ArticleRespirology (Carlton, Vic.)2024
Determinants of radiation exposure during mobile cone-beam CT-guided robotic-assisted bronchoscopy.
Article in Respirology (Carlton, Vic.), 2024. 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.
- Trial
- Ion Robotic Bronchoscopy-Guided Microwave Ablation Under Augmented Fluoroscopy: An Initial Case Series and Comparative Procedural Workflow Analysis.Cardiovascular and interventional radiology · 2026Article
- Predicting Diagnostic Success and Procedural Efficiency in Robotic Bronchoscopy Using Machine Learning.Diseases (Basel, Switzerland) · 2026Article
- The Additional Accuracy Gained by Cone Beam CT in Shape-Sensing Robotic Bronchoscopy.CHEST pulmonary · 2025Article
- Multicenter Prospective Comparative Study of Patient Radiation Doses in Localization Techniques for Small Lung Lesions.Cancers · 2025Article
- Cone beam computed tomography for navigational bronchoscopy.Journal of thoracic disease · 2025Review
- Cumulative Personal Radiation Exposure for a Single Pulmonary Proceduralist Over 1 Year.CHEST pulmonary · 2025Article
- Unlocking the depths: the evolution of robotic-assisted bronchoscopy.Frontiers in oncology · 2025Article
- Radiation Principles, Protection, and Reporting for Interventional Pulmonology: A World Association of Bronchology and Interventional Pulmonology White Paper.Respiration; international review of thoracic diseases · 2024Article
Corrections and comments
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Authors and funding
18 authors.
Funding
Abstract
BACKGROUND AND
objectiveRobotic-assisted bronchoscopy (RAB) is an emerging modality to sample pulmonary lesions. Cone-beam computed tomography (CBCT) can be incorporated into RAB. We investigated the magnitude and predictors of patient and staff radiation exposure during mobile CBCT-guided shape-sensing RAB.
methodsPatient radiation dose was estimated by cumulative dose area product (cDAP) and cumulative reference air kerma (cRAK). Staff equivalent dose was calculated based on isokerma maps and a phantom simulation. Patient, lesion and procedure-related factors associated with higher radiation doses were identified by logistic regression models.
resultsA total of 198 RAB cases were included in the analysis. The median patient cDAP and cRAK were 10.86 Gy cm
conclusionThe magnitude of patient and staff radiation exposure during CBCT-RAB is aligned with safety thresholds recommended by regulatory authorities. Factors associated with a higher radiation exposure during CBCT-RAB can be identified pre-operatively and solicit procedural optimization by reinforcing radiation protective measures. Future studies are needed to confirm these findings across multiple institutions and practices.
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