, No. 17 Yongwai Zhengjie, Nanchang, China.
J Thorac Dis
May 2024
Department of Thoracic Surgery, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, China.
Background: Computed tomography (CT)-body divergence limits the accuracy of electromagnetic navigation bronchoscopy (ENB) in peripheral lung lesions diagnosis. We developed intraprocedural CT-guided navigation with ventilatory strategy for atelectasis (ICNVA) ENB for patients with peripheral lung lesions.
Methods: Retrospective observational study in which ten consecutive patients with pulmonary lesions (without bronchial direct connection) underwent ICNVA-ENB was conducted.
Curr Opin Pulm Med
January 2024
Respiratory Institute, Cleveland Clinic, Cleveland, Ohio, USA.
Purpose Of Review: Historically the sampling of peripheral lung lesions via bronchoscopy has suffered from inferior diagnostic outcomes relative to transthoracic needle aspiration, and neither a successful bronchoscopic navigation nor a promising radial ultrasonographic image of one's target lesion guarantees a successful biopsy. Fortunately, many of peripheral bronchoscopy's shortcomings - including an inability to detect and compensate for computed tomography (CT)-body divergence, and the absence of tool-in-lesion confirmation - are potentially remediable through the use of improved intraprocedural imaging techniques.
Recent Findings: Recent advances in intraprocedural imaging, including the integration of cone beam CT, digital tomosynthesis, and augmented fluoroscopy into bronchoscopic procedures have yielded promising results.
J Bronchology Interv Pulmonol
October 2021
Thoracic Surgery and Interventional Pulmonology, Swedish Cancer Institute, Seattle, WA.