Document Type
Article
Publication Date
8-12-2021
Publication Title
Diagnostics
Publisher
MDPI
Volume
11
Issue
8
First page number:
1
Last page number:
12
Abstract
Despite many advancements in recent years for the sampling of peripheral pulmonary lesions, the diagnostic yield remains low. Initial excitement about the current electromagnetic navigation platforms has subsided as the real-world data shows a significantly lower diagnostic sensitivity of ~70%. “CT-to-body divergence” has been identified as a major limitation of this modality. In-tandem use of the ultrathin bronchoscope and radial endobronchial ultrasound probe has yielded only comparable results, attributable to the limited peripheral reach, device maneuverability, stability, and distractors like atelectasis. As such, experts have identified three key steps in peripheral nodule sampling—navigation (to the lesion), confirmation (of the correct location), and acquisition (tissue sampling by tools). Robotic bronchoscopy (RB) is a novel innovation that aspires to improve upon these aspects and consequently, achieve a better diagnostic yield. Through this publication, we aim to review the technical aspects, safety, feasibility, and early efficacy data for this new diagnostic modality.
Keywords
Robotic bronchoscopy; Robot-assisted bronchoscopy; Peripheral nodule sampling; Lung nodule biopsy; Lung cancer diagnosis
Disciplines
Analytical, Diagnostic and Therapeutic Techniques and Equipment
File Format
File Size
695 KB
Language
English
Rights
IN COPYRIGHT. For more information about this rights statement, please visit http://rightsstatements.org/vocab/InC/1.0/
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.
Repository Citation
Kumar, A.,
Caceres, J. D.,
Vaithilingham, S.,
Sandhu, G.,
Meena, N. K.
(2021).
Robotic Bronchoscopy for Peripheral Pulmonary Lesion Biopsy: Evidence-Based Review of the Two Platforms.
Diagnostics, 11(8),
1-12.
MDPI.
http://dx.doi.org/10.3390/diagnostics11081479