Shape-Sensing Robotic-Assisted Bronchoscopy in the Diagnosis of Pulmonary Parenchymal Lesions

Combining Shape-Sensing Robotic Bronchoscopy With Mobile Three-Dimensional Imaging to Verify Tool-in-Lesion and Overcome Divergence: A Pilot Study

“… 11 As recently reported, the use of SSRAB had a success navigation rate of 98.7% with an overall diagnostic yield of 81.7%. 27 …”

A Review of Robotic-Assisted Bronchoscopy Platforms in the Sampling of Peripheral Pulmonary Lesions

“…As the new technology makes its way into hospitals and more single-center experiences are reported [ 30 , 36 ], the body of literature to characterize the performance of these platforms grows. With broader adoption and higher-powered literature on the horizon, it remains to be seen if these technologic advantages will bear improved sensitivities in the biopsy of peripheral pulmonary lesions.…”

“…Recently published was a retrospective observational single-center study at a high-volume academic institution [ 30 ]. This study included 130 patients with 159 lesions.…”

Robotic Assisted Bronchoscopy: The Ultimate Solution for Peripheral Pulmonary Nodules?

“…The PRECISION-1 study by Yarmus et al [11] showed in a cadaveric model that this distal tip control could significantly more often reach artificial pulmonary lesions when compared to previously available technology such as EMN or ultrathin bronchoscopy combined with rEBUS. The first in vivo studies show the diagnostic yields of the robotic platforms already have good accuracy upon initial use, ranging from 69% to 82% [1,[12][13][14].…”

“…An absent-, eccentric-, and concentric-rEBUS image of the target nodules translated into diagnostic yields of 26.9%, 71.7% and 81.5% [12]. Another study by Kalchiem-Dekel et al [14] in a cohort of 159 lesions with an airway-lesion relationship judged as favorable for sampling showed an impressive navigation success of 98.7%, but eventually the diagnostic accuracy was found to be lower (but still high overall), at 81.7%.…”