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Related Concept Videos

Endoscopic Studies I: Bronchoscopy and Thoracoscopy01:30

Endoscopic Studies I: Bronchoscopy and Thoracoscopy

492
Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
492

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Related Experiment Video

Updated: Jan 9, 2026

Author Spotlight: Expanding Interventional Pulmonology Research with Robotic-Assisted Bronchoscopy
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Proceduralist-Directed Rapid On-Site Pathologic Evaluation (ROPE) Using Dynamic Cell Imaging: A Pilot Study of

Ismael Matus1, Sameer Akhtar2, Haroon Raja1

  • 1Thoracic Surgery and Interventional Pulmonology Service, Helen F. Graham Cancer Center and Research Institute.

Journal of Bronchology & Interventional Pulmonology
|December 10, 2025
PubMed
Summary

Rapid onsite pathologic evaluation (ROPE) using Dynamic Cell Imaging (DCI) for peripheral pulmonary lesions (PPLs) shows high concordance with final pathology. This technology improves diagnostic confidence during procedures.

Keywords:
bronchoscopycryobiopsydynamic cell imaging (DCI)fine needle aspirationforceps biopsylymph nodeperipheral pulmonary lesions (PPLs)rapid onsite evaluation (ROSE)rapid onsite pathologic evaluation (ROPE)

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Area of Science:

  • Pulmonology
  • Pathology
  • Medical Technology

Background:

  • Peripheral pulmonary lesions (PPLs) evaluation often requires multiple diagnostic tools.
  • Rapid onsite evaluation (ROSE) is established for mediastinal lymph nodes but less studied for PPLs.
  • Dynamic Cell Imaging (DCI) offers potential for intraprocedural histopathologic analysis of PPLs.

Purpose of the Study:

  • To quantify the concordance between rapid onsite pathologic evaluation (ROPE) using DCI and a pathologist's final diagnosis for PPLs.
  • To assess the utility of DCI in improving diagnostic confidence during PPL evaluation.

Main Methods:

  • A single-center study involving robotic bronchoscopic evaluation of PPLs.
  • Samples were obtained using fine needle aspiration, cryobiopsy, and forceps biopsy.
  • Proceduralists used DCI for initial interpretation, followed by a pathologist's final diagnosis; concordance was calculated at patient and biopsy levels.

Main Results:

  • Fifty patients and 146 samples were analyzed.
  • Overall patient-level concordance between DCI interpretation and final pathology was 88%.
  • Biopsy-level concordance was 84%, with highest agreement for cryobiopsy (88%) and forceps biopsy (86%).

Conclusions:

  • ROPE utilizing cryoprobe and forceps biopsy for PPLs demonstrates high concordance with final pathology.
  • This approach enhances intraprocedural confidence in obtaining diagnostic specimens.
  • Further research is needed to explore DCI's impact on diagnostic yields and its role in future bronchoscopic treatments.