Ultrathin bronchoscopy for diagnosing peripheral pulmonary lesions

Bronchoscopes are continuously improving. Increasingly, thinner bronchoscopes with larger working channels and better imaging quality are becoming available for clinical use. Concurrently, useful ancillary devices have been developed, such as radial probe endobronchial ultrasound (rEBUS) and navigat...

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Bibliographic Details
Published in:Respiratory investigation 2023-11, Vol.61 (6), p.711-719
Main Author: Oki, Masahide
Format: Article
Language:English
Subjects:
Cryobiopsy
Endobronchial ultrasound
Ultrathin bronchoscope
Virtual bronchoscopic navigation
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Description
Summary:Bronchoscopes are continuously improving. Increasingly, thinner bronchoscopes with larger working channels and better imaging quality are becoming available for clinical use. Concurrently, useful ancillary devices have been developed, such as radial probe endobronchial ultrasound (rEBUS) and navigation devices. Randomized studies have demonstrated the diagnostic superiority of ultrathin bronchoscopy over thin bronchoscopy under rEBUS and virtual bronchoscopic navigation guidance for small, peripheral pulmonary lesions. Furthermore, biopsy needles and cryoprobes have been miniaturized and adapted to the working channel of the new ultrathin bronchoscopes. Multi-modality and multi-instrumental ultrathin bronchoscopy using such new technologies has facilitated high diagnostic yields.
ISSN:2212-5345
2212-5353
2212-5353
DOI:10.1016/j.resinv.2023.07.008