PMID- 36980432
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230331
IS  - 2075-4418 (Print)
IS  - 2075-4418 (Electronic)
IS  - 2075-4418 (Linking)
VI  - 13
IP  - 6
DP  - 2023 Mar 16
TI  - Diagnostic Performance of Electromagnetic Navigation versus Virtual Navigation 
      Bronchoscopy-Guided Biopsy for Pulmonary Lesions in a Single Institution: 
      Potential Role of Artificial Intelligence for Navigation Planning.
LID - 10.3390/diagnostics13061124 [doi]
LID - 1124
AB  - Navigation bronchoscopy is an emerging technique used to evaluate pulmonary 
      lesions. Using Veran's SPiN electromagnetic navigation bronchoscopy (ENB) and 
      Archimedes virtual bronchoscopy navigation (VBN), this study aimed to compare the 
      accuracy and safety of these procedures for lung lesions and to identify 
      potentially relevant knowledge for the application of artificial intelligence in 
      interventional pulmonology in a single institute. This single-center, 
      retrospective study compared the ENB and VBN results in patients with pulmonary 
      lesions unsuitable for biopsy via percutaneous transthoracic needle biopsy 
      methods. A total of 35 patients who underwent navigation bronchoscopy for 
      pulmonary lesion diagnosis were enrolled. Nineteen patients were stratified in 
      the ENB group, and sixteen were in the VBN group. The mean age of this cohort was 
      67.6 +/- 9.9 years. The mean distance of the lesion from the pleural surface was 
      16.1 +/- 11.7 mm (range: 1.0-41.0 mm), and most lesions were a solid pattern (n = 
      33, 94.4%). There were 32 cases (91.4%) of pulmonary lesions with an air-bronchus 
      sign. A statistically significant difference was found between pulmonary size and 
      transparenchymal nodule access (p = 0.049 and 0.037, respectively). The 
      navigation success rate was significantly higher in the VBN group (93.8% vs. 
      78.9%). Moreover, no procedure-related complications or mortality were noted. The 
      radiographic characteristics, such as size or solid component, can affect the 
      selection of the biopsy procedure, either ENB or VBN. Navigation 
      bronchoscopy-guided biopsy demonstrated acceptable accuracy and a good safety 
      profile in evaluating pulmonary lesions when the percutaneous approach was 
      challenging or life threatening.
FAU - Tsai, Yuan-Ming
AU  - Tsai YM
AUID- ORCID: 0000-0003-3783-4001
AD  - Division of Thoracic Surgery, Department of Surgery, Tri-Service General 
      Hospital, National Defense Medical Center, Taipei City 11490, Taiwan.
FAU - Kuo, Yen-Shou
AU  - Kuo YS
AD  - Division of Thoracic Surgery, Department of Surgery, Tri-Service General 
      Hospital, National Defense Medical Center, Taipei City 11490, Taiwan.
FAU - Lin, Kuan-Hsun
AU  - Lin KH
AD  - Division of Thoracic Surgery, Department of Surgery, Tri-Service General 
      Hospital, National Defense Medical Center, Taipei City 11490, Taiwan.
FAU - Chen, Ying-Yi
AU  - Chen YY
AUID- ORCID: 0000-0003-3753-4877
AD  - Division of Thoracic Surgery, Department of Surgery, Tri-Service General 
      Hospital, National Defense Medical Center, Taipei City 11490, Taiwan.
FAU - Huang, Tsai-Wang
AU  - Huang TW
AUID- ORCID: 0000-0001-8741-9223
AD  - Division of Thoracic Surgery, Department of Surgery, Tri-Service General 
      Hospital, National Defense Medical Center, Taipei City 11490, Taiwan.
LA  - eng
PT  - Journal Article
DEP - 20230316
PL  - Switzerland
TA  - Diagnostics (Basel)
JT  - Diagnostics (Basel, Switzerland)
JID - 101658402
PMC - PMC10047187
OTO - NOTNLM
OT  - accuracy
OT  - artificial intelligence
OT  - biopsy
OT  - electromagnetic navigation bronchoscopy
OT  - pulmonary lesion
OT  - safety
OT  - virtual navigation bronchoscopy
COIS- The authors declare no conflict of interest.
EDAT- 2023/03/30 06:00
MHDA- 2023/03/30 06:01
PMCR- 2023/03/16
CRDT- 2023/03/29 01:24
PHST- 2023/01/30 00:00 [received]
PHST- 2023/03/13 00:00 [revised]
PHST- 2023/03/14 00:00 [accepted]
PHST- 2023/03/30 06:01 [medline]
PHST- 2023/03/29 01:24 [entrez]
PHST- 2023/03/30 06:00 [pubmed]
PHST- 2023/03/16 00:00 [pmc-release]
AID - diagnostics13061124 [pii]
AID - diagnostics-13-01124 [pii]
AID - 10.3390/diagnostics13061124 [doi]
PST - epublish
SO  - Diagnostics (Basel). 2023 Mar 16;13(6):1124. doi: 10.3390/diagnostics13061124.