Abstract
Radial probe endobronchial ultrasound is a technique in which a small ultrasound probe is introduced into the tracheobronchial lumen to obtain sonographic images of peribronchial tissues. Using a water-filled balloon around the probe, five-layered structure of the tracheal and bronchial wall can be identified with this technique in normal subjects. In the central airways, this technique is most useful in determination of the depth of invasion of endobronchial tumor into the airway wall. Endobronchial ultrasound with guide sheath is a modified technique in which the radial probe ultrasound is introduced via a guide sheath and is advanced into the peripheral pulmonary lesion. A diagnostic yield of 74 % has been reported with this technique for peripheral pulmonary lesion smaller than 3 cm in size. In recent years, efforts have been made to utilize electromagnetic navigation or virtual bronchoscopy navigation for more accurate placement of ultrasound probe and guide sheath into the tumor, in order to further improve diagnostic yield from peripheral pulmonary nodules using this technique.
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References
Kurimoto N, Murayama M, Yoshioka S, et al. Assessment of usefulness of endobronchial ultrasonography in determination of depth of tracheobronchial tumor invasion. Chest. 1999;115:1500–6.
Arima M, Tada M. Endosonographic assessment of the depth of tumor invasion by superficial esophageal cancer, using a high-frequency miniature US probe: difficulties in interpretation and misleading factors. Stomach Intest. 2004;39:901–13.
Kawano T, Nagai Y, Inoue H, et al. Endoscopic ultrasonography for patients with esophageal cancer. Stomach Intest. 2001;36:307–14.
Kikuchi Y, Tsuda S, Yurioka M, et al. Diagnosis of the depth infiltration in colorectal cancer-diagnosis and issues of the depth of infiltration investigated by endoscopic ultrasonography (EUS). Stomach Intest. 2001; 36:392–402.
Menzel J, Domschke W. Gastrointestinal miniprobe sonography: the current status. Am J Gastroenterol. 2000;95:605–16.
Hürter T, Hanarath P. Endobronchiale sonographie zur diagnostik pulmonaler und mediastinaler tumoren. Dtsch Med Wochenschr. 1990;115:1899–905.
Goldberg B, Steiner R, Liu J, et al. US-assisted bronchoscopy with use of miniature transducer-containing catheters. Radiology. 1994;190:233–7.
Kurimoto N, Murayama M, Yoshioka S, Nishisaka T. Analysis of the internal structure of peripheral pulmonary lesions using endobronchial ultrasonography. Chest 2002;122:1887–94.
Hosokawa S, Matsuo K, Watanabe Y, et al. Two cases of nodular lesions in the peripheral lung field, successfully diagnosed by endobronchial ultrasonography (EBUS). Kokyuu. 2004;23:57–60.
Kuo C, Lin S, Chen H, et al. Diagnosis of peripheral lung cancer with three echoic features via endobronchial ultrasound. Chest. 2007;132:922–9.
Kurimoto N, Miyazawa T, Okimasa S, et al. Endobronchial ultrasonography using a guide sheath increases the ability to diagnose peripheral pulmonary lesions endoscopically. Chest. 2004;126:959–65.
Fielding DI, Chia C, Nguyen P, et al. Prospective Ârandomized trial of EBUS guide sheath versus CT guided percutaneous core biopsies for peripheral Lung Lesions. Intern Med J 2012;42:894–900.
Schwarz Y, Mehta AC, Ernst A, et al. Electromagnetic navigation during flexible bronchoscopy. Respiration. 2003;70:516–22.
Eberhardt R, Anantham D, Ernst A, Feller-Kopman D, Herth F. Multimodality bronchoscopic diagnosis of peripheral lung lesions. A randomized controlled trial. Am J Respir Crit Care Med. 2007;176:36–41.
Harms W, Krempien R, Grehn C, et al. Electromagetically navigated brachytherapy as a new treatment option for peripheral pulmonary tumors. Strahlenther Onkol. 2006;182:108–11.
Asano F, Matsuno Y, Matsushita T, et al. Transbronchial diagnosis of a pulmonary peripheral small lesion using an ultrathin bronchoscope with virtual bronchoscopic navigation. J Bronchol. 2002;9:108–11.
Asano F, Matsuno Y, Shinagawa N, et al. A virtual bronchoscopic navigation system for pulmonary peripheral lesions. Chest. 2006;130:559–66.
Asano F, Matsuno Y, Tsuzuku A, et al. Diagnosis of pulmonary peripheral lesions using a bronchoscope insertion guidance system combined with endobronchial ultrasonography with a guide sheath. Lung Cancer. 2008;60:366–73.
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Kurimoto, N. (2013). Radial Probe Endobronchial Ultrasound. In: Mehta, A., Jain, P. (eds) Interventional Bronchoscopy. Respiratory Medicine, vol 10. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-62703-395-4_4
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DOI: https://doi.org/10.1007/978-1-62703-395-4_4
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