Biondini Davide, Tinè Mariaenrica, Semenzato Umberto, Daverio Matteo, Scalvenzi Francesca, Bazzan Erica, Turato Graziella, Damin Marco, Spagnolo Paolo
Respiratory Disease Unit, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padova, 35128 Padova, Italy.
Department of Medicine, University of Padova, 35128 Padova, Italy.
Diagnostics (Basel). 2023 Aug 1;13(15):2565. doi: 10.3390/diagnostics13152565.
Endobronchial Ultrasound (EBUS) has been widely used to stage lung tumors and to diagnose mediastinal diseases. In the last decade, this procedure has evolved in several technical aspects, with new tools available to optimize tissue sampling and to increase its diagnostic yield, like elastography, different types of needles and, most recently, miniforceps and cryobiopsy. Accordingly, the indications for the use of the EBUS scope into the airways to perform the Endobronchial Ultrasound-TransBronchial Needle Aspiration (EBUS-TBNA) has also extended beyond the endobronchial and thoracic boundaries to sample lesions from the liver, left adrenal gland and retroperitoneal lymph nodes via the gastroesophageal tract, performing the Endoscopic UltraSound with Bronchoscope-guided Fine Needle Aspiration (EUS-B-FNA). In this review, we summarize and critically discuss the main indication for the use of the EBUS scope, even the more uncommon, to underline its utility and versatility in clinical practice.
支气管内超声（EBUS）已被广泛用于肺癌分期及纵隔疾病的诊断。在过去十年中，该技术在多个技术层面得到了发展，出现了新的工具，如弹性成像、不同类型的穿刺针，以及最近的微型活检钳和冷冻活检，以优化组织采样并提高其诊断率。相应地，将EBUS探头插入气道进行支气管内超声引导下经支气管针吸活检（EBUS-TBNA）的适应证也已超出支气管和胸部范围，通过胃肠道对肝脏、左肾上腺和腹膜后淋巴结的病变进行采样，即进行支气管镜引导下细针穿刺内镜超声检查（EUS-B-FNA）。在本综述中，我们总结并批判性地讨论了使用EBUS探头的主要适应证，包括那些不太常见的适应证，以强调其在临床实践中的实用性和多功能性。
