Open AccessCone-Beam CT Image Guidance With and Without Electromagnetic Navigation Bronchoscopy for Biopsy of Peripheral Pulmonary Lesions
Author(s) -
Roel L.J. Verhoeven,
Jurgen J. Fütterer,
Wouter Hoefsloot,
Henricus F. M. van der Heijden
Publication year - 2020
Publication title -
journal of bronchology and interventional pulmonology
Language(s) - English
Resource type - Journals
eISSN - 1944-6586
pISSN - 1948-8270
DOI - 10.1097/lbr.0000000000000697
Subject(s) - medicine , radiology , cone beam computed tomography , fluoroscopy , bronchoscopy , biopsy , cone beam ct , lung cancer , target lesion , navigation system , computed tomography , pathology , computer vision , computer science , psychiatry , percutaneous coronary intervention , myocardial infarction
Bronchoscopic diagnosis of small peripheral lung lesions suspected of lung cancer remains a challenge. A successful endobronchial diagnosis comprises navigation, confirmation, and tissue acquisition. In all steps, 3-dimensional information is essential. Cone-beam computed tomography (CBCT) imaging can provide computed tomography information and 3-dimensional augmented fluoroscopy imaging. We assessed whether CBCT imaging can improve navigation and diagnosis of peripheral lesions by 2 clinical workflows with a cross-over design: (1) a primary CBCT and radial endobronchial ultrasound mini probe imaging-based approach and (2) a primary electromagnetic navigation (EMN) and radial endobronchial ultrasound mini probe imaging-based approach.