TY - JOUR
T1 - Robotic-Assisted Bronchoscopy Integrated with Three-Dimensional Fluoroscopy for Sampling Bilateral Pulmonary Nodules in a Single Procedure
AU - Yu Lee-Mateus, Alejandra
AU - Chandra, Nikitha C.
AU - Johnson, Margaret M.
AU - Abia-Trujillo, David
AU - Reisenauer, Janani
AU - Fernandez-Bussy, Sebastian
N1 - Publisher Copyright:
© 2023 S. Karger AG, Basel. All rights reserved.
PY - 2023/6/1
Y1 - 2023/6/1
N2 - Bronchoscopic biopsy of peripheral pulmonary nodules has evolved in recent years with the emergence of new technologies such as shape-sensing robotic-assisted bronchoscopy. The use of three-dimensional (3D) fluoroscopy for intraoperative visualization of the biopsy tool in relation to the target nodule aims to overcome computed tomography-to-body divergence encountered during the procedure and allows for more accurate sampling to improve adequacy and diagnostic performance. Until recently, the robotic-assisted navigation plan and 3D imaging function as separate systems. We present a case where intraoperative 3D fluoroscopy images were integrated to the robotic bronchoscopy navigation system, resulting in a single, dynamic, real-time 3D virtual plan showing readjusted paths toward the lesion displayed in the robotic bronchoscopy navigation system, allowing in this case, biopsying two bilateral pulmonary nodules, resulting in different diagnosis within the same endoscopic procedure.
AB - Bronchoscopic biopsy of peripheral pulmonary nodules has evolved in recent years with the emergence of new technologies such as shape-sensing robotic-assisted bronchoscopy. The use of three-dimensional (3D) fluoroscopy for intraoperative visualization of the biopsy tool in relation to the target nodule aims to overcome computed tomography-to-body divergence encountered during the procedure and allows for more accurate sampling to improve adequacy and diagnostic performance. Until recently, the robotic-assisted navigation plan and 3D imaging function as separate systems. We present a case where intraoperative 3D fluoroscopy images were integrated to the robotic bronchoscopy navigation system, resulting in a single, dynamic, real-time 3D virtual plan showing readjusted paths toward the lesion displayed in the robotic bronchoscopy navigation system, allowing in this case, biopsying two bilateral pulmonary nodules, resulting in different diagnosis within the same endoscopic procedure.
KW - Lung cancer
KW - Lung nodules
KW - Robotic-assisted bronchoscopy
KW - Three-dimensional fluoroscopy
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U2 - 10.1159/000530234
DO - 10.1159/000530234
M3 - Article
C2 - 37105143
AN - SCOPUS:85163607604
SN - 0025-7931
VL - 102
SP - 449
EP - 453
JO - Respiration
JF - Respiration
IS - 6
ER -