The document discusses several new developments in interventional pulmonology, including transbronchial mediastinal cryobiopsy, real-time radial endobronchial ultrasound biopsy, electromagnetic guidance transthoracic needle aspiration, cone-beam CT guided sampling, augmented fluoroscopy, confocal laser endomicroscopy, and robotic bronchoscopy. The field of interventional pulmonology continues to rapidly evolve with novel techniques and technologies improving the diagnosis of lung lesions.
ICN Victoria presents Dr Andrew Hilton, Intensivist at the Austin Hospital in Melbourne, talking on the use of ultrasound in ICU to evaluate and treat lung pathology. Recorded at our November 2014 ICN Victoria meeting.
Presentation by Nynke van den Berg, PhD candidate at the Interventional Molecular Imaging group at Radiology, LUMC, for the Science meets Business café of 9 October 2014. This event was held in the BioPartner 1 foyer in Leiden. For the report, see http://www.sciencemeetsbusiness.nl/9-oct-2014/
ICN Victoria presents Dr Andrew Hilton, Intensivist at the Austin Hospital in Melbourne, talking on the use of ultrasound in ICU to evaluate and treat lung pathology. Recorded at our November 2014 ICN Victoria meeting.
Presentation by Nynke van den Berg, PhD candidate at the Interventional Molecular Imaging group at Radiology, LUMC, for the Science meets Business café of 9 October 2014. This event was held in the BioPartner 1 foyer in Leiden. For the report, see http://www.sciencemeetsbusiness.nl/9-oct-2014/
Endobronchial Ultrasound - dr deepak talwar best pulmonologist in IndiaMetro Hospital
Dr. Deepak Talwar
Director & Chair, Pulmonary,
Sleep & Critical Care Medicine,
Metro Group of Hospitals, Noida http://www.metrohospitals.com/doctors/deepak-talwar
Introduction: Radiofrequency Ablation (RF) of Nodal Reentry Tachycardia (AVNRT) requires precision to avoid AV block. 3D Electro-Anatomic Mapping (EAM) systems allowed to reduce radiological exposure. We sought to evaluate safety and effi cacy of AVNRT ablation, analyzing tip stability with a EAM
system aiming a Minimal Fluoroscopic Approac (MFA).
In the last decade, there has been a rapid refinement of the diagnosis of neck thyroid lesions, especially in the field of thyroid disease. Ultrasound plays a fundamental role in the management of thyroid nodules and tumors and in the approach to recurring neck problems after thyroidectomy. Specifically, ultrasound examination is the main tool for the indication of fine needle aspiration biopsy (FNA) of thyroid lesions, suspicious cervical lymph nodes and parathyroid glands. Moreover, besides its diagnostic role, ultrasound is currently used as a guidance procedure for ablative treatment of benign and malignant cervical lesions.
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Endobronchial Ultrasound - dr deepak talwar best pulmonologist in IndiaMetro Hospital
Dr. Deepak Talwar
Director & Chair, Pulmonary,
Sleep & Critical Care Medicine,
Metro Group of Hospitals, Noida http://www.metrohospitals.com/doctors/deepak-talwar
Introduction: Radiofrequency Ablation (RF) of Nodal Reentry Tachycardia (AVNRT) requires precision to avoid AV block. 3D Electro-Anatomic Mapping (EAM) systems allowed to reduce radiological exposure. We sought to evaluate safety and effi cacy of AVNRT ablation, analyzing tip stability with a EAM
system aiming a Minimal Fluoroscopic Approac (MFA).
In the last decade, there has been a rapid refinement of the diagnosis of neck thyroid lesions, especially in the field of thyroid disease. Ultrasound plays a fundamental role in the management of thyroid nodules and tumors and in the approach to recurring neck problems after thyroidectomy. Specifically, ultrasound examination is the main tool for the indication of fine needle aspiration biopsy (FNA) of thyroid lesions, suspicious cervical lymph nodes and parathyroid glands. Moreover, besides its diagnostic role, ultrasound is currently used as a guidance procedure for ablative treatment of benign and malignant cervical lesions.
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
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ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
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- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
3. TRANSBRONCHIAL
MEDIASTINAL CRYOBIOPSY
IN THE DIAGNOSIS OF
MEDIASTINAL LESIONS
Zhang J, Guo J-R, Huang Z-S, et al. Transbronchial mediastinal cryobiopsy in the diagnosis of mediastinal
lesions: a randomised trial. Eur Respir J 2021; 58: 2100055 [DOI: 10.1183/ 13993003.00055-2021].
A small incision in the tracheobronchial wall adjacent to the
mediastinal lesion using a high-frequency electrosurgical knife
Knife replaced by the cryoprobe (1.1mm), & introduced into the lesion
Cooled( for 7 s), and then retracted with the bronchoscope and the
frozen biopsy tissue
post-procedural chest radiography and follow up for potential adverse
events for 4 weeks after biopsy
4.
5. Zhang J, Guo J-R, Huang Z-S, et al. Transbronchial mediastinal cryobiopsy in the diagnosis of mediastinal
lesions: a randomised trial. Eur Respir J 2021; 58: 2100055 [DOI: 10.1183/ 13993003.00055-2021].
6. Zhang J, Guo J-R, Huang Z-S, et al. Transbronchial mediastinal cryobiopsy in the diagnosis of mediastinal
lesions: a randomised trial. Eur Respir J 2021; 58: 2100055 [DOI: 10.1183/ 13993003.00055-2021].
7. Zhang J, Guo J-R, Huang Z-S, et al. Transbronchial mediastinal cryobiopsy in the diagnosis of mediastinal
lesions: a randomised trial. Eur Respir J 2021; 58: 2100055 [DOI: 10.1183/ 13993003.00055-2021].
8. REAL-TIME RADIAL ENDOBRONCHIAL
ULTRASOUND BIOPSY
The RT-EBUS-TBNA system-
Integrating r-EBUS and biopsy
needle into a single device:
• Specially constructed, flexible
sheath with both
– radial ultrasound catheter (disposable
40-MHz, 1.1-mm ultrasound probe)
– specially engineered needle (25-gauge)
• The device has an outer diameter
of 1.9 mm
• a stroke limiter on the handle to
limit its depth to a maximum of
2.5 cm
Yarmus LB, Mallow C, Pastis N, et al. Interventional Pulmonary Outcomes Group (IPOG). First-in-Human Use of a Hybrid Real-Time
Ultrasound-Guided Fine-Needle Acquisition System for Peripheral Pulmonary Lesions: A Multicenter Pilot Study. Respiration.
9. REAL-TIME RADIAL ENDOBRONCHIAL
ULTRASOUND BIOPSY
Bronchoscope positioned adjacent to the target
The guide sheath which included the RT-EBUSTBNA
device passed through the working channel of the
bronchoscope
The Radial US probe advanced into the parenchyma under fluoro
TBNA needle then deployed under direct ultrasound visualization
concentrically placed eccentrically placed
sampling
Needle retraction and the entire
sheathed device rotated and
repositioned
10. ELECTROMAGNETIC
GUIDANCE TRANSTHORACIC
NEEDLE ASPIRATION (ETTNA)
Pilot study examining the safety, feasibility and diagnostic yield of ETTNA, NB
and EBUS in a single procedural setting
Included undiagnosed SPN (≥10 mm and ≤30 mm surrounded by lung
parenchyma) that were accessible by an anterior or lateral chest percutaneous
approach with a clinical indication to undergo bronchoscopy for diagnosis of a SPN
Excluded if they PET positive mediastinal lymphadenopathy and/or mediastinal
lymphadenopathy ≥10 mm on CT imaging
Combined ETTNA along with a CP EBUS and EMN bronchoscopy for sampling
SPN
Included 24 patients
Yarmus LB, Arias S, Feller-Kopman D, et al. Electromagnetic navigation transthoracic needle aspiration for the diagnosis of pulmonary
nodules: a safety and feasibility pilot study. J Thorac Dis. 2016 Jan;8(1):186-94.
12. percutaneous placement of an electromagnetic tip
tracked biopsy needle introducer (19 gauges × 105 mm)
under navigational guidance
13. The diagnostic yield for ETTNA alone was 83%
The combined diagnostic yield of ETTNA and NB was 87%
(P=0.0016; exact 95% CI: 65%, 97%)
The diagnostic yield increased further when combining EBUS, NB
and ETTNA in a single procedure to 92% (P=0.0001).
NB was diagnostic in only 33% of all cases, but had a diagnostic
yield of 73% when an air bronchus sign was present on CT scan
ETTNA was the only biopsy method that was diagnostic in nine
subjects
NB was the only diagnostic biopsy method in one subject
There were five (5/24, 21%) pneumothoraces, 2 required chest tube
placement.
4/5 had diagnosis only in ETTNA
15. Diagnostic Accuracy**
All lesions - 93.5%
<10mm (n=19)- 89.5%
< 20mm (n=65)- 90.8%
20mm (n=27)-100%
Negative Predictive Value
79.3% - 89.7%
Average CBCT scans per case: 1.5
Average effective dose of 2.0 mSv per CBCT scan
Pritchett MA, Schampaert S, de Groot JAH,et al. Cone-Beam CT With Augmented Fluoroscopy Combined With Electromagnetic
Navigation Bronchoscopy for Biopsy of Pulmonary Nodules. J Bronchology Interv Pulmonol. 2018 Oct;25(4):274-282.
16. AUGMENTED FLUOROSCOPY
The LungVision platform (Body Vision Medical LTD, Ramat Ha Sharon, Israel)
3-D structural map of the lungs generated from preoperative CT images paired
with real-time fluoroscopic
Assists in identifying the nodule location and a potential pathway to the nodule
The pathway is provided as an augmented overlay on the standard fluoroscopic
screen, guiding the endobronchial tools to the nodule in real time
Cicenia, Joseph MD*; Bhadra, et al. Augmented Fluoroscopy, Journal of Bronchology & Interventional
Pulmonology: April 2021 - Volume 28 - Issue 2 - p 116-123
17. The platform integrates with available endobronchial
modalities including bronchoscope, fluoroscope, and
radial endobronchial ultrasound (REBUS) to present an
augmented real-time pathway
Cicenia, Joseph MD*; Bhadra, et al. Augmented Fluoroscopy, Journal of Bronchology & Interventional
Pulmonology: April 2021 - Volume 28 - Issue 2 - p 116-123
18. LungVision catheter: A modified working channel scored with radioopaque
markers used for location analytics; its distal tip is curved and used for steering
Cicenia, Joseph MD*; Bhadra, et al. Augmented Fluoroscopy, Journal of Bronchology & Interventional
Pulmonology: April 2021 - Volume 28 - Issue 2 - p 116-123
19. Using LungVision guidance CT-to-body registration is first performed
Once registration occurs, navigation to the targeted nodule is undertaken
according to LungVision guidance.
This guidance consists of a fluoroscopic overlay of the airway pathway and the
target itself.
Navigation along this pathway performed under live fluoroscopic imaging.
20. Cicenia, Joseph MD*; Bhadra, et al. Augmented Fluoroscopy, Journal of Bronchology & Interventional
Pulmonology: April 2021 - Volume 28 - Issue 2 - p 116-123
21. CONFOCAL LASER
ENDOMICROSCOPY
A novel tool in the armamentarium.
It allows invivo on-site histological information.
Based on low-power blue laser light based tissue
exposure and fluorescence.
The laser light is focused on an area of interest and back
scattered light is then refocused onto the detection
system by the lens.
High resolution laser-based imaging technique
performed with intravenous administration of the
contrast agent fluorescein
Kramer T, Wijmans L, de Bruin M, et al. Bronchoscopic needle-based confocal laser
endomicroscopy (nCLE) as a real-time detection tool for peripheral lung cancer. Thorax.
2022 Apr;77(4):370-377.
22. Prior to bronchoscopy, an 18G needle preloaded with
the CLE miniprobe using a locking device
Bronchoscopic inspection of the airways to exclude
endobronchial abnormalities
REBUS & fluoro check
rEBUS probe removed and the needle (containing the
preloaded CLE probe) advanced
Lesion puncture using fluoroscopic guidance
fluorescein (2.5mL of 10% fluorescein dinatrium
solution) administered intravenously
CLE miniprobe was advanced in a forward direction
Based on real-time nCLE imaging, the optimal
TBNA/biopsy location identified
Kramer T, Wijmans L, de Bruin M, et al. Bronchoscopic needle-based confocal laser
endomicroscopy (nCLE) as a real-time detection tool for peripheral lung cancer. Thorax.
2022 Apr;77(4):370-377.
23. Kramer T, Wijmans L, de Bruin M, et al. Bronchoscopic needle-based confocal laser
endomicroscopy (nCLE) as a real-time detection tool for peripheral lung cancer. Thorax.
24. ROBOTIC BRONCHOSCOPY
The system combines a robotically controlled catheter, with
direct airway visualisation
Navigated through the airways along a virtual pathway to a
target nodule
The robotic components allow controlled advancement of the
catheter
Subtle directional movements in all planes at the catheter tip
The catheter has the unique property of maintaining a single
position and angulation while not being advanced
Sufficiently large working channel (2 mm)
A safety and feasibility study in patients with small peripheral
lesions measuring between 1 and 3 cm showed an overall
diagnostic yield of 83%, and diagnostic yield for malignancy
was 89%
Fielding D, Bashirzadeh F, Son JH, et al. First human use of a new robotic-assisted navigation system for small peripheral
pulmonary nodules demonstrates good safety profile and high diagnostic yield. Chest 2017; 152: A858.
25. The field of IP continues to evolve rapidly
The basics of interventional pulmonology will always remain the same
Novel uses of real-time fluoroscopy and cone beam computed
tomography continue to transform the approach to lung nodules
Real-time radial endobronchial ultrasound biopsy could be the game
changer in future
Robotic bronchoscopy and realtime imaging are emerging as potentially
useful adjuncts or alternatives in difficult-to-access, peripheral lung
lesions
Techniques of invivo pathologic assessment may increase the accuracy
CONCLUSION