MEDLINE Journals

    Endobronchial ultrasound-guided transbronchial lung biopsy in solitary pulmonary nodules and peripheral lesions.

    Authors
    Herth FJ, Ernst A, Becker HD 
    Source
    Eur Respir J 2002 Oct; 20(4) :972-4.
    Abstract

    Transbronchial biopsy (TBBX) for peripheral lung lesions is usually performed with the help of fluoroscopy, but the yield varies widely. This feasibility study aimed to assess the ability of endobronchial ultrasound (EBUS) to provide imaging guidance for TBBX. In a prospective study, 50 consecutive patients referred for TBBX for peripheral lesions underwent fluoroscopy-guided and EBUS-guided TBBX in random order. Diagnostic yields were compared for both modalities and feasibility was assessed for EBUS. Diagnostic material was obtained in 80% of patients with EBUS and 76% of patients with fluoroscopy. There was a nonsignificant trend for EBUS to be better than fluoroscopy for lesions <3 cm in diameter. Four lesions could not be visualised with EBUS. There were no significant complications associated with the use of EBUS. Endobronchial ultrasound-guided transbronchial biopsy is feasible. It appears to be at least equivalent to fluoroscopy without the accompanying radiation exposure. Further large-scale studies are indicated to assess the possible role of endobronchial ultrasound as a potential imaging method of choice for the biopsy of peripheral lung lesions.

    Mesh
    Adult
    Aged
    Aged, 80 and over
    Biopsy, Needle
    Bronchoscopes
    Cross-Over Studies
    Diagnosis, Differential
    Endosonography
    Feasibility Studies
    Female
    Fluoroscopy
    Humans
    Lung Neoplasms
    Male
    Middle Aged
    Prospective Studies
    Sensitivity and Specificity
    Solitary Pulmonary Nodule
    Language

    eng

    Pub Type(s)
    Clinical Trial Comparative Study Journal Article Randomized Controlled Trial
    PubMed ID

    12412691

    Content Manager
    Related Content

    Endobronchial ultrasound-guided transbronchial lung biopsy in fluoroscopically invisible solitary pulmonary nodules: a prospective trial.

    Diagnosis of lung nodules with peripheral/radial endobronchial ultrasound-guided transbronchial biopsy.

    A comparative study on endobronchial ultrasound-guided and fluoroscopic-guided transbronchial lung biopsy of peripheral pulmonary lesions.

    The endobronchial ultrasound-guided transbronchial lung biopsy in peripheral pulmonary lesions.

    Diagnostic value of endobronchial ultrasound-guided transbronchial lung biopsy in peripheral lung cancers.

    Endobronchial ultrasound-guided transbronchial biopsy using novel thin bronchoscope for diagnosis of peripheral pulmonary lesions.

    Transbronchial biopsy using endobronchial ultrasonography with a guide sheath increased the diagnostic yield of peripheral pulmonary lesions.

    Endobronchial ultrasonography using a guide sheath increases the ability to diagnose peripheral pulmonary lesions endoscopically.