Cargando…
Diagnostic Performance of Electromagnetic Navigation versus Virtual Navigation Bronchoscopy-Guided Biopsy for Pulmonary Lesions in a Single Institution: Potential Role of Artificial Intelligence for Navigation Planning
Navigation bronchoscopy is an emerging technique used to evaluate pulmonary lesions. Using Veran’s SPiN electromagnetic navigation bronchoscopy (ENB) and Archimedes virtual bronchoscopy navigation (VBN), this study aimed to compare the accuracy and safety of these procedures for lung lesions and to...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10047187/ https://www.ncbi.nlm.nih.gov/pubmed/36980432 http://dx.doi.org/10.3390/diagnostics13061124 |
_version_ | 1785013857847083008 |
---|---|
author | Tsai, Yuan-Ming Kuo, Yen-Shou Lin, Kuan-Hsun Chen, Ying-Yi Huang, Tsai-Wang |
author_facet | Tsai, Yuan-Ming Kuo, Yen-Shou Lin, Kuan-Hsun Chen, Ying-Yi Huang, Tsai-Wang |
author_sort | Tsai, Yuan-Ming |
collection | PubMed |
description | Navigation bronchoscopy is an emerging technique used to evaluate pulmonary lesions. Using Veran’s SPiN electromagnetic navigation bronchoscopy (ENB) and Archimedes virtual bronchoscopy navigation (VBN), this study aimed to compare the accuracy and safety of these procedures for lung lesions and to identify potentially relevant knowledge for the application of artificial intelligence in interventional pulmonology in a single institute. This single-center, retrospective study compared the ENB and VBN results in patients with pulmonary lesions unsuitable for biopsy via percutaneous transthoracic needle biopsy methods. A total of 35 patients who underwent navigation bronchoscopy for pulmonary lesion diagnosis were enrolled. Nineteen patients were stratified in the ENB group, and sixteen were in the VBN group. The mean age of this cohort was 67.6 ± 9.9 years. The mean distance of the lesion from the pleural surface was 16.1 ± 11.7 mm (range: 1.0–41.0 mm), and most lesions were a solid pattern (n = 33, 94.4%). There were 32 cases (91.4%) of pulmonary lesions with an air-bronchus sign. A statistically significant difference was found between pulmonary size and transparenchymal nodule access (p = 0.049 and 0.037, respectively). The navigation success rate was significantly higher in the VBN group (93.8% vs. 78.9%). Moreover, no procedure-related complications or mortality were noted. The radiographic characteristics, such as size or solid component, can affect the selection of the biopsy procedure, either ENB or VBN. Navigation bronchoscopy-guided biopsy demonstrated acceptable accuracy and a good safety profile in evaluating pulmonary lesions when the percutaneous approach was challenging or life threatening. |
format | Online Article Text |
id | pubmed-10047187 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-100471872023-03-29 Diagnostic Performance of Electromagnetic Navigation versus Virtual Navigation Bronchoscopy-Guided Biopsy for Pulmonary Lesions in a Single Institution: Potential Role of Artificial Intelligence for Navigation Planning Tsai, Yuan-Ming Kuo, Yen-Shou Lin, Kuan-Hsun Chen, Ying-Yi Huang, Tsai-Wang Diagnostics (Basel) Article Navigation bronchoscopy is an emerging technique used to evaluate pulmonary lesions. Using Veran’s SPiN electromagnetic navigation bronchoscopy (ENB) and Archimedes virtual bronchoscopy navigation (VBN), this study aimed to compare the accuracy and safety of these procedures for lung lesions and to identify potentially relevant knowledge for the application of artificial intelligence in interventional pulmonology in a single institute. This single-center, retrospective study compared the ENB and VBN results in patients with pulmonary lesions unsuitable for biopsy via percutaneous transthoracic needle biopsy methods. A total of 35 patients who underwent navigation bronchoscopy for pulmonary lesion diagnosis were enrolled. Nineteen patients were stratified in the ENB group, and sixteen were in the VBN group. The mean age of this cohort was 67.6 ± 9.9 years. The mean distance of the lesion from the pleural surface was 16.1 ± 11.7 mm (range: 1.0–41.0 mm), and most lesions were a solid pattern (n = 33, 94.4%). There were 32 cases (91.4%) of pulmonary lesions with an air-bronchus sign. A statistically significant difference was found between pulmonary size and transparenchymal nodule access (p = 0.049 and 0.037, respectively). The navigation success rate was significantly higher in the VBN group (93.8% vs. 78.9%). Moreover, no procedure-related complications or mortality were noted. The radiographic characteristics, such as size or solid component, can affect the selection of the biopsy procedure, either ENB or VBN. Navigation bronchoscopy-guided biopsy demonstrated acceptable accuracy and a good safety profile in evaluating pulmonary lesions when the percutaneous approach was challenging or life threatening. MDPI 2023-03-16 /pmc/articles/PMC10047187/ /pubmed/36980432 http://dx.doi.org/10.3390/diagnostics13061124 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Tsai, Yuan-Ming Kuo, Yen-Shou Lin, Kuan-Hsun Chen, Ying-Yi Huang, Tsai-Wang Diagnostic Performance of Electromagnetic Navigation versus Virtual Navigation Bronchoscopy-Guided Biopsy for Pulmonary Lesions in a Single Institution: Potential Role of Artificial Intelligence for Navigation Planning |
title | Diagnostic Performance of Electromagnetic Navigation versus Virtual Navigation Bronchoscopy-Guided Biopsy for Pulmonary Lesions in a Single Institution: Potential Role of Artificial Intelligence for Navigation Planning |
title_full | Diagnostic Performance of Electromagnetic Navigation versus Virtual Navigation Bronchoscopy-Guided Biopsy for Pulmonary Lesions in a Single Institution: Potential Role of Artificial Intelligence for Navigation Planning |
title_fullStr | Diagnostic Performance of Electromagnetic Navigation versus Virtual Navigation Bronchoscopy-Guided Biopsy for Pulmonary Lesions in a Single Institution: Potential Role of Artificial Intelligence for Navigation Planning |
title_full_unstemmed | Diagnostic Performance of Electromagnetic Navigation versus Virtual Navigation Bronchoscopy-Guided Biopsy for Pulmonary Lesions in a Single Institution: Potential Role of Artificial Intelligence for Navigation Planning |
title_short | Diagnostic Performance of Electromagnetic Navigation versus Virtual Navigation Bronchoscopy-Guided Biopsy for Pulmonary Lesions in a Single Institution: Potential Role of Artificial Intelligence for Navigation Planning |
title_sort | diagnostic performance of electromagnetic navigation versus virtual navigation bronchoscopy-guided biopsy for pulmonary lesions in a single institution: potential role of artificial intelligence for navigation planning |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10047187/ https://www.ncbi.nlm.nih.gov/pubmed/36980432 http://dx.doi.org/10.3390/diagnostics13061124 |
work_keys_str_mv | AT tsaiyuanming diagnosticperformanceofelectromagneticnavigationversusvirtualnavigationbronchoscopyguidedbiopsyforpulmonarylesionsinasingleinstitutionpotentialroleofartificialintelligencefornavigationplanning AT kuoyenshou diagnosticperformanceofelectromagneticnavigationversusvirtualnavigationbronchoscopyguidedbiopsyforpulmonarylesionsinasingleinstitutionpotentialroleofartificialintelligencefornavigationplanning AT linkuanhsun diagnosticperformanceofelectromagneticnavigationversusvirtualnavigationbronchoscopyguidedbiopsyforpulmonarylesionsinasingleinstitutionpotentialroleofartificialintelligencefornavigationplanning AT chenyingyi diagnosticperformanceofelectromagneticnavigationversusvirtualnavigationbronchoscopyguidedbiopsyforpulmonarylesionsinasingleinstitutionpotentialroleofartificialintelligencefornavigationplanning AT huangtsaiwang diagnosticperformanceofelectromagneticnavigationversusvirtualnavigationbronchoscopyguidedbiopsyforpulmonarylesionsinasingleinstitutionpotentialroleofartificialintelligencefornavigationplanning |