Linear and radial endobronchial ultrasound in diagnosis and staging of lung cancer

• Verfasst von: Zaric, Bojan [VerfasserIn]
• Verfasst von: Eberhardt, Ralf [VerfasserIn]
• Verfasst von: Herth, Felix [VerfasserIn]
• Titel: Linear and radial endobronchial ultrasound in diagnosis and staging of lung cancer
• Verf.angabe: Bojan Zaric, Ralf Eberhardt, Felix Herth, Vladimir Stojsic, Vladimir Carapic, Zora Pavlovic Popovic, Branislav Perin
• Jahr: 2013
• Umfang: 11 S.
• Teil: volume:10
• Teil: year:2013
• Teil: number:5
• Teil: pages:685-695
• Teil: extent:11
• Fussnoten: Elektronische Reproduktion der Druckausgabe ; Gesehen am 27.07.2021
• Titel Quelle: Enthalten in: Expert review of medical devices
• Ort Quelle: Abingdon : Taylor & Francis Group, 2004
• Jahr Quelle: 2013
• Band/Heft Quelle: 10(2013), 5, Seite 685-695
• ISSN Quelle: 1745-2422
• DOI: doi:10.1586/17434440.2013.827512
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: bronchoscopy
• Sach-SW: endobronchial ultrasound
• Sach-SW: interventional pulmonology
• Sach-SW: lung cancer
• Sach-SW: mediastinum
• K10plus-PPN: 1764619404

Abstract

Endobronchial ultrasound (EBUS) in recent years has become a routine diagnostic procedure in bronchology. Linear EBUS shows high diagnostic yield in evaluation of mediastinal lymph nodes. It is mainly used for nodal evaluation in lung cancer, but has also proven to be efficient in diagnostic evaluation of mediastinal masses. This technique has been shown to be complementary to mediastinoscopy. In combination with PET and rapid on site cytology (ROSE), the diagnostic yield of EBUS is significantly higher. Radial EBUS is used for diagnosis of peripheral lung lesions. This technique facilitates evaluation of bronchial wall in central lung cancer lesions, enabling differentiation between early and invasive lung cancer. The diagnostic yield of radial EBUS in the diagnostics of peripheral lung lesions is high, reducing the number of diagnostic thoracotomies. The application of miniature radial EBUS probes, together with guiding sheaths and other guiding accessories, allow the access to smaller and more peripheral lung lesions. In addition, EBUS bronchoscopy can be utilized for the placement of brachytherapy catheters, or evaluation of the distal bronchi in order to chose between different therapeutic bronchoscopic techniques for desobstruction. An experienced bronchoscopist, availability of ROSE and additional guiding devices might be necessary to accomplish the best possible results of EBUS bronchoscopy.