Peripheral pulmonary lesion: novel approaches in endoscopic guidance systems and a state-of-the-art review
Diagnosis of peripheral pulmonary lesion (PPL) is the most challenging field in bronchoscopy and interventional pulmonology, which concerns early lung cancer diagnosis. Despite novel techniques and new approaches to the periphery of the lung, almost 25% of PPLs remain undiagnosed. Bronchoscopy with...
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| Format: | Article |
| Language: | English |
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PAGEPress Publications
2024-12-01
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| Series: | Monaldi Archives for Chest Disease |
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| Online Access: | https://www.monaldi-archives.org/macd/article/view/3115 |
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| _version_ | 1846113882899218432 |
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| author | Filippo Lanfranchi Lucio Michieletto |
| author_facet | Filippo Lanfranchi Lucio Michieletto |
| author_sort | Filippo Lanfranchi |
| collection | DOAJ |
| description |
Diagnosis of peripheral pulmonary lesion (PPL) is the most challenging field in bronchoscopy and interventional pulmonology, which concerns early lung cancer diagnosis. Despite novel techniques and new approaches to the periphery of the lung, almost 25% of PPLs remain undiagnosed. Bronchoscopy with guide systems, virtual and/or electromagnetic navigation, robotic bronchoscopy, and transparenchymal nodule approaches tend to provide a higher percentage of reaching the lesion, but the diagnostic yield rarely exceeds 75%, regardless of the instruments used. Further studies are needed to evaluate what the main constraints of this discrepancy are and if a combined use of these techniques and instruments can provide an increased diagnostic yield.
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| format | Article |
| id | doaj-art-9a8ca917e68e4e9ab09144e9add42c27 |
| institution | Kabale University |
| issn | 1122-0643 2532-5264 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | Monaldi Archives for Chest Disease |
| spelling | doaj-art-9a8ca917e68e4e9ab09144e9add42c272024-12-21T01:37:17ZengPAGEPress PublicationsMonaldi Archives for Chest Disease1122-06432532-52642024-12-0110.4081/monaldi.2024.3115Peripheral pulmonary lesion: novel approaches in endoscopic guidance systems and a state-of-the-art reviewFilippo Lanfranchi0https://orcid.org/0009-0008-3636-7118Lucio Michieletto1Respiratory Disease Unit, Department of Cardiac Thoracic and Vascular Sciences, Ospedale dell’Angelo, VeniceRespiratory Disease Unit, Department of Cardiac Thoracic and Vascular Sciences, Ospedale dell’Angelo, Venice Diagnosis of peripheral pulmonary lesion (PPL) is the most challenging field in bronchoscopy and interventional pulmonology, which concerns early lung cancer diagnosis. Despite novel techniques and new approaches to the periphery of the lung, almost 25% of PPLs remain undiagnosed. Bronchoscopy with guide systems, virtual and/or electromagnetic navigation, robotic bronchoscopy, and transparenchymal nodule approaches tend to provide a higher percentage of reaching the lesion, but the diagnostic yield rarely exceeds 75%, regardless of the instruments used. Further studies are needed to evaluate what the main constraints of this discrepancy are and if a combined use of these techniques and instruments can provide an increased diagnostic yield. https://www.monaldi-archives.org/macd/article/view/3115Peripheral pulmonary lesionlung cancerelectromagnetic navigation bronchoscopyvirtual navigation bronchoscopybronchoscopic transparenchymal nodule access |
| spellingShingle | Filippo Lanfranchi Lucio Michieletto Peripheral pulmonary lesion: novel approaches in endoscopic guidance systems and a state-of-the-art review Monaldi Archives for Chest Disease Peripheral pulmonary lesion lung cancer electromagnetic navigation bronchoscopy virtual navigation bronchoscopy bronchoscopic transparenchymal nodule access |
| title | Peripheral pulmonary lesion: novel approaches in endoscopic guidance systems and a state-of-the-art review |
| title_full | Peripheral pulmonary lesion: novel approaches in endoscopic guidance systems and a state-of-the-art review |
| title_fullStr | Peripheral pulmonary lesion: novel approaches in endoscopic guidance systems and a state-of-the-art review |
| title_full_unstemmed | Peripheral pulmonary lesion: novel approaches in endoscopic guidance systems and a state-of-the-art review |
| title_short | Peripheral pulmonary lesion: novel approaches in endoscopic guidance systems and a state-of-the-art review |
| title_sort | peripheral pulmonary lesion novel approaches in endoscopic guidance systems and a state of the art review |
| topic | Peripheral pulmonary lesion lung cancer electromagnetic navigation bronchoscopy virtual navigation bronchoscopy bronchoscopic transparenchymal nodule access |
| url | https://www.monaldi-archives.org/macd/article/view/3115 |
| work_keys_str_mv | AT filippolanfranchi peripheralpulmonarylesionnovelapproachesinendoscopicguidancesystemsandastateoftheartreview AT luciomichieletto peripheralpulmonarylesionnovelapproachesinendoscopicguidancesystemsandastateoftheartreview |