Interventional Pulmonology

Yu Lee-Mateus A.a· Chandra N.C.a· Johnson M.M.a· Abia-Trujillo D.a· Reisenauer J.b· Fernandez-Bussy S.a

Author affiliations

aDivision of Pulmonary, Allergy, and Sleep Medicine, Mayo Clinic, Jacksonville, FL, USA
bDepartment of Pulmonary Medicine and Thoracic Surgery, Mayo Clinic, Rochester, MN, USA

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Article / Publication Details

Received: January 16, 2023
Accepted: March 15, 2023
Published online: April 27, 2023

Number of Print Pages: 5
Number of Figures: 3
Number of Tables: 0

ISSN: 0025-7931 (Print)
eISSN: 1423-0356 (Online)

For additional information: https://www.karger.com/RES

Abstract

Bronchoscopic biopsy of peripheral pulmonary nodules has evolved in recent years with the emergence of new technologies such as shape-sensing robotic-assisted bronchoscopy. The use of three-dimensional (3D) fluoroscopy for intraoperative visualization of the biopsy tool in relation to the target nodule aims to overcome computed tomography-to-body divergence encountered during the procedure and allows for more accurate sampling to improve adequacy and diagnostic performance. Until recently, the robotic-assisted navigation plan and 3D imaging function as separate systems. We present a case where intraoperative 3D fluoroscopy images were integrated to the robotic bronchoscopy navigation system, resulting in a single, dynamic, real-time 3D virtual plan showing readjusted paths toward the lesion displayed in the robotic bronchoscopy navigation system, allowing in this case, biopsying two bilateral pulmonary nodules, resulting in different diagnosis within the same endoscopic procedure.

© 2023 S. Karger AG, Basel

References Gould MK, Donington J, Lynch WR, Mazzone PJ, Midthun DE, Naidich DP, et al. Evaluation of individuals with pulmonary nodules: when is it lung cancer? Diagnosis and management of lung cancer, 3rd ed: American College of Chest Physicians evidence-based clinical practice guidelines. Chest. 2013;143(5 Suppl):e93S–120S. Mazzone PJ, Lam L. Evaluating the patient with a pulmonary nodule: a review. JAMA. 2022;327(3):264–73. Reisenauer J, Duke JD, Kern R, Fernandez-Bussy S, Edell E. Combining shape-sensing robotic bronchoscopy with mobile three-dimensional imaging to verify tool-in-lesion and overcome divergence: a pilot study. Mayo Clin Proc Innov Qual Outcomes. 2022;6(3):177–85. Agrawal A, Hogarth DK, Murgu S. Robotic bronchoscopy for pulmonary lesions: a review of existing technologies and clinical data. J Thorac Dis. 2020;12(6):3279–86. Kalchiem-Dekel O, Connolly JG, Lin IH, Husta BC, Adusumilli PS, Beattie JA, et al. Shape-sensing robotic-assisted bronchoscopy in the diagnosis of pulmonary parenchymal lesions. Chest. 2022;161(2):572–82. Yu Lee-Mateus A, Reisenauer J, Garcia-Saucedo JC, Abia-Trujillo D, Buckarma EH, Edell ES, et al. Robotic-assisted bronchoscopy versus CT-guided transthoracic biopsy for diagnosis of pulmonary nodules. Respirology. 2022. Reisenauer J, Simoff MJ, Pritchett MA, Ost DE, Majid A, Keyes C, et al. Ion: technology and techniques for shape-sensing robotic-assisted bronchoscopy. Ann Thorac Surg. 2022;113(1):308–15. Kalchiem-Dekel O, Fuentes P, Bott MJ, Beattie JA, Lee RP, Chawla M, et al. Multiplanar 3D fluoroscopy redefines tool-lesion relationship during robotic-assisted bronchoscopy. Respirology. 2021;26(1):120–3. Chambers J, Knox D, Leclair T. O-Arm CT for confirmation of successful navigation during robotic assisted bronchoscopy. J Bronchology Interv Pulmonol. 2022. Publish Ahead of Print. Styrvoky K, Schwalk A, Pham D, Chiu HT, Rudkovskaia A, Madsen K, et al. Shape-sensing robotic-assisted bronchoscopy with concurrent use of radial endobronchial ultrasound and cone beam computed tomography in the evaluation of pulmonary lesions. Lung. 2022;200(6):755–61. Piro R, Fontana M, Casalini E, Taddei S, Bertolini M, Iori M, et al. Cone beam CT augmented fluoroscopy allows safe and efficient diagnosis of a difficult lung nodule. BMC Pulm Med. 2021;21(1):327. Article / Publication Details

Received: January 16, 2023
Accepted: March 15, 2023
Published online: April 27, 2023

Number of Print Pages: 5
Number of Figures: 3
Number of Tables: 0

ISSN: 0025-7931 (Print)
eISSN: 1423-0356 (Online)

For additional information: https://www.karger.com/RES

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