Open AccessCone-beam CT and Augmented Fluoroscopy–guided Navigation Bronchoscopy
Author(s) -
Roel L.J. Verhoeven,
William van der Sterren,
Wens Kong,
Sander Langereis,
Pieternel van der Tol,
Henricus F. M. van der Heijden
Publication year - 2021
Publication title -
journal of bronchology and interventional pulmonology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.648
H-Index - 33
eISSN - 1944-6586
pISSN - 1948-8270
DOI - 10.1097/lbr.0000000000000783
Subject(s) - medicine , fluoroscopy , bronchoscopy , radiology , cone beam computed tomography , lung cancer , cone beam ct , nuclear medicine , medical physics , computed tomography , pathology
The endobronchial diagnosis of peripheral lung lesions suspected of lung cancer remains a challenge from a navigation as well as an adequate tissue sampling perspective. Cone-beam computed tomography (CBCT) guidance is a relatively new technology and allows for 3-dimensional imaging confirmation as well as navigation and biopsy guidance, but, also involves radiation. This study investigates how radiation exposure and diagnostic accuracy in the CBCT-guided navigation bronchoscopy evolves with increasing experience, and, with a specific tailoring of CBCT and fluoroscopic imaging protocols towards the procedure.