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Advancing Diagnostic Precision in Peripheral Lung Nodules
The Evolution of Diagnostic Yield for Peripheral Lung Nodule Biopsies With Changes in Navigational Bronchoscopy Platforms, Tools, and Intraoperative Imaging Guidance demonstrates that the transition from electromagnetic navigation to robotic-assisted bronchoscopy (RAB) integrated with cone-beam computed tomography (CBCT) significantly elevates diagnostic yield through definitive tool-in-lesion confirmation. Concurrently, the Linear Endobronchial Ultrasound With a Lung Target: Analysis of the Stather Canadian Outcomes Registry for Chest Procedures (SCOPE) provides critical performance benchmarks for linear EBUS in peripheral targets, while The Effectiveness and Safety of Robotic-Assisted Bronchoscopy Across Diverse Patient Heights: A Subset Analysis of a Multicenter, Prospective, Observational Trial confirms that RAB maintains safety and efficacy profiles regardless of patient anthropometrics. Procedural environment quality is further addressed in Ambient Sound Pressure Levels in the Bronchoscopy Suite: Contrasting Flexible, Rigid, and Robotic-Assisted Bronchoscopy, which quantifies the acoustic burden associated with varying bronchoscopic modalities.
Editor's Top Pick: Evolution of Diagnostic Yield for Peripheral Lung Nodule Biopsies. This study provides the most significant practice-changing evidence by validating the synergy between robotic platforms and real-time CBCT, establishing a new standard for diagnostic accuracy in peripheral pulmonary lesions.
Optimizing Pleural and Parenchymal Interventions
Management of complex pleural disease is refined by Optimal Number of Pleural Biopsies During Pleuroscopy (OPTIBIOP), which defines the diagnostic threshold for tissue sampling, and Indwelling Pleural Catheter as a Safe and Convenient Alternative to Serial Thoracentesis for the Management of Hepatic Hydrothorax: A Retrospective Propensity-Matched Cohort Study, supporting IPCs as a viable, patient-centered alternative to repetitive drainage. In parenchymal disease, Transbronchial lung cryobiopsy in fibrotic hypersensitivity pneumonitis: prognostic differences and intra-lobar variability highlights the utility of cryobiopsy in characterizing interstitial lung disease, while Comparative Outcomes Based on Pre-Bronchoscopic Lung Volume Reduction (BLVR) Six-Minute Walk Distance (6MWD) establishes functional baseline metrics as predictors for BLVR success.
Latest Literature
View All Archives →Diagnostic Value of Multiplane Tool in Virtual Lesion Confirmation in Augmented Fluoroscopy-Guided Navigational Bronchoscopy for Peripheral Pulmonary Lesions.
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Ten Years of Intrabronchial Valve Use for Treatment of Persistent Air Leaks.
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Diagnostic Yield and Molecular Testing Adequacy of Transbronchial Cryoprobe Biopsy Versus Needle Aspiration in Robotic Bronchoscopy.
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Nonocclusive Balloon Dilation in Severe Tracheobronchial Stenosis: Preserving Ventilation and Oxygenation Throughout the Procedure.
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Current Practices and Self-Reported Proficiency in the US Interventional Pulmonology Fellowships: A National Cross-Sectional Survey.
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Proceduralist-Directed Rapid On-Site Pathologic Evaluation (ROPE) Using Dynamic Cell Imaging
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Elevated Pleural Fluid IL-9 as a Diagnostic Biomarker for Differentiating Tuberculous from Lung Adenocarcinoma-Associated Malignant Pleural Effusions.
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Upstaging of screen-detected lung cancers during diagnostic assessment.
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Relevant to the timing and diagnostic strategies utilized in bronchoscopic evaluation of screen-detected lung cancer.
Transbronchial Mediastinal Cryobiopsy—Rising to the Challenge
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When Good Biology Meets Negative Clinical Trials: Lessons from PHANTOM and EDIPHY.
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Highlights the translational challenges in bronchoscopic airway disease treatments and clinical trial design.
Evolution of Diagnostic Yield for Peripheral Lung Nodule Biopsies With Changes in Navigational Bronchoscopy Platforms, Tools, and Intraoperative Imaging Guidance
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American Association for Bronchology and Interventional Pulmonology (AABIP) Evidence-Based Guidelines on Bronchoscopic Diagnosis and Staging of Lung Cancer
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Definitive Pleural Interventions and Survival in Malignant Pleural Effusion
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Aspiration and Bronchoscopic Retrieval of Dental Objects
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Optimal Number of Pleural Biopsies During Pleuroscopy (OPTIBIOP)
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Systematic review and meta-analysis of FDG PET-CT for nodal staging of part-solid lung adenocarcinomas.
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Relevant for staging and selecting patients who may require bronchoscopic mediastinal staging (like EBUS).
Embracing Artificial Intelligence while Preserving Clinical Expertise: Raising Awareness of Artificial Intelligence-Induced Procedural Deskilling in Interventional Pulmonology
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Targeted Lung Denervation in COPD: The Need to Address Comorbid Contributors to Dyspnea.
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Relevant to bronchoscopic interventions for COPD, specifically targeted lung denervation patient selection and management.
Targeted Lung Denervation: the Imperative of Phenotyping Beyond Airflow Obstruction.
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Patient selection for bronchoscopic targeted lung denervation in COPD requires deeper physiologic and phenotypic understanding.
Limitations of the AIRFLOW-3 Trial: Targeted Lung Denervation in COPD.
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Highlights methodological caveats to consider when interpreting clinical trial data for bronchoscopic denervation procedures.
Targeted Lung Denervation in COPD: Refining Phenotyping and Endpoints after AIRFLOW-3.
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Targeted lung denervation continues to evolve as a bronchoscopic treatment option for select COPD phenotypes, requiring careful patient selection.
Targeted Lung Denervation in COPD: Phenotype-Specific Benefits and Procedure-Related Risks.
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Highlights the balance between achieving clinical benefit in COPD symptom reduction and managing bronchoscopy-related adverse events with TLD.
Comparing clinical assessments of pneumonia to bronchoalveolar lavage results in critically ill patients with suspected pneumonia.
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Highlights the diagnostic utility and clinical impact of bronchoalveolar lavage in evaluating suspected pneumonia in the ICU.
Bridging evidence and practice: international multidisciplinary consensus on non-metastatic NSCLC.
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Provides broader context on multidisciplinary management of NSCLC that impacts staging and biopsy referrals.
Artificial Intelligence in Interventional Pulmonology
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Contemporary Pulmonary Nodule Evaluation and Management in the U.S.: A Mixed Methods Study.
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