Comparison of different transbronchial biopsy sampling techniques for the diagnosis of peripheral pulmonary lesions with radial endobronchial ultrasound-guided bronchoscopy: A prospective study

Boonsarngsuk, Viboon; Petnak, Tananchai; So-ngern, Apichart; Saksitthichok, Bancha; Kanoksil, Wasana

doi:10.1016/j.resinv.2020.03.004

Cited by 8 publications

(14 citation statements)

References 10 publications

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“…This issue notwithstanding, the 1.5-mm forceps have been widely used not only during ultrathin bronchoscopy but also for bronchoscopy with EBUS-GS, and many investigators have reported a high diagnostic yield of bronchoscopic biopsy using 1.5-mm forceps (19)(20)(21)(22)(28)(29)(30)(35)(36)(37)(38)(39)(40)(41)(42)(43). Indeed, one study suggested that the size of the biopsy forceps did not affect the diagnostic yield of bronchoscopy (44).…”

Section: Limitations Of Ultrathin Bronchoscopesmentioning

confidence: 99%

Diagnostic value of ultrathin bronchoscopy in peripheral pulmonary lesions: a narrative review

Oki¹,

Sasaki²

2020

J Thorac Dis

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Flexible bronchoscopes are being continuously improved, and an ultrathin bronchoscope with a working channel that allows the use of a radial-type endobronchial ultrasound (EBUS) probe is now available. The ultrathin bronchoscope has good maneuverability for passing through the small bronchi and good accessibility to peripheral lung lesions. This utility is particularly enhanced when it is used with other imaging devices, such as EBUS and navigation devices. Multimodality bronchoscopy using an ultrathin bronchoscope leads to enhanced diagnostic yield.

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Section: Limitations Of Ultrathin Bronchoscopesmentioning

confidence: 99%

Diagnostic value of ultrathin bronchoscopy in peripheral pulmonary lesions: a narrative review

Oki¹,

Sasaki²

2020

J Thorac Dis

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“…The χ 2 value of 293.38 (p < 0.01) and I² index of 86.4% indicated substantial heterogeneity across studies. The pooled sensitivity and specificity for malignant PLLs in 30 studies were 0.76 (95% CI, 0.72 to 0.79) and 0.98 (95% CI, 0.96 to 0.99), respectively [ 22 - 25 , 29 , 31 - 35 , 37 - 46 , 48 , 49 , 51 , 55 - 57 , 59 - 62 ].…”

Section: Resultsmentioning

confidence: 99%

Development of the Korean Association for Lung Cancer Clinical Practice Guidelines: Recommendations on Radial Probe Endobronchial Ultrasound for Diagnosing Lung Cancer - An Updated Meta-Analysis

Kim,

Chung,

Kim

et al. 2024

Cancer Res Treat

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Purpose Radial probe endobronchial ultrasound (RP-EBUS) accurately locates peripheral lung lesions (PLLs) during transbronchial biopsy (TBB). We performed an updated meta-analysis of the diagnostic yield of TBB for PLLs using RP-EBUS to generate recommendations for the development of the Korean Association of Lung Cancer guidelines.Materials and Methods We systematically searched MEDLINE and EMBASE (from January 2013 to December 2022), and performed a meta-analysis using R software. The diagnostic yield was evaluated by dividing the number of successful diagnoses by the total lesion number. Subgroup analysis was performed to identify related factors.Results Forty-one studies with a total of 13,133 PLLs were included. The pooled diagnostic yield of RP-EBUS was 0.72 (95% confidence interval [CI], 0.70 to 0.75). Significant heterogeneity was observed among studies (χ2=292.38, p < 0.01, I2=86.4%). In a subgroup analysis, there was a significant difference in diagnostic yield based on RP-EBUS findings (within, adjacent to, invisible), with a risk ratio of 1.45 (95% CI, 1.23 to 1.72) between within and adjacent to, 4.20 (95% CI, 1.89 to 9.32) between within and invisible, and 2.59 (95% CI, 1.32 to 5.01) between adjacent to and invisible. There was a significant difference in diagnostic yield based on lesion size, histologic diagnosis, computed tomography (CT) bronchus sign, lesion character, and location from the hilum. The overall complication rate of TBB with RP-EBUS was 6.8% (bleeding, 4.5%; pneumothorax, 1.4%).Conclusion Our study showed that TBB with RP-EBUS is an accurate diagnostic tool for PLLs with good safety profiles, especially for PLLs with within orientation on RP-EBUS or positive CT bronchus sign.

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“…Only 28% of respondents reported combining TBB, TBNA, BAL, and brush when sampling PPL despite evidence showing increases in diagnostic yield when combining sampling tools [23][24][25]. Modalities used to reach the PPL were also highly variable amongst respondents even when given the same clinical cases and the opportunity to use any existing modality despite it not being available in their center.…”

Section: Discussionmentioning

confidence: 99%

An International Survey of Practices in the Investigation and Endoscopic Treatment of Peripheral Pulmonary Lesions amongst Interventional Bronchoscopists

Soumagne,

Dutau,

Eapen

et al. 2024

Respiration

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Introduction: The investigation of peripheral pulmonary lesions (PPLs) can be challenging. Several bronchoscopic modalities have been developed to reach and biopsy PPL but the level of adoption of these techniques by interventional pulmonologists (IPs) is unknown. This international survey was conducted to describe current practices in PPL investigation among IP. Methods: This survey was sent to all members of the World Association for Bronchology and Interventional Pulmonology, Canadian Thoracic Society Procedures Assembly, AABIP, and the Groupe d’Endoscopie Thoracique et Interventionnel Francophone. The survey was composed of 48 questions and three clinical cases to establish a portrait of modalities used to investigate and treat PPL by IP around the world. Results: Three hundred and twelve IP responded to the survey. Most of them practice in Europe (n = 122), North America (n = 97), and Asia (n = 49). Half of responders perform more than 100 endoscopic procedures for PPL annually. General anesthesia and conscious sedation are used in similar proportions (53% and 47%, respectively). Rapid on site evaluation (ROSE) is used when sampling PPL by 42%. Radial EBUS (69%), fluoroscopy (55%), and electromagnetic navigation (27%) are the most widely used techniques. Most IP combine techniques (89%). Robotic bronchoscopy (15%) and cone-beam CT (8%) are almost exclusively used in the USA where, respectively, 60% and 37% of respondents reported using these modalities. Ten percent of IP currently had access to endoscopic treatment modalities for PPL. However, half of the remaining IP plan to acquire an endoscopic treatment modality in the next 2 years. Conclusion: Available techniques and practices worldwide vary significantly regarding PPL investigation and treatment.

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Comparison of different transbronchial biopsy sampling techniques for the diagnosis of peripheral pulmonary lesions with radial endobronchial ultrasound-guided bronchoscopy: A prospective study

Cited by 8 publications

References 10 publications

Diagnostic value of ultrathin bronchoscopy in peripheral pulmonary lesions: a narrative review

Diagnostic value of ultrathin bronchoscopy in peripheral pulmonary lesions: a narrative review

Development of the Korean Association for Lung Cancer Clinical Practice Guidelines: Recommendations on Radial Probe Endobronchial Ultrasound for Diagnosing Lung Cancer - An Updated Meta-Analysis

An International Survey of Practices in the Investigation and Endoscopic Treatment of Peripheral Pulmonary Lesions amongst Interventional Bronchoscopists

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