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Author Spotlight: Expanding Interventional Pulmonology Research with Robotic-Assisted Bronchoscopy
Published on: July 19, 2024
538
Robotic-assisted Bronchoscopy Combined with Multimodal Imaging for Targeted Lung Cryobiopsies
1Division of Pulmonary and Critical Care Medicine, University of Texas Southwestern Medical Center.
Journal of Visualized Experiments : Jove
|August 14, 2024
Summary
Robotic-assisted bronchoscopy (RAB) enables precise biopsy of lung lesions. Combining RAB with advanced imaging and cryoprobes offers a safe and effective method for diagnosing peripheral pulmonary lesions.
Area of Science:
- Pulmonology
- Medical Robotics
- Interventional Pulmonology
Background:
- Robotic-assisted bronchoscopy (RAB) facilitates targeted lung biopsies.
- It navigates distal airways using 3D imaging from CT scans.
- RAB offers enhanced maneuverability, precision, and stability.
Purpose of the Study:
- To describe a stepwise approach for performing RAB.
- To detail the integration of fluoroscopy, r-EBUS, and CBCT with RAB.
- To obtain targeted transbronchial lung cryobiopsies (TBLC).
Main Methods:
- Utilizing shape-sensing robotic-assisted bronchoscopy (ssRAB) for navigation.
- Employing adjunct imaging: fluoroscopy, radial endobronchial ultrasound (r-EBUS), and cone beam CT (CBCT).
- Performing targeted transbronchial lung cryobiopsies (TBLC) with a 1.1 mm cryoprobe.
Main Results:
- ssRAB demonstrates favorable diagnostic outcomes and safety for PPLs.
- The RAB-cryoprobe technique is safe and effective for PPL diagnosis.
- This method is applicable to both malignant and non-malignant lung processes.
Conclusions:
- RAB, enhanced with imaging tools, provides a precise method for lung lesion biopsy.
- Transbronchial lung cryobiopsy via RAB is a safe and effective diagnostic technique.
- This approach expands options for diagnosing peripheral pulmonary lesions.
