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Related Experiment Video

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Technologies for targeting the peripheral pulmonary nodule including robotics.

David Fielding1, Masahide Oki2

  • 1Department of Thoracic Medicine, Royal Brisbane Women's Hospital, Brisbane, QLD, Australia.

Respirology (Carlton, Vic.)
|February 28, 2020
PubMed
Summary

Advancements in bronchoscopic techniques, including robotic bronchoscopy, improve the diagnosis of peripheral pulmonary lesions (PPL). These innovations enhance diagnostic yields for challenging lung nodules, crucial for increasing screening program needs.

Keywords:
bronchoscopylung biopsylung cancerrobotic bronchoscopysolitary pulmonary nodule

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Area of Science:

  • Pulmonology
  • Medical Imaging
  • Interventional Pulmonology

Background:

  • Peripheral pulmonary lesions (PPL) diagnosis and treatment are increasingly important due to widespread chest CT screening.
  • Traditional bronchoscopic sampling methods have limitations in accessing smaller, peripheral lesions.

Purpose of the Study:

  • To review the evolution of bronchoscopic techniques for PPL diagnosis.
  • To highlight recent advancements and their impact on diagnostic yield.

Main Methods:

  • Review of technical and procedural advancements in bronchoscopic sampling.
  • Discussion of endobronchial ultrasound (EBUS) guide sheath, thinner bronchoscopes, peripheral transbronchial needle aspiration (pTBNAs), and virtual bronchoscopic assistance (VBA).
  • Introduction of robotic bronchoscopy (RB) and its navigation capabilities.

Main Results:

  • Technological improvements have significantly enhanced diagnostic yields for PPL.
  • Advanced techniques allow for better sampling of smaller and more complex lesions, including ground-glass nodules.
  • Robotic bronchoscopy offers enhanced navigation control and integration of virtual and real pathways.

Conclusions:

  • Continuous innovation in bronchoscopy has markedly improved the ability to diagnose peripheral pulmonary lesions.
  • Future trends suggest an increasing reliance on these advanced techniques, especially with expanded CT screening programs.
  • Robotic bronchoscopy represents a significant leap forward in precision and control for bronchoscopic interventions.