Cargando…
Outcomes of the electromagnetic navigation bronchoscopy using forceps for lung lesion suspected malignancy: A retrospective study
Many studies have reported electromagnetic navigation bronchoscopy (ENB) diagnostic yields and the importance of size and computed tomography (CT) bronchus sign. This study aimed to determine the diagnostic yield of ENB alone, using forceps biopsy and cytology. We analyzed the factors associated wit...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10589535/ https://www.ncbi.nlm.nih.gov/pubmed/37861531 http://dx.doi.org/10.1097/MD.0000000000035362 |
_version_ | 1785123811621863424 |
---|---|
author | Kim, Tae Hun Kim, Mi-Ae Kim, Hyun Jung Kwon, Yong Shik Park, Jae Seok Park, Sun Hyo |
author_facet | Kim, Tae Hun Kim, Mi-Ae Kim, Hyun Jung Kwon, Yong Shik Park, Jae Seok Park, Sun Hyo |
author_sort | Kim, Tae Hun |
collection | PubMed |
description | Many studies have reported electromagnetic navigation bronchoscopy (ENB) diagnostic yields and the importance of size and computed tomography (CT) bronchus sign. This study aimed to determine the diagnostic yield of ENB alone, using forceps biopsy and cytology. We analyzed the factors associated with yield and complications according to gross specimen size. This retrospective study included patients who underwent ENB using forceps for suspected lung lesions on CT between January 2020 and December 2022 in South Korea. Factors related to the ENB diagnostic yield and complications were evaluated, and the impacts of gross specimen size and cytology were analyzed. A total of 276 patients were analyzed. The final diagnostic yield was 75.5% after excluding indeterminate cases. Sensitivity and specificity were 74.2% and 100%, respectively. Pneumothorax developed in 1.4% (4/276) of cases, with no grade 3 or higher bleeding. Univariable analysis showed that the number of biopsies and the size of the gross specimen were related to the diagnosis. Multivariable analyses showed that a larger lesion size on CT was a significant factor for diagnosis. The gross size of the specimens was not significantly associated with epinephrine use. ENB had acceptable diagnostic yield and safety for diagnosing lung lesions with suspected malignancy. Obtaining more tissue through biopsy may not increase bleeding or pneumothorax complications. Identifying patients with lesion characteristics, including CT bronchus sign, would help increase ENB diagnostic yield. |
format | Online Article Text |
id | pubmed-10589535 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-105895352023-10-22 Outcomes of the electromagnetic navigation bronchoscopy using forceps for lung lesion suspected malignancy: A retrospective study Kim, Tae Hun Kim, Mi-Ae Kim, Hyun Jung Kwon, Yong Shik Park, Jae Seok Park, Sun Hyo Medicine (Baltimore) 6700 Many studies have reported electromagnetic navigation bronchoscopy (ENB) diagnostic yields and the importance of size and computed tomography (CT) bronchus sign. This study aimed to determine the diagnostic yield of ENB alone, using forceps biopsy and cytology. We analyzed the factors associated with yield and complications according to gross specimen size. This retrospective study included patients who underwent ENB using forceps for suspected lung lesions on CT between January 2020 and December 2022 in South Korea. Factors related to the ENB diagnostic yield and complications were evaluated, and the impacts of gross specimen size and cytology were analyzed. A total of 276 patients were analyzed. The final diagnostic yield was 75.5% after excluding indeterminate cases. Sensitivity and specificity were 74.2% and 100%, respectively. Pneumothorax developed in 1.4% (4/276) of cases, with no grade 3 or higher bleeding. Univariable analysis showed that the number of biopsies and the size of the gross specimen were related to the diagnosis. Multivariable analyses showed that a larger lesion size on CT was a significant factor for diagnosis. The gross size of the specimens was not significantly associated with epinephrine use. ENB had acceptable diagnostic yield and safety for diagnosing lung lesions with suspected malignancy. Obtaining more tissue through biopsy may not increase bleeding or pneumothorax complications. Identifying patients with lesion characteristics, including CT bronchus sign, would help increase ENB diagnostic yield. Lippincott Williams & Wilkins 2023-10-20 /pmc/articles/PMC10589535/ /pubmed/37861531 http://dx.doi.org/10.1097/MD.0000000000035362 Text en Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | 6700 Kim, Tae Hun Kim, Mi-Ae Kim, Hyun Jung Kwon, Yong Shik Park, Jae Seok Park, Sun Hyo Outcomes of the electromagnetic navigation bronchoscopy using forceps for lung lesion suspected malignancy: A retrospective study |
title | Outcomes of the electromagnetic navigation bronchoscopy using forceps for lung lesion suspected malignancy: A retrospective study |
title_full | Outcomes of the electromagnetic navigation bronchoscopy using forceps for lung lesion suspected malignancy: A retrospective study |
title_fullStr | Outcomes of the electromagnetic navigation bronchoscopy using forceps for lung lesion suspected malignancy: A retrospective study |
title_full_unstemmed | Outcomes of the electromagnetic navigation bronchoscopy using forceps for lung lesion suspected malignancy: A retrospective study |
title_short | Outcomes of the electromagnetic navigation bronchoscopy using forceps for lung lesion suspected malignancy: A retrospective study |
title_sort | outcomes of the electromagnetic navigation bronchoscopy using forceps for lung lesion suspected malignancy: a retrospective study |
topic | 6700 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10589535/ https://www.ncbi.nlm.nih.gov/pubmed/37861531 http://dx.doi.org/10.1097/MD.0000000000035362 |
work_keys_str_mv | AT kimtaehun outcomesoftheelectromagneticnavigationbronchoscopyusingforcepsforlunglesionsuspectedmalignancyaretrospectivestudy AT kimmiae outcomesoftheelectromagneticnavigationbronchoscopyusingforcepsforlunglesionsuspectedmalignancyaretrospectivestudy AT kimhyunjung outcomesoftheelectromagneticnavigationbronchoscopyusingforcepsforlunglesionsuspectedmalignancyaretrospectivestudy AT kwonyongshik outcomesoftheelectromagneticnavigationbronchoscopyusingforcepsforlunglesionsuspectedmalignancyaretrospectivestudy AT parkjaeseok outcomesoftheelectromagneticnavigationbronchoscopyusingforcepsforlunglesionsuspectedmalignancyaretrospectivestudy AT parksunhyo outcomesoftheelectromagneticnavigationbronchoscopyusingforcepsforlunglesionsuspectedmalignancyaretrospectivestudy |