Open AccessEvaluation of Electromagnetic Navigational Bronchoscopy Using Tomosynthesis-Assisted Visualization, Intraprocedural Positional Correction and Continuous Guidance for Evaluation of Peripheral Pulmonary Nodules
Author(s) -
Bryan K Dunn,
Michael Blaj,
Jennifer Stahl,
James Speicher,
Carlos J. Anciano,
Suzanne Hudson,
Emily A. Kragel,
Mark R. Bowling
Publication year - 2022
Publication title -
journal of bronchology and interventional pulmonology
Language(s) - English
Resource type - Journals
eISSN - 1944-6586
pISSN - 1948-8270
DOI - 10.1097/lbr.0000000000000839
Subject(s) - tomosynthesis , medicine , fluoroscopy , radiology , solitary pulmonary nodule , sedation , bronchoscopy , nuclear medicine , computed tomography , surgery , mammography , cancer , breast cancer
Electromagnetic navigational bronchoscopy (ENB) has been shown to have variable diagnostic accuracy for the assessment of peripheral pulmonary nodules. This may be because of discrepancies between the preplanned computed tomography of chest target lesion location versus actual target location (computed tomography-to-body divergence), and the lack of a continuous navigational image. The ILLUMISITE (Medtronic, Minneapolis, MN) is a newly developed ENB platform that utilizes tomosynthesis, an imaging technology that can visualize the target location using fluoroscopy (F-ENB). This new system also allows for intraprocedural positional correction and continuous navigation guidance during sampling to overcome these limitations and improve diagnostic yield. We report our first experience in a single center, single proceduralist using this new technology.