Advances in Diagnostic Bronchoscopy

The increase in incidental discovery of pulmonary nodules has led to more urgent requirement of tissue diagnosis. The peripheral pulmonary nodules are especially challenging for clinicians. There are various modalities for diagnosis and tissue sampling of pulmonary lesions, but most of these modalit...

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Autores principales:	Yi-Cheng Shen, Chia-Hung Chen, Chih-Yen Tu
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	bronchoscopy endobronchial ultrasound navigation bronchoscopy Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/a5d6ce0de7df470e947d69b32ae06bee
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spelling	oai:doaj.org-article:a5d6ce0de7df470e947d69b32ae06bee2021-11-25T17:20:29ZAdvances in Diagnostic Bronchoscopy10.3390/diagnostics111119842075-4418https://doaj.org/article/a5d6ce0de7df470e947d69b32ae06bee2021-10-01T00:00:00Zhttps://www.mdpi.com/2075-4418/11/11/1984https://doaj.org/toc/2075-4418The increase in incidental discovery of pulmonary nodules has led to more urgent requirement of tissue diagnosis. The peripheral pulmonary nodules are especially challenging for clinicians. There are various modalities for diagnosis and tissue sampling of pulmonary lesions, but most of these modalities have their own limitations. This has led to the development of many advanced technical modalities, which have empowered pulmonologists to reach the periphery of the lung safely and effectively. These techniques include thin/ultrathin bronchoscopes, radial probe endobronchial ultrasound (RP-EBUS), and navigation bronchoscopy—including virtual navigation bronchoscopy (VNB) and electromagnetic navigation bronchoscopy (ENB). Recently, newer technologies—including robotic-assisted bronchoscopy (RAB), cone-beam CT (CBCT), and augmented fluoroscopy (AF)—have been introduced to aid in the navigation to peripheral pulmonary nodules. Technological advances will also enable more precise tissue sampling of smaller peripheral lung nodules for local ablative and other therapies of peripheral lung cancers in the future. However, we still need to overcome the CT-to-body divergence, among other limitations. In this review, our aim is to summarize the recent advances in diagnostic bronchoscopy technology.Yi-Cheng ShenChia-Hung ChenChih-Yen TuMDPI AGarticlebronchoscopyendobronchial ultrasoundnavigation bronchoscopyMedicine (General)R5-920ENDiagnostics, Vol 11, Iss 1984, p 1984 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	bronchoscopy endobronchial ultrasound navigation bronchoscopy Medicine (General) R5-920
spellingShingle	bronchoscopy endobronchial ultrasound navigation bronchoscopy Medicine (General) R5-920 Yi-Cheng Shen Chia-Hung Chen Chih-Yen Tu Advances in Diagnostic Bronchoscopy
description	The increase in incidental discovery of pulmonary nodules has led to more urgent requirement of tissue diagnosis. The peripheral pulmonary nodules are especially challenging for clinicians. There are various modalities for diagnosis and tissue sampling of pulmonary lesions, but most of these modalities have their own limitations. This has led to the development of many advanced technical modalities, which have empowered pulmonologists to reach the periphery of the lung safely and effectively. These techniques include thin/ultrathin bronchoscopes, radial probe endobronchial ultrasound (RP-EBUS), and navigation bronchoscopy—including virtual navigation bronchoscopy (VNB) and electromagnetic navigation bronchoscopy (ENB). Recently, newer technologies—including robotic-assisted bronchoscopy (RAB), cone-beam CT (CBCT), and augmented fluoroscopy (AF)—have been introduced to aid in the navigation to peripheral pulmonary nodules. Technological advances will also enable more precise tissue sampling of smaller peripheral lung nodules for local ablative and other therapies of peripheral lung cancers in the future. However, we still need to overcome the CT-to-body divergence, among other limitations. In this review, our aim is to summarize the recent advances in diagnostic bronchoscopy technology.
format	article
author	Yi-Cheng Shen Chia-Hung Chen Chih-Yen Tu
author_facet	Yi-Cheng Shen Chia-Hung Chen Chih-Yen Tu
author_sort	Yi-Cheng Shen
title	Advances in Diagnostic Bronchoscopy
title_short	Advances in Diagnostic Bronchoscopy
title_full	Advances in Diagnostic Bronchoscopy
title_fullStr	Advances in Diagnostic Bronchoscopy
title_full_unstemmed	Advances in Diagnostic Bronchoscopy
title_sort	advances in diagnostic bronchoscopy
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/a5d6ce0de7df470e947d69b32ae06bee
work_keys_str_mv	AT yichengshen advancesindiagnosticbronchoscopy AT chiahungchen advancesindiagnosticbronchoscopy AT chihyentu advancesindiagnosticbronchoscopy
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Advances in Diagnostic Bronchoscopy

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