The Diagnostic value of electromagnetic navigation bronchoscopy for pulmonary peripheral nodules

doi:10.3877/cma.j.issn.2095-655X.2016.03.014

Abstract

Abstract:

Objective

To explore the diagnostic value of electromagnetic navigation bronchoscopy (ENB) for pulmonary peripheral nodules.

Methods

Eight-three patients from June 2014 to Mar 2016 in Shanghai Pulmonary Hospital were enrolled.The ENB was performed on those patients who were detected peripheral lung nodules by chest CT.After being successfully navigated, the lesion location was confirmed by peripheral ultrasound and specimens were acquired under X-ray assistant.The specimens were finally sent to determine the pathologic classification and the value of ENB was determined according to the pathologic examination results.

Results

A total of 83 patients were enrolled in this study and the lesions were 87, the positive predictive was 86.00%.The mean navigation time was (23.06±15.68)min, exposure time was (1.89±1.53)min, operation time was (75.27±37.08)min, and no procedure-related complications were observed.The exposure time was significantly shorten than that in patients who were confirmed the location of peripheral lung nodules by peripheral ultrasound merely (t=7.32, P<0.05).

Conclusion

Skilled operation is the successful key to avoid complications.The positive rate of ENB in the diagnosis of pulmonary peripheral nodules is high and ENB is worth promoting.

Key words: Electromagnetic navigation, Bronchoscopy, Pulmonary peripheral lesion

Baomei Wu, Yumei Li, Lili Hou, Ying Wu, Ye Gu. The Diagnostic value of electromagnetic navigation bronchoscopy for pulmonary peripheral nodules[J]. Chinese Journal of Diagnostics(Electronic Edition), 2016, 04(03): 203-205.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhzdxdzzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2095-655X.2016.03.014

https://zhzdxdzzz.cma-cmc.com.cn/EN/Y2016/V04/I03/203

References 14

[1]	Gould MK,Ananth L,Barnett PG, et al.A clinical model to estimate the pretest probability of lung cancer in patients with solitary pulmonary nodules[J]. Chest, 2007, 131(2): 383-388.
[2]	Rivera MP,Mehta AC.American college of chest physicians.Initial diagnosis of lung cancer：ACCP evidence-based clinical practice guidelines (2nd edition)[J]. Chest, 2007, 132(3 Suppl): 131S-148S.
[3]	Gould MK,Fletcher J,Iannettoni MD, et al.Evaluation of patients with pulmonary nodules：when is it lung cancer：ACCP evidence-based clinical practice guidelines (2 nd edition)[J]. Chest, 2007, 132(3 Suppl): 108S-130S.
[4]	Paone G,Nicastri E,Lucantoni G, et al.Endobronchial ultrasound-driven biopsy in the diagnosis of peripheral lung lesions[J]. Chest, 2005, 128(5): 3551-3557.
[5]	Fujita Y,Seki N,Kurimoto N, et al.Introduction of endobronchial ultrasonography (EBUS) in bronchoscopy clearly reduces fluoroscopy time：comparison of 147 cases in groups before and after EBUS introduction[J]. Jpn J Clin Oncol, 2011, 41(10): 1177-1181.
[6]	Yasufuku K,Chiyo M,Koh E, et al. Endobronchial ultrasound guided transbronchial needle aspiration for staging of lung cancer[J]. Lung Cancer, 2005, 50(3): 347-354.
[7]	Leong S,Ju H,Marshall H, et al.Electromagnetic navigation bronchoscopy：A descriptive analysis[J]. J Thorac Dis, 2012, 4(2): 173-185.
[8]	Krimsky W,Seijo LM.Bronchoscopy and the peripheral nodule in the age of lung cancer screening and targeted therapies.Curr Respir Care Rep, 2012, 1(1): 67-71.
[9]	Chee A,Stather DR,Maceachern P, et al. Diagnostic utility of peripheral endobronchial ultrasound with electromagnetic navigation bronchoscopy in peripherallung nodules[J]. Respirology, 2013, 18(5): 784-789.
[10]	Edel E,Krier-Morrow D. Navigational bronchoscopy：overview of technology and practical considerations-new current procedural terminology codes effective 2010[J]. Chest, 2010, 137(2): 450-454.
[11]	Quinn CC. Diagnostic approach to pulmonary nodules in the post pneumonectomy patient[J]. Semin Thorac Cardiovasc Surg, 2010, 22(4): 345-348.
[12]	Mahajan AK,Patel S,Hogarth DK, et al.Electromagnetic naviga tional bronchoscopy an effective and safe approach to diagnose peripheral lung lesions unreachable by conventional bronchoscopy in high-risk patients[J]. J Bronchology Interv Pulmonol, 2011, 18(2): 133-137.
[13]	Bechara R,Parks C,Ernst A. Electromagnetic navigation bronchoscopy[J]. Future Oncol, 2011, 7(1): 31-36.
[14]	Eberhardt R,Anantham D,Herth F, et al.Electromagnetic navigation diagnostic bronchoscopy in peripheral lung lesions[J]. Chest, 2007, 131(6): 1800-1805.

[1]	Hui Zeng, Zhewei Zhang, Xing Yan, Guoliang Shao. Clinical value of CT-guided percutaneous needle biopsy assisted by IG4 electromagnetic navigation system in diagnosing pulmonary lesions [J]. Chinese Journal of Critical Care Medicine(Electronic Edition), 2020, 13(04): 264-269.
[2]	Meimei Tao, Xinxia Wang, Guangfa Zhu. Clinical characteristics and safety analysis of bronchoscopy in lung cancer patients with arrhythmia [J]. Chinese Journal of Lung Diseases(Electronic Edition), 2023, 16(02): 180-184.
[3]	Xinyi Chen, Yang Zhang, Ning Jin, Ganzhu Feng, Hong Shen. Application of bronchoscopy combined with rapid on-site cytologic evaluation [J]. Chinese Journal of Lung Diseases(Electronic Edition), 2022, 15(04): 498-501.
[4]	Yanfeng Fang, Lijie Ma, Wangping Li, Hongjun Zhang, Haitao Zhang, Tao Zhang, Faguang Jin, Wei Liu. Diagnostic value of electromagnetic navigation bronchoscopy combined with radial ultrasound for peripheral lung disease [J]. Chinese Journal of Lung Diseases(Electronic Edition), 2021, 14(01): 58-62.
[5]	Dexiong Jiang, Hongjun Wang, Xueman Zhang, Yao Rao. Clinical analysis of transbronchoscopic balloon dilatation in treatment of benign central airway stenosis [J]. Chinese Journal of Lung Diseases(Electronic Edition), 2020, 13(05): 639-642.
[6]	Wenna Wu, Bo Zhao. Clinical analysis of bronchoscopic alveolar lavage combined with NIPPV in treatment of AECOPD complicated with type Ⅱ respiratory failure [J]. Chinese Journal of Lung Diseases(Electronic Edition), 2020, 13(02): 204-208.
[7]	Surong Fang, Yun Tang, Ligong Chang, Wei Gu. Value of endobronchial ultrasound elastography in differentiating benign from malignant mediastinal and hilar lymph nodes around trachea [J]. Chinese Journal of Lung Diseases(Electronic Edition), 2019, 12(04): 450-457.
[8]	Xuerong Qiu, Xiuqin Zhang, Huan Zhang, Ting Liu, Cuiqin Gao. Value of antibiotic administration based on dynamic monitoring of SAA in treatment of severe pneumonia by electronic bronchoscopy combined with pulmicort [J]. Chinese Journal of Clinicians(Electronic Edition), 2023, 17(03): 308-313.
[9]	Yufeng Liang, Chao Wang, Xianfeng Huang. Comparison of noninvasive ventilation with endoscopic mask and laryngeal mask in disease diagnosis and treatment by indolent fiberoptic bronchoscopy [J]. Chinese Journal of Clinicians(Electronic Edition), 2022, 16(07): 652-656.
[10]	Xuqing Ji, Hongjie Tong, Chenlin Jiang, Jirun Chen. Application value of early bronchoscopy intervention in prevention of pulmonary infection in patients with severe brain surgery [J]. Chinese Journal of Clinicians(Electronic Edition), 2021, 15(03): 182-186.
[11]	Daya Zhang, Guanjun Zhang, Lang Wu, Shengxin Chen, Enqiang Linghu, Mingyang Li. Prospection of electromagnetic navigation for bile duct intubation by ERCP based on a three-dimensional (3D ) printing model [J]. Chinese Journal of Gastrointestinal Endoscopy(Electronic Edition), 2021, 08(03): 100-104.
[12]	Jiawei Chen, Rui Wang, Jiaxi He, Shuben Li. Application the integrated operating room on localization and resection of pulmonary nodule: a systematic review [J]. Chinese Journal of Thoracic Surgery(Electronic Edition), 2022, 09(02): 80-85.
[13]	Elliot Ho, Joslyn Vo, Ajay Wagh, Douglas Kyle Hogarth. Bronchoscopic management of persistent air leaks [J]. Chinese Journal of Thoracic Surgery(Electronic Edition), 2021, 08(02): 89-94.
[14]	Lin Gu, Kailin Chen, Feng Ding, Jing Zheng, Jingwen Luo. Effect analysis of electromagnetic navigation bronchoscopy in the treatment of lung ground glass nodules [J]. Chinese Journal of Thoracic Surgery(Electronic Edition), 2020, 07(02): 67-70.
[15]	Lianyu Zhang, Huanying Bai. Clinical effect of fibrobronchoscopy for patients with severe pulmonary infections combined with atelectasis [J]. Chinese Journal of Hygiene Rescue(Electronic Edition), 2021, 07(05): 277-280.

Please choose a citation manager

Content to export