Combined Endosonography Reduces Time to Diagnose Pulmonary Coccidioidomycosis

Shah, Raj; Vempilly, Jose Joseph; Husnain, Shaikh; Hegde, Poornima

doi:10.1097/lbr.0000000000000454

Cited by 6 publications

(5 citation statements)

References 14 publications

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“…EBUS was also found to be effective in the diagnosis of pulmonary mucormycosis in a debilitated patient who was not fit enough to undergo invasive procedures [33]. The use of EBUS also facilitates rapid diagnosis in patients with other endemic fungal infections such as coccidioidomycosis [34].…”

Section: Main Textmentioning

confidence: 99%

Role of Convex Probe Endobronchial Ultrasound in the Diagnosis and Treatment of Nonmalignant Diseases

Aljohaney

2019

Pulmonary Medicine

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Here we present a comprehensive review of the literature concerning the utility of convex probe endobronchial ultrasound (CP-EBUS) in the diagnosis and treatment of nonmalignant conditions and discuss the associated complications. CP-EBUS has been conventionally used for the staging of lung cancer and sampling of mediastinal and hilar nodes. However, its application is not limited to malignant conditions, and it is gaining acceptance as a diagnostic modality of choice for nonmalignant conditions such as tuberculosis, sarcoidosis, pulmonary embolism, thyroid lesions, and cysts. Moreover, its therapeutic value allows for extended applications such as mediastinal and thyroid cyst drainage, fiducial marker placement for radiation therapy, and transbronchial needle injection. The noninvasiveness, low complication rate, high diagnostic yield, and satisfactory sensitivity and specificity values are the main attributes that lend credence to the use of CP-EBUS as a standalone primary diagnostic and therapeutic tool in pulmonary medicine in the foreseeable future.

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Section: Main Textmentioning

confidence: 99%

Role of Convex Probe Endobronchial Ultrasound in the Diagnosis and Treatment of Nonmalignant Diseases

Aljohaney

2019

Pulmonary Medicine

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“…No complications were noted in the study. The study concluded that combined endosonography facilitated early and accurate diagnosis of pulmonary coccidioidomycosis (67).…”

Section: Role Of Combined Ebus/eus In Diagnosis Of Granulomas and Infectionsmentioning

confidence: 94%

Endoscopic ultrasound in interventional pulmonology

Ho¹,

Hegde²

2020

Shanghai Chest

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Lung cancer is the leading cause of cancer related deaths worldwide. Accurate staging of the mediastinum is essential to determine the appropriate treatment plan in patients with potentially operable non-small cell lung cancers (NSCLC). Traditionally, the gold standard test in mediastinal staging has been cervical mediastinoscopy. However, this procedure is invasive, requires general anesthesia, and is associated with significant risk. Training in endoscopic ultrasound (EUS) techniques in addition to endobronchial ultrasound (EBUS) allows for diagnosis and complete staging of lung cancer in a single session, thereby decreasing healthcare cost, time delays, increased sedation time, and patient discomfort. With its superior cost-effectiveness and reduced risk profile compared to conventional mediastinoscopy, endoscopic approach has replaced mediastinoscopy as the initial step in lung cancer staging and diagnosis. Here we discuss the utility of EUS along with combined EBUS with EUS, and highlight some of the technical aspects of the procedure. We will review the current role of EUS technique for the evaluation of mediastinal adenopathy and staging of lung cancer. We will also briefly discuss its use in diagnosing mediastinal infection and granulomatous lesions in the thoracic cavity.

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“…46 In one study, combined EBUS/EUS was diagnostic for pulmonary coccidiomycosis in 89% of sampled patients and the mean time to diagnosis was shorter (1.6 days) than with BAL (6.3 days). 47…”

Section: Endosonography In Lymphoma Granulomatosis and Mediastinal Cystsmentioning

confidence: 99%

Interventional Pulmonology and Esophagus: Combined Endobronchial Ultrasound and Endoscopic Ultrasound for Mediastinal Staging

Khalid

Hegde

2022

Semin Respir Crit Care Med

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Endoscopic ultrasound (EUS) techniques in addition to endobronchial ultrasound (EBUS) can lead to diagnosis and complete accurate staging of the mediastinum in a single session. This allows for decreased health care costs, less delay in diagnosis and treatment, reduced patient discomfort, and decreased morbidity compared with invasive surgical staging techniques. In comparison to conventional mediastinoscopy, the cost-effectiveness and reduced complication profile of the endoscopic approach has made this a superior initial step in the staging and diagnosis of lung cancer. Moreover, compared with EBUS alone, combined EUS and EBUS has significantly increased yield, as well as diagnostic sensitivity making a combined approach preferable as the emerging gold-standard technique for initial minimally invasive mediastinal staging. We discuss the advantage of using EUS in combination with EBUS and highlight techniques, lymph node landmarks, utility in staging and restaging of the mediastinum, roles in diagnosing mediastinal infections and granulomatous lesions, and future directions in endosonography.

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Combined Endosonography Reduces Time to Diagnose Pulmonary Coccidioidomycosis

Cited by 6 publications

References 14 publications

Role of Convex Probe Endobronchial Ultrasound in the Diagnosis and Treatment of Nonmalignant Diseases

Role of Convex Probe Endobronchial Ultrasound in the Diagnosis and Treatment of Nonmalignant Diseases

Endoscopic ultrasound in interventional pulmonology

Interventional Pulmonology and Esophagus: Combined Endobronchial Ultrasound and Endoscopic Ultrasound for Mediastinal Staging

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