Advances in the Diagnostic Bronchoscopy

A special issue of Diagnostics (ISSN 2075-4418). This special issue belongs to the section "Medical Imaging and Theranostics".

Deadline for manuscript submissions: 31 December 2024 | Viewed by 1144

Special Issue Editor


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Guest Editor
Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam 13620, Korea
Interests: risk reduction; screening; early detection; prompt diagnosis; bronchoscopic techniques; lung cancer

Special Issue Information

Dear Colleagues,

Making an accurate diagnosis is a fundamental process in managing thoracic malignancies. Invasive diagnostic testing for thoracic lesions is challenging and involves complex and collaborative approaches using various technologies. In particular, owing to the increasing use of chest computed tomography (CT) for thoracic imaging in clinical practice and the widespread implementation of lung cancer screening with low-dose chest CT, the detection of thoracic lesions that warrant relevant diagnostic evaluations is projected to rise.

Our Special Issue aims to highlight cutting-edge research on advanced bronchoscopic techniques for diagnosing thoracic diseases. Advanced diagnostic bronchoscopy has developed rapidly, and physicians can now utilize a wide range of devices and technologies to approach intrathoracic lesions. Additionally, advances in real-time image assistance that augment the ability to guide flexible bronchoscopy have substantially improved the diagnostic performance and safety of bronchoscopic procedures.

This Special Issue will emphasize technological improvements that enable minimally invasive diagnosis of peripheral lung lesions and mediastinal diseases. Recent advances in diagnostic bronchoscopy, image-guided strategies for tissue sampling, the role of adequate tissue acquisition for treatment planning, and assessments and comparisons of different definitions of the diagnostic yield and strategies for using multiple-guidance tools will be discussed.

We invite authors from various clinical settings who research diagnostic bronchoscopy for thoracic diseases to contribute their knowledge, including original research and review articles.

Dr. Yeon Wook Kim
Guest Editor

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Keywords

  • peripheral lung lesion
  • mediastinal disease
  • lung cancer
  • advanced diagnostic bronchoscopy
  • endobronchial ultrasound
  • diagnostic yield

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Published Papers (1 paper)

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Research

11 pages, 459 KiB  
Article
Improving Shape-Sensing Robotic-Assisted Bronchoscopy Outcomes with Mobile Cone-Beam Computed Tomography Guidance
by Sami I. Bashour, Asad Khan, Juhee Song, Gouthami Chintalapani, Gerhard Kleinszig, Bruce F. Sabath, Julie Lin, Horiana B. Grosu, Carlos A. Jimenez, Georgie A. Eapen, David E. Ost, Mona Sarkiss and Roberto F. Casal
Diagnostics 2024, 14(17), 1955; https://doi.org/10.3390/diagnostics14171955 - 4 Sep 2024
Viewed by 846
Abstract
Background: Computed tomography to body divergence (CTBD) is one of the main barriers to bronchoscopic techniques for the diagnosis of peripherally located lung nodules. Cone-beam CT (CBCT) guidance is being rapidly adopted to correct for this phenomenon and to potentially increase diagnostic outcomes. [...] Read more.
Background: Computed tomography to body divergence (CTBD) is one of the main barriers to bronchoscopic techniques for the diagnosis of peripherally located lung nodules. Cone-beam CT (CBCT) guidance is being rapidly adopted to correct for this phenomenon and to potentially increase diagnostic outcomes. In this trial, we hypothesized that the addition of mobile CBCT (m-CBCT) could improve the rate of tool in lesion (TIL) and the diagnostic yield of shape-sensing robotic-assisted bronchoscopy (SS-RAB). Methods: This was a prospective, single-arm study, which enrolled patients with peripheral lung nodules of 1–3 cm and compared the rate of TIL and the diagnostic yield of SS-RAB alone and combined with mCBCT. Results: A total of 67 subjects were enrolled, the median nodule size was 1.7 cm (range, 0.9–3 cm). TIL was achieved in 23 patients (34.3%) with SS-RAB alone, and 66 patients (98.6%) with the addition of mCBCT (p < 0.0001). The diagnostic yield of SS-RAB alone was 29.9% (95% CI, 29.3–42.3%) and it was 86.6% (95% CI, 76–93.7%) with the addition of mCBCT (p < 0.0001). There were no pneumothoraxes or any bronchoscopy-related complications, and the median total dose–area product (DAP) was 50.5 Gy-cm2. Conclusions: The addition of mCBCT guidance to SS-RAB allows bronchoscopists to compensate for CTBD, leading to an increase in TIL and diagnostic yield, with acceptable radiation exposure. Full article
(This article belongs to the Special Issue Advances in the Diagnostic Bronchoscopy)
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