ArticleDiagnostics (Basel, Switzerland)2023
Cone-Beam Computed-Tomography-Derived Augmented Fluoroscopy-Guided Biopsy for Peripheral Pulmonary Nodules in a Hybrid Operating Room: A Case Series.
Article in Diagnostics (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 12 citations in OpenAlex.
- Ion Robotic Bronchoscopy-Guided Microwave Ablation Under Augmented Fluoroscopy: An Initial Case Series and Comparative Procedural Workflow Analysis.Cardiovascular and interventional radiology · 2026Article
- Standardized anesthetic and ventilation protocol to prevent atelectasis during robotic-assisted bronchoscopy: retrospective observational study.BMC anesthesiology · 2026Observational
- Cone-Beam Computed Tomography Laser-Guided Transthoracic Needle Biopsy for Pulmonary Lesions in a Hybrid Operating Room: Feasibility Study by an Interventional Pulmonologist.Diagnostics (Basel, Switzerland) · 2026Article
- Cost of lung cancer diagnosis: cost differences between national health system and private sector.Lung cancer management · 2025Review
- Diagnostic tools in respiratory medicine (Review).Biomedical reports · 2025Review
- The LJ System-Development and Validation of a Reliable and Simple Device for Bronchoscopic Measurement of Distances Within the Tracheobronchial Tree.Diagnostics (Basel, Switzerland) · 2025Article
- A cautious approach for detecting and managing intercostal artery injury during CT-guided lung biopsy: a case report and literature review.Frontiers in medicine · 2025Article
- The Diagnostic Yield of Cone Beam CT Combined With Radial-Endobronchial Ultrasound for the Diagnosis of Peripheral Pulmonary Nodules: Systematic Review and Meta-Analysis.CHEST pulmonary · 2024Article
- The accuracy of electromagnetic navigation bronchoscopy compared to fluoroscopy in navigation of transbronchial lung cryobiopsy in patients with interstitial lung disease.BMC pulmonary medicine · 2024Article
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Lung cancer is the most lethal cancer type in Taiwan and worldwide. Early detection and treatment advancements have improved survival. However, small peripheral pulmonary nodules (PPN) biopsy is often challenging, relying solely on bronchoscopy with radial endobronchial ultrasound (EBUS). Augmented fluoroscopy overlays the intra-procedural cone-beam computed tomography (CBCT) images with fluoroscopy enabling real-time three-dimensional localization during bronchoscopic transbronchial biopsy. The hybrid operating room (HOR), equipped with various types of C-arm CBCT, is a perfect suite for PPN diagnosis and other interventional pulmonology. This study shares the single institute experience of EBUS transbronchial biopsy of PPN with the aid of augmented fluoroscopic bronchoscopy (AFB) and CBCT in an HOR. We retrospectively enrolled patients who underwent robotic CBCT, augmented fluoroscopy-guided, radial endobronchial ultrasound-confirmed transbronchial biopsy and cryobiopsy in a hybrid operating room. Patient demographic characteristics, computed tomography images, rapid on-site evaluation cytology, and final pathology reports were collected. Forty-one patients underwent transbronchial biopsy and 6 received additional percutaneous transthoracic core-needle biopsy during the same procedure. The overall diagnostic yield was 88%. The complications included three patients with pneumothorax after receiving subsequent CT-guided percutaneous transthoracic needle biopsy, and two patients with hemothorax who underwent transbronchial cryobiopsy. Overall, the bronchoscopic biopsy of PPN using AFB and CBCT as precise guidance in the hybrid operating room is feasible and can be performed safely with a high diagnostic yield.
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