Role of lung point navigation bronchoscopy in diagnosis of peripheral pulmonary lesions

IF 0.2 Q4 RESPIRATORY SYSTEM Egyptian Journal of Chest Diseases and Tuberculosis Pub Date : 2023-01-01 DOI:10.4103/ecdt.ecdt_85_22
A. Allam, Sherif A. Eisa, Mahmoud El-Sayed Abd El-Rahim, N. Amin
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Abstract

Background Cancer of the lung is the leading cause of mortality worldwide. There is a continuing problem to treat patients with pulmonary lesions in the peripheral lung. Technology like virtual bronchoscopic imaging is based on assisted-computed tomography pictures that lead the bronchoscopist to the target peripheral lesion. Objectives The purpose of this research was to evaluate the safety and effectiveness of the lung point navigation system in the identification of peripheral pulmonary lesions. Patients and methods A total of 20 patients took part in this cross-sectional investigation, which used analytical methods. Finally, tissue samples from peripheral pulmonary lesions were collected using virtual bronchoscopic navigation. Results Overall, 90% of the cases analyzed were correctly diagnosed using lung point navigation, whereas 10% of the cases were incorrectly diagnosed. The lesion was on average 22.4 mm×23 mm in size, 17.2 mm away from the costal border, and 102.5 mm away from the diaphragm. The average navigation time was 7.4 min, whereas the average planning time was 5 min, and the overall examination duration was 31 min. Conclusion The navigation bronchoscopic method is a promising innovation in the field of lung disease diagnostics. Cost, operational skills, and the learning curve have all conspired to keep it from being widely used thus far.
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肺点导航支气管镜在肺周围性病变诊断中的作用
肺癌是世界范围内导致死亡的主要原因。周围肺病变患者的治疗一直是一个问题。像虚拟支气管镜成像这样的技术是基于辅助计算机断层扫描图像,将支气管镜医师引导到目标周围病变。目的评价肺点导航系统识别周围肺病变的安全性和有效性。患者与方法本研究采用分析方法对20例患者进行横断面调查。最后,使用虚拟支气管镜导航收集周围肺病变的组织样本。结果总体而言,肺点导航诊断正确率为90%,误诊率为10%。病灶大小平均22.4 mm×23 mm,距肋缘17.2 mm,距横膈膜102.5 mm。平均导航时间为7.4 min,平均计划时间为5 min,总检查时间为31 min。结论导航支气管镜方法是肺部疾病诊断领域的一项有前途的创新。到目前为止,成本、操作技能和学习曲线都阻碍了它的广泛应用。
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来源期刊
自引率
0.00%
发文量
46
审稿时长
22 weeks
期刊介绍: The journal will cover technical and clinical studies related to health, ethical and social issues in field of The Egyptian Journal of Chest Diseases and Tuberculosis aims to publish and inform readers and all chest physicians of the progress in medical research concerning all aspect of chest diseases. Publications include original articles review articles, editorials, case studies and reports which are relevant to chest diseases. The Journal also aims to highlight recent updates in chest medicine. . Articles with clinical interest and implications will be given preference.
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