ArticleJournal of thoracic disease2025
Advantages of electromagnetic navigation bronchoscopy in localizing pulmonary nodules challenging to traditional hook-wire localization: a comparative study on precision localization dilemmas.
Article in Journal of thoracic disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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1 citing paper in PubMed.
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Electromagnetic navigation bronchoscopy (ENB)-guided localization is expected to demonstrate higher success rates and a superior safety profile compared to computed tomography (CT)-guided hook-wire localization. This study aimed to compare the efficacy and safety of CT-guided hook-wire localization versus ENB-guided localization for preoperative marking of pulmonary nodules in areas where hook-wire placement is technically challenging prior to video-assisted thoracoscopic surgery (VATS). Methods: We conducted a retrospective analysis of 145 patients with solitary small pulmonary nodules who underwent either CT-guided (n=103) or ENB-guided (n=42) localization at The First Affiliated Hospital of Soochow University between September 2022 and September 2024. The study compared procedural characteristics including localization success rates, operation times, and complication rates between the two approaches. Results: The CT-guided group demonstrated significantly shorter mean localization time (P<0.001) and general anesthesia duration (P<0.001) compared to the ENB group. However, CT-guided procedures required prolonged needle-carrying time (24.8±4.6 minutes, P<0.001). ENB showed superior success rates (100% Conclusions: For pulmonary nodules in locations where hook-wire placement is technically challenging, both ENB-guided and CT-guided localization techniques can effectively identify the targets. The ENB approach demonstrates superior success rates, fewer complications and lower adverse event rates, suggesting that for such challenging nodules, ENB represents a promising, safe, and feasible localization method.
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