Guided bronchoscopy platforms have rapidly evolved over the past two decades to allow high-yield tissue acquisition of suspicious peripheral pulmonary nodules. 1 Robotic-assisted bronchoscopy platforms aim to overcome limitations of conventional guided bronchoscopy by allowing for precision access to smaller and more peripheral lesions. 2 The Ion Robotic-Assisted Endoluminal Platform (Intuitive Surgical, Sunnyvale, CA, USA) features a console-controlled catheter with an outer diameter of 3.5 mm and a 2.0-mm working channel. Localization within the airway tree is based on a shape-sensing fibre embedded along the catheter's length and navigation is based on a computed tomography (CT)-generated virtual road map. 2 Following navigation, adjunctive imaging techniques are used to confirm approximation to the lesion. Conventional modalities include radial probe endobronchial ultrasound (RP-EBUS) and 2D fluoroscopy. Cios-Spin (Siemens Healthineers, Forchheim, Germany) is a mobile 2D-3D C-arm that produces intraoperative 1952 × 1952 pixel images over an area of 295 × 295 mm 2. 3 Multiplanar 3D imaging is obtained
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