PMID- 30394715
OWN - NLM
STAT- MEDLINE
DCOM- 20200219
LR  - 20200219
IS  - 1827-1898 (Electronic)
IS  - 0031-0808 (Linking)
VI  - 61
IP  - 3
DP  - 2019 Sep
TI  - Competence in navigation and guided transbronchial biopsy for peripheral 
      pulmonary lesions.
PG  - 280-289
LID - 10.23736/S0031-0808.18.03568-1 [doi]
AB  - Options for non-surgical tissue diagnosis of the peripheral nodule include CT 
      scan-guided TTNA, fluoroscopy-guided bronchoscopy, radial endobronchial 
      ultrasound (EBUS), electromagnetic navigation bronchoscopy (ENB), and virtual 
      bronchoscopy navigation (VBN). For physicians who choose to pursue non-surgical 
      biopsy, the decision to perform CT scan-guided or ultrasound-guided TTNA, 
      conventional bronchoscopy or bronchoscopy guided by EBUS, ENB, or VBN will depend 
      on a number of factors. CT scan-guided TTNA is preferable for nodules located 
      near the chest wall or for deeper lesions, provided that there is no need to go 
      through the fissures and there is no surrounding emphysema. Ultrasound-guided 
      TTNA requires contact between the lesion and the costal pleura. Bronchoscopic 
      techniques are preferable for nodules >/=2 cm located near a patent bronchus, or in 
      individuals at high risk for pneumothorax following TTNA. In most other 
      situations, operator experience should guide the decision. Trainees must possess 
      a perfect knowledge of anatomy and be fully competent in the interpretation of 
      imaging (CT with contrast medium and PET) and have a thorough knowledge of 
      navigation technology in all its complexities. Practical training can be 
      performed on animal, cadaver or plastic models. In the last years, to improve 
      diagnostic yield, navigational bronchoscopy has attracted significant attention.
FAU - Livi, Vanina
AU  - Livi V
AD  - Pneumologia Interventistica Interaziendale, Policlinico S. Orsola Malpighi, 
      Maggiore Hospital, Bologna, Italy - vanina.livi@aosp.bo.it.
FAU - Barisione, Emanuela
AU  - Barisione E
AD  - UOC Pneumologia, Ospedale Policlinico San Martino, Genoa, Italy.
FAU - Zuccatosta, Lina
AU  - Zuccatosta L
AD  - Operative Unit of Pneumology, Ospedali Riuniti University Hospital, Ancona, 
      Italy.
FAU - Romagnoli, Micaela
AU  - Romagnoli M
AD  - Operative Unit of Interventional Pneumology, Policlinico Sant'Orsola-Malpighi 
      Hospital, Bologna, Italy.
FAU - Pratico, Alessia
AU  - Pratico A
AD  - Operative Unit of Pneumology, Perugia University Hospital, Perugia, Italy.
FAU - Michieletto, Lucio
AU  - Michieletto L
AD  - Operative Unit of Pneumology, Ospedale dell'Angelo, Mestre, Venice, Italy.
FAU - Mancino, Laura
AU  - Mancino L
AD  - Operative Unit of Pneumology, Ospedale dell'Angelo, Mestre, Venice, Italy.
FAU - Corbetta, Lorenzo
AU  - Corbetta L
AD  - Operative Unit of Interventional Pneumology, University of Florence, Florence, 
      Italy.
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20181031
PL  - Italy
TA  - Panminerva Med
JT  - Panminerva medica
JID - 0421110
RN  - 0 (Contrast Media)
SB  - IM
MH  - Biopsy/*methods
MH  - Bronchi/*diagnostic imaging/pathology
MH  - Bronchoscopy/*education
MH  - *Clinical Competence
MH  - Contrast Media
MH  - Endosonography/methods
MH  - Fluoroscopy/methods
MH  - Humans
MH  - Lung/pathology
MH  - Lung Diseases/*diagnosis
MH  - Positron-Emission Tomography
MH  - Pulmonary Medicine/*education
MH  - Tomography, X-Ray Computed
MH  - Ultrasonography
EDAT- 2018/11/06 06:00
MHDA- 2020/02/20 06:00
CRDT- 2018/11/06 06:00
PHST- 2018/11/06 06:00 [pubmed]
PHST- 2020/02/20 06:00 [medline]
PHST- 2018/11/06 06:00 [entrez]
AID - S0031-0808.18.03568-1 [pii]
AID - 10.23736/S0031-0808.18.03568-1 [doi]
PST - ppublish
SO  - Panminerva Med. 2019 Sep;61(3):280-289. doi: 10.23736/S0031-0808.18.03568-1. Epub 
      2018 Oct 31.