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Endoscopic Procedures I: Esophagogastroduodenoscopy01:29

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An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
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Cone beam navigation bronchoscopy: the next frontier.

George Z Cheng1, Lihua Liu2,3, Matthew Nobari1

  • 1Division of Pulmonary, Critical Care, and Sleep Medicine, University of California San Diego, La Jolla, CA, USA.

Journal of Thoracic Disease
|July 10, 2020
PubMed
Summary
This summary is machine-generated.

Navigation bronchoscopy now achieves real-time accuracy using cone-beam computed tomography (CBCT) and augmented fluoroscopy (AF). This review details CBCT techniques for improving accuracy and addressing CT-body divergence in bronchoscopic navigation.

Keywords:
Cone-beam computed tomography (CBCT)augmented fluoroscopy (AF)navigation bronchoscopy

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Area of Science:

  • Pulmonology
  • Medical Imaging
  • Interventional Bronchoscopy

Background:

  • Navigation bronchoscopy has advanced significantly.
  • Real-time imaging is crucial for confirming navigation success.
  • CT-body divergence can impact accuracy.

Purpose of the Study:

  • To review cone-beam computed tomography (CBCT) navigation techniques.
  • To provide strategies for addressing CT-body divergence.
  • To examine evidence for CBCT in navigation bronchoscopy.

Main Methods:

  • Review of CBCT navigation techniques.
  • Discussion of methods to overcome CT-body divergence.
  • Synthesis of existing evidence on CBCT applications.

Main Results:

  • CBCT combined with real-time imaging enhances navigation accuracy.
  • Specific techniques can mitigate CT-body divergence.
  • Evidence supports CBCT's role in navigation bronchoscopy.

Conclusions:

  • Navigation bronchoscopy has reached a new level of accuracy.
  • CBCT is a key modality for real-time navigation and accuracy confirmation.
  • Addressing CT-body divergence further optimizes navigation outcomes.