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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9488938PMC
http://dx.doi.org/10.1097/LBR.0000000000000860DOI Listing

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Background: Sampling of peripheral pulmonary lesions (PPLs) abutting the pleura carries a higher risk of pneumothorax and complications. Although typically performed with image-guided transthoracic biopsy, the advent of shape-sensing robotic-assisted bronchoscopy (ssRAB) provides an alternative diagnostic procedure for this subtype of lesions.

Methods: A retrospective study on PPL attached to the peripheral pleura (PP), comprising costal and diaphragmatic pleura, mediastinal pleura (MP), and fissural pleura (FP) sampled by ssRAB, from January 2020 to December 2023.

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Robotic bronchoscopy: Evolution of advanced diagnostic technologies for pulmonary lesions.

Best Pract Res Clin Anaesthesiol

March 2024

1400 Holcombe Blvd, FC 13.2000, Houston, TX, 77030, USA. Electronic address:

Lung cancer is among one of the most commonly diagnosed malignancies and is the leading cause of cancer-related mortality in both men and women globally, with an estimated 1.8 million deaths annually. Moreover, it is also the leading cause of cancer related deaths in the United States (U.

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Article Synopsis
  • Cystic and cavitary pulmonary lesions often need precise diagnosis, and the study evaluates the effectiveness of shape-sensing robotic-assisted bronchoscopy (ssRAB) combined with mobile cone beam CT (mCBCT) as a safer alternative to traditional biopsy methods.
  • Conducted at Mayo Clinic Florida, the study analyzed 52 patients and found ssRAB had an 83% diagnostic yield and 97% sensitivity for identifying malignancies, while complications like pneumothorax occurred in just 4% of cases.
  • The findings suggest that ssRAB is a reliable and low-risk option for diagnosing these types of pulmonary lesions, offering benefits like mediastinal staging during the same procedure.
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Background: Electromagnetic navigation bronchoscopy (ENB) and shape-sensing robotic-assisted bronchoscopy (ssRAB) are minimally invasive technologies for the diagnosis of pulmonary nodules. Cone-beam computed tomography (CBCT) has shown to increase diagnostic yield by allowing real-time confirmation of position of lesion and biopsy tool. There is a lack of comparative studies of such platforms using CBCT guidance to overcome computed tomography to body divergence.

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