Cheng George Z, Liu Lihua, Nobari Matthew, Miller Russell, Wahidi Momen
Division of Pulmonary, Critical Care, and Sleep Medicine, University of California San Diego, La Jolla, CA, USA.
Division of Pulmonary, Allergy, and Critical Care Medicine, Duke University Hospital, Durham, CA, USA.
J Thorac Dis. 2020 Jun;12(6):3272-3278. doi: 10.21037/jtd.2020.03.85.
Navigation bronchoscopy has reached a new horizon in its evolution. Combining with real-time imaging modalities, such as cone-beam computed tomography (CBCT) and augmented fluoroscopy (AF), navigation success can finally be confirmed with high degree of accuracy in real-time. With utilization of this modality, additional clinical observations are being made to help address the CT-body divergence problem and further improve navigation accuracy. This review focuses on description of CBCT navigation technique, provide tips on addressing CT-Body divergence, and review evidence for CBCT applications in navigation bronchoscopy.
导航支气管镜检查在其发展历程中已迈入新的阶段。与实时成像模式相结合,如锥形束计算机断层扫描(CBCT)和增强荧光透视(AF),最终能够实时高度准确地确认导航成功。通过运用这种模式,正在进行更多临床观察,以帮助解决CT与身体的偏差问题并进一步提高导航准确性。本综述重点描述CBCT导航技术,提供解决CT与身体偏差的技巧,并综述CBCT在导航支气管镜检查中应用的证据。