RT Journal Article
SR Electronic
T1 Increased diagnosis rates using ultrathin bronchoscopy and thin bronchoscopy with the EBUS-guide sheath method with virtual bronchoscopic navigation assistance
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP P2315
VO 42
IS Suppl 57
A1 Masaki Anzai
A1 Yukihiro Umeda
A1 Miwa Morikawa
A1 Chisato Honjo
A1 Yasuyuki Sumida
A1 Maiko Kadowaki
A1 Shingo Ameshima
A1 Takeshi Ishizaki
A1 Tamotsu Ishizuka
YR 2013
UL http://erj.ersjournals.com/content/42/Suppl_57/P2315.abstract
AB BackgroundAt our institution, we generally conduct an ultrathin (UT) (diameter 2.8 mm) bronchoscopy examination followed by a thin (diameter 4.0 mm) bronchoscopy examination using the EBUS-GS method, both with the assistance of virtual bronchoscopic navigation (VBN).MethodsFrom May 1, 2011, to December 31, 2012, we examined 53 cases with an abnormal lung shadow less than 30 mm in diameter with UT bronchoscopy using VBN, followed by thin bronchoscopy with the EBUS-GS method and VBN.ResultsWith assistance from VBN, we diagnosed 33 cases (62.3%) using UT bronchoscopy and 33 cases (62.3%) by thin bronchoscopy with EBUS-GS. Cases with a positive diagnosis were increased to 37 (69.8%) by the use of both. When limited to cancer cases, 32 (72.7%) were found positive using UT bronchoscopy and 32 (72.7%) were positive using thin bronchoscopy with EBUS-GS. The diagnosis rate was elevated to 81.8% (n=36) by use of both methods.ConclusionWith the assistance of VBN, the diagnosis rates of UT bronchoscopy and thin bronchoscopy with EBUS-GS were not largely different. However, when both were utilized, the rate increased by 9.1% for cancer and 7.5% for all cases.