Transbronchial Approach to Peripheral Lung Lesions- How Good are the Robotic and Non-Robotic Approaches Compared with CT Guided Biopsy?

Gould MK, Tang T, Liu IL, Lee J, Zheng C, Danforth KN, et al. Recent trends in the identification of Incidental Pulmonary nodules. Am J Respir Crit Care Med. 2015;192(10):1208–14.

Article  PubMed  Google Scholar 

Ost DE, Gould MK. Decision making in patients with pulmonary nodules. Am J Respir Crit Care Med. 2012;185(4):363–72.

Article  PubMed  PubMed Central  Google Scholar 

Vachani A, Maldonado F, Laxmanan B, Kalsekar I, Murgu S. The impact of alternative approaches to diagnostic yield calculation in studies of bronchoscopy. Chest. 2022;161(5):1426–8.

Article  PubMed  Google Scholar 

Gonzalez AV, Silvestri GA, Korevaar DA, Gesthalter YB, Almeida ND, Chen A, et al. Assessment of advanced diagnostic bronchoscopy outcomes for peripheral lung lesions: a delphi consensus definition of diagnostic yield and recommendations for patient-centered study designs. An official American Thoracic Society/American College of Chest Physicians Research Statement. Am J Respir Crit Care Med. 2024;209(6):634–46.

Article  PubMed  PubMed Central  Google Scholar 

Ost DE, Ernst A, Lei X, Kovitz KL, Benzaquen S, Diaz-Mendoza J, et al. Diagnostic yield and complications of bronchoscopy for peripheral lung lesions. Results of the AQuIRE registry. Am J Respir Crit Care Med. 2016;193(1):68–77.

Article  PubMed  PubMed Central  Google Scholar 

Vakil E, Tremblay A. Flying blind despite all our instruments. Chest. 2020;158(4):1312–3.

Article  PubMed  Google Scholar 

Manhire A, Charig M, Clelland C, Gleeson F, Miller R, Moss H, et al. Guidelines for radiologically guided lung biopsy. Thorax. 2003;58(11):920–36.

Article  CAS  PubMed  PubMed Central  Google Scholar 

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):eS93–120.

Article  Google Scholar 

Callister ME, Baldwin DR, Akram AR, Barnard S, Cane P, Draffan J, et al. British Thoracic Society guidelines for the investigation and management of pulmonary nodules. Thorax. 2015;70(Suppl 2):ii1–54.

Article  PubMed  Google Scholar 

Han Y, Kim HJ, Kong KA, Kim SJ, Lee SH, Ryu YJ, et al. Diagnosis of small pulmonary lesions by transbronchial lung biopsy with radial endobronchial ultrasound and virtual bronchoscopic navigation versus CT-guided transthoracic needle biopsy: a systematic review and meta-analysis. PLoS ONE. 2018;13(1):e0191590.

Article  PubMed  PubMed Central  Google Scholar 

Yang JS, Liu YM, Mao YM, Yuan JH, Yu WQ, Cheng RD, et al. Meta-analysis of CT-guided transthoracic needle biopsy for the evaluation of the ground-glass opacity pulmonary lesions. Br J Radiol. 2014;87(1042):20140276.

Article  PubMed  PubMed Central  Google Scholar 

Wiener RS, Schwartz LM, Woloshin S, Welch HG. Population-based risk for complications after transthoracic needle lung biopsy of a pulmonary nodule: an analysis of discharge records. Ann Intern Med. 2011;155(3):137–44.

Article  PubMed  PubMed Central  Google Scholar 

Heerink WJ, de Bock GH, de Jonge GJ, Groen HJ, Vliegenthart R, Oudkerk M. Complication rates of CT-guided transthoracic lung biopsy: meta-analysis. Eur Radiol. 2017;27(1):138–48.

Article  CAS  PubMed  Google Scholar 

Huo YR, Chan MV, Habib AR, Lui I, Ridley L. Pneumothorax rates in CT-Guided lung biopsies: a comprehensive systematic review and meta-analysis of risk factors. Br J Radiol. 2020;93(1108):20190866.

Article  PubMed  PubMed Central  Google Scholar 

Rivera MP, Mehta AC, Wahidi MM. Establishing the diagnosis of 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):eS142–65.

Article  Google Scholar 

Nadig TR, Thomas N, Nietert PJ, Lozier J, Tanner NT, Wang Memoli JS, et al. Guided bronchoscopy for the evaluation of pulmonary lesions: an updated meta-analysis. Chest. 2023;163(6):1589–98.

Article  PubMed  PubMed Central  Google Scholar 

Sainz Zuñiga PV, Vakil E, Molina S, Bassett RL Jr., Ost DE. Sensitivity of radial endobronchial ultrasound-guided bronchoscopy for lung cancer in patients with peripheral pulmonary lesions: an updated meta-analysis. Chest. 2020;157(4):994–1011.

Article  PubMed  Google Scholar 

Kim SH, Kim J, Pak K, Eom JS. Ultrathin bronchoscopy for the diagnosis of peripheral pulmonary lesions: a meta-analysis. Respiration. 2023;102(1):34–45.

Article  CAS  PubMed  Google Scholar 

Folch EE, Labarca G, Ospina-Delgado D, Kheir F, Majid A, Khandhar SJ, et al. Sensitivity and safety of electromagnetic navigation bronchoscopy for lung cancer diagnosis: systematic review and meta-analysis. Chest. 2020;158(4):1753–69.

Article  PubMed  Google Scholar 

Gex G, Pralong JA, Combescure C, Seijo L, Rochat T, Soccal PM. Diagnostic yield and safety of electromagnetic navigation bronchoscopy for lung nodules: a systematic review and meta-analysis. Respiration. 2014;87(2):165–76.

Article  PubMed  Google Scholar 

Pyarali FF, Hakami-Majd N, Sabbahi W, Chaux G. Robotic-assisted navigation bronchoscopy: a meta-analysis of diagnostic yield and complications. J Bronchol Interv Pulmonol. 2024;31(1):70–81.

Article  Google Scholar 

Baaklini WA, Reinoso MA, Gorin AB, Sharafkaneh A, Manian P. Diagnostic yield of fiberoptic bronchoscopy in evaluating solitary pulmonary nodules. Chest. 2000;117(4):1049–54.

Article  CAS  PubMed  Google Scholar 

Chen A, Chenna P, Loiselle A, Massoni J, Mayse M, Misselhorn D. Radial probe endobronchial ultrasound for peripheral pulmonary lesions. A 5-year institutional experience. Ann Am Thorac Soc. 2014;11(4):578–82.

Article  PubMed  Google Scholar 

Tanner NT, Yarmus L, Chen A, Wang Memoli J, Mehta HJ, Pastis NJ, et al. Standard bronchoscopy with fluoroscopy vs thin bronchoscopy and radial endobronchial ultrasound for biopsy of pulmonary lesions: a multicenter, prospective, randomized trial. Chest. 2018;154(5):1035–43.

Article  PubMed  PubMed Central  Google Scholar 

Oki M, Saka H, Ando M, Asano F, Kurimoto N, Morita K, et al. Ultrathin bronchoscopy with multimodal devices for peripheral pulmonary lesions. A randomized trial. Am J Respir Crit Care Med. 2015;192(4):468–76.

Article  PubMed  Google Scholar 

Oki M, Saka H, Asano F, Kitagawa C, Kogure Y, Tsuzuku A, et al. Use of an ultrathin vs thin bronchoscope for peripheral pulmonary lesions: a randomized trial. Chest. 2019;156(5):954–64.

Article  PubMed  Google Scholar 

Eberhardt R, Anantham D, Ernst A, Feller-Kopman D, Herth F. Multimodality bronchoscopic diagnosis of peripheral lung lesions: a randomized controlled trial. Am J Respir Crit Care Med. 2007;176(1):36–41.

Article  PubMed  Google Scholar 

Folch EE, Bowling MR, Pritchett MA, Murgu SD, Nead MA, Flandes J, et al. NAVIGATE 24-Month results: electromagnetic navigation bronchoscopy for pulmonary lesions at 37 centers in Europe and the United States. J Thorac Oncol. 2022;17(4):519–31.

Article  PubMed  Google Scholar 

Diddams MJ, Lee HJ. Robotic bronchoscopy: review of Three systems. Life (Basel). 2023;13(2):354.

PubMed  Google Scholar 

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.

Article  PubMed  Google Scholar 

Rojas-Solano JR, Ugalde-Gamboa L, Machuzak M. Robotic bronchoscopy for diagnosis of suspected lung cancer: a feasibility study. J Bronchol Interv Pulmonol. 2018;25(3):168–75.

Article  Google Scholar 

Steinfort DP, Vincent J, Heinze S, Antippa P, Irving LB. Comparative effectiveness of radial probe endobronchial ultrasound versus CT-guided needle biopsy for evaluation of peripheral pulmonary lesions: a randomized pragmatic trial. Respir Med. 2011;105(11):1704–11.

Article  PubMed  Google Scholar 

Fielding DI, Chia C, Nguyen P, Bashirzadeh F, Hundloe J, Brown IG, et al. Prospective randomised trial of endobronchial ultrasound-guide sheath versus computed tomography-guided percutaneous core biopsies for peripheral lung lesions. Intern Med J. 2012;42(8):894–900.

Article  CAS 

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