Cone beam navigation bronchoscopy: the next frontier

Cheng, George Z.; Liu, Lihua; Nobari, Matthew; Miller, Russell; Wahidi, Momen M.

doi:10.21037/jtd.2020.03.85

Cited by 27 publications

(27 citation statements)

References 20 publications

(13 reference statements)

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“…And with advances in one-way valve therapy, this is now a routine treatment option [ 34 ]; Bronchoscopic lung cryobiopsy, a novel biopsy method, was thought to have a meaningful effect on the multidisciplinary diagnosis of idiopathic pulmonary fibrosis [ 35 ]; Endoscopic ultrasound with bronchoscope fine needle aspiration (EUS-B-FNA) is a new technique which can be performed by interventional pulmonologists/thoracic surgeons with an echo-bronchoscope. With the help of EBUS, doctors can explore all the mediastinal lymph node stations in one endoscopic session, improving the accuracy in the diagnosis and staging of lung cancer [ 36 ]; Newer navigational modalities, such as robotic bronchoscopy and CT-guided cone beam bronchoscopy, might foreshadow the future in the bronchoscopic management of peripheral pulmonary lesions [ 37 , 38 ]; Besides, a recent study illustrated the role of bronchoscopy in the management of hemoptysis, which still represents a frequent diagnostic challenge in routine clinical practice [ 39 ]. Those novel developments are so fantastic and instructive, while whether they are high-quality researches or not need more time to test.…”

Section: Discussionmentioning

confidence: 99%

The top 100 most cited articles on bronchoscopy: a bibliometric analysis

Zhang

Cai

et al. 2020

BMC Pulm Med

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Background: Bronchoscopy is applied broadly in the diagnosis and treatment of pulmonary diseases. Over the past few decades, an increasing number of studies about bronchoscopy have been published. However, little is known about their qualities and characteristics. Methods: All of the databases in Web of Science (including the Web of Science Core Collection, BIOSIS Citation Index, KCI-Korean Journal Database, MEDLINE, Russian Science Citation Index, and SciELO Citation Index) were utilized to identify articles published from 1990 to 2020. The top 100 most cited articles about bronchoscopy were selected for degree centrality analysis and analyses regarding publication time, total citation number, the citation density, time-related flux, first author, published journal, geographic origin, and research theme. Results: The selected articles were published mainly in the 2000s and 1990s. Citations per article ranged from 731 to 196. The leading country was the USA, followed by the United Kingdom. The most frequently studied themes were bronchoalveolar lavage (BAL) fluid and biopsy. The degree centrality analysis connoted that "BAL, inflammation, diagnosis" had a high degree of centrality in the 1990s, while "diagnosis, BAL, biopsy, prospective" took centre stage in the 2000s. Conclusions: The time, area, and theme distribution of the 100 most cited articles on bronchoscopy have been thoroughly analyzed. It is noticeable that researches based on BAL and endobronchial or transbronchial biopsies currently plays a major role.

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Section: Discussionmentioning

confidence: 99%

The top 100 most cited articles on bronchoscopy: a bibliometric analysis

Zhang

Cai

et al. 2020

BMC Pulm Med

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“…A recent meta-analysis reported a sensitivity of 77% [7]. The use of cone beam CT and augmented fluoroscopy is beyond the scope of this article but entails new technologic advances regarding the diagnosis of peripheral pulmonary lesions [8]. However, the prevalence of lung nodules and current limitations of diagnostic techniques highlight the need for improvements, and robotic bronchoscopy may provide some solutions.…”

Section: Introductionmentioning

confidence: 99%

Robotic Bronchoscopy for the Diagnosis of Peripheral Lung Nodules: a Review

Puchalski

2021

Curr Pulmonol Rep

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Purpose of Review Conventional bronchoscopy has limitations based on an inability to accurately reach and reliably diagnose peripheral lesions with many studies having a yield of less than 50%. Although newer technology such as virtual bronchoscopy, use of smaller bronchoscopes, peripheral endobronchial ultrasound, and electromagnetic navigation may have some improvements and a better safety profile, oftentimes transthoracic or surgical biopsies are required to establish a diagnosis and rule out malignancy. The purpose of this review is to highlight the potential benefits of robotic bronchoscopy, the latest in technological advances for this very common medical issue. Recent Findings Recently published early studies suggest the yield of robotic bronchoscopy may surpass 90%. Studies performed in cadavers and humans suggest robotic bronchoscopic platforms are better than currently existing bronchoscopic modalities for lung nodule diagnosis and have a favorable safety profile. Summary Although additional multi-center randomized clinical trials are needed, robotic bronchoscopy appears poised to supplement current bronchoscopic techniques for establishing a diagnosis of pulmonary nodules.

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“…Cone beam CT (CBCT) is another technique that can confirm the positions of the biopsy instrument and the target lesion (9,10). It can be used together with rEBUS or as an alternative to rEBUS during bronchoscopy; the diagnostic value of CBCT for peripheral pulmonary lesions has also been reported (9,10). The second improvement was confirmation of the bronchial route leading to the target lesion.…”

mentioning

confidence: 98%