Open AccessA novel, stepwise approach combining conventional and endobronchial ultrasound needle aspiration for mediastinal lymph node sampling
Author(s) -
Liran Levy,
Rottem Kuint,
Fridlender Zvi Gregorio,
Avi Abutbul,
Neville Berkman
Publication year - 2019
Publication title -
endoscopic ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.883
H-Index - 24
eISSN - 2303-9027
pISSN - 2226-7190
DOI - 10.4103/eus.eus_29_17
Subject(s) - medicine , sampling (signal processing) , radiology , malignancy , biopsy , sarcoidosis , lymph node , endobronchial ultrasound , predictive value , mediastinal lymph node , bronchoscopy , pathology , cancer , metastasis , filter (signal processing) , computer science , computer vision
Since the introduction of endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA), most pulmonary centers use this technique exclusively for mediastinal lymph node (LN) sampling. Conventional "blind" TBNA (cTBNA), however, is cheaper, more accessible, provides more tissue, and requires less training. We evaluated whether sampling of mediastinal LN using EBUS-TBNA or cTBNA according to a predefined set of criteria provides acceptable diagnostic yield.