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使用阿基米德导航系统诊断周围型肺部病变:意大利初步结果

Use of the Archimedes navigation system to diagnose peripheral pulmonary lesions: preliminary Italian results.

作者信息

Lanfranchi Filippo, Mancino Laura, Foltran Gabriele, Nicole' Lorenzo, Michieletto Lucio

机构信息

Respiratory Disease Unit, Department of Cardiac Thiraciuc and Vascular Sciences, Ospedale dell'Angelo, Venice, Italy.

Pathology Unit, Ospedale dell'Angelo, Venice, Italy.

出版信息

Front Oncol. 2024 May 15;14:1394022. doi: 10.3389/fonc.2024.1394022. eCollection 2024.

DOI:10.3389/fonc.2024.1394022
PMID:38812775
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11133545/
Abstract

Diagnosis of peripheral pulmonary lesions (PPL) is one of the most challenging fields in early lung cancer diagnosis. Despite novel techniques and new approaches to the periphery of the lung, almost 25% of PPL remains undiagnosed. Virtual bronchoscopy navigation (VBN) potentially allows to sample PPL previously not reachable with conventional bronchoscopy. In this preliminary report, we described nine cases of PPL (in which conventional bronchoscopy did not reach the lesion) sampled with VBN, from which we obtained a diagnosis in seven out of nine cases (77.8%), consistent with other reported results in literature. More large-scale data are needed to whether VBN can increase diagnostic yield (DY) of PPL.

摘要

外周肺病变(PPL)的诊断是早期肺癌诊断中最具挑战性的领域之一。尽管有针对肺外周的新技术和新方法,但仍有近25%的PPL无法确诊。虚拟支气管镜导航(VBN)有可能对传统支气管镜先前无法触及的PPL进行采样。在这份初步报告中,我们描述了9例通过VBN采样的PPL(传统支气管镜未触及病变),其中9例中有7例(77.8%)得到确诊,这与文献中其他报道的结果一致。还需要更多大规模数据来确定VBN是否能提高PPL的诊断率(DY)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab6d/11133545/2f2c5bf846b4/fonc-14-1394022-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab6d/11133545/cb322ba1d6af/fonc-14-1394022-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab6d/11133545/4c70eb082b38/fonc-14-1394022-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab6d/11133545/c5cb23607679/fonc-14-1394022-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab6d/11133545/5b64b0ca5d3d/fonc-14-1394022-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab6d/11133545/2f2c5bf846b4/fonc-14-1394022-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab6d/11133545/cb322ba1d6af/fonc-14-1394022-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab6d/11133545/4c70eb082b38/fonc-14-1394022-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab6d/11133545/c5cb23607679/fonc-14-1394022-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab6d/11133545/5b64b0ca5d3d/fonc-14-1394022-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab6d/11133545/2f2c5bf846b4/fonc-14-1394022-g005.jpg

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本文引用的文献

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Diagnostic efficacy of cryobiopsy for peripheral pulmonary lesions: A propensity score analysis.冷冻活检对外周肺部病变的诊断效能:一项倾向评分分析。
Lung Cancer. 2023 Apr;178:220-228. doi: 10.1016/j.lungcan.2023.02.022. Epub 2023 Mar 1.
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Diagnostic yield of virtual bronchoscope navigation combined with radial endobronchial ultrasound guided transbronchial cryo-biopsy for peripheral pulmonary nodules: a prospective, randomized, controlled trial.
虚拟支气管镜导航联合径向支气管内超声引导下经支气管冷冻活检对周围型肺结节的诊断率:一项前瞻性、随机、对照试验。
Ann Transl Med. 2022 Apr;10(8):443. doi: 10.21037/atm-22-1231.
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Efficacy and safety of virtual bronchoscopic navigation with fused fluoroscopy and vessel mapping for access of pulmonary lesions.虚拟支气管镜导航融合透视与血管成像技术在肺病变入路中的疗效和安全性。
Respirology. 2022 May;27(5):357-365. doi: 10.1111/resp.14224. Epub 2022 Feb 25.
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Shape-Sensing Robotic-Assisted Bronchoscopy in the Diagnosis of Pulmonary Parenchymal Lesions.形状感知型机器人辅助支气管镜检查在肺实质病变诊断中的应用。
Chest. 2022 Feb;161(2):572-582. doi: 10.1016/j.chest.2021.07.2169. Epub 2021 Aug 9.
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Robotic Bronchoscopy for Peripheral Pulmonary Lesions: A Multicenter Pilot and Feasibility Study (BENEFIT).机器人支气管镜检查术用于外周肺部病变:一项多中心先导和可行性研究(BENEFIT)。
Chest. 2021 Feb;159(2):845-852. doi: 10.1016/j.chest.2020.08.2047. Epub 2020 Aug 19.
7
Sensitivity of Radial Endobronchial Ultrasound-Guided Bronchoscopy for Lung Cancer in Patients With Peripheral Pulmonary Lesions: An Updated Meta-analysis.径向支气管内超声引导下支气管镜检查对周围性肺部病变肺癌的敏感性:一项更新的荟萃分析。
Chest. 2020 Apr;157(4):994-1011. doi: 10.1016/j.chest.2019.10.042. Epub 2019 Nov 15.
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Bronchoscopic transparenchymal nodule access (BTPNA): first in human trial of a novel procedure for sampling solitary pulmonary nodules.经支气管透壁性结节入路(BTPNA):一种用于孤立性肺结节取样的新型手术的首例人体试验。
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Am J Respir Crit Care Med. 2013 Aug 1;188(3):327-33. doi: 10.1164/rccm.201211-2104OC.
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