Radial-EBUS: CryoBiopsy Versus Conventional Biopsy: Time-Sample and C-Arm

Overview

Journal Int J Environ Res Public Health

Publisher MDPI

Specialties Environmental Health
Public Health

Date 2022 Mar 25

PMID 35329255

Authors

Paul Zarogoulidis

Christoforos S Kosmidis

Wolfgang Hohenforst-Schmidt

Dimitrios Matthaios

Konstantinos Sapalidis

Dimitrios Petridis

Eleni-Isidora Perdikouri

Nikos Courcoutsakis

Dimitris Hatzibougias

Christos Arnaoutoglou

Lutz Freitag

Aristeidis Ioannidis

Haidong Huang

Christos Tolis

Chong Bai

J Francis Turner

Affiliations

Soon will be listed here.

Abstract

Introduction: Diagnosis of lung nodules is still under investigation. We use computed tomography scans and positron emission tomography in order to identify their origin.

Patients And Methods: In our retrospective study, we included 248 patients with a single lung nodule or multiple lung nodules of size ≥1 cm. We used a radial-endobronchial ultrasound and a C-Arm. We used a 1.1 mm cryoprobe versus a 22G needle vs. forceps/brush. We compared the sample size of each biopsy method with the number of cell-block slices.

Results: Central lesions indifferent to the method provided the same mean number of cell-block slices (0.04933-0.02410). Cryobiopsies provide less sample size for peripheral lesions due to the higher incidence of pneumothorax (0.04700-0.02296).

Conclusion: The larger the lesion ≥2 cm, and central, more cell-blocks are produced indifferent to the biopsy method (0.13386-0.02939). The time of the procedure was observed to be less when the C-Arm was used as an additional navigation tool (0.14854-0.00089).

Citing Articles

Endobronchial Radiofrequency Ablation for pulmonary nodules with Radial-Ebus and Navigation: Pros and Cons.

Zarogoulidis P, Hohenforst-Schmidt W, Chen W, Porpodis K, Kosmidis C, Kotsakis A J Cancer. 2023; 14(9):1562-1570.

PMID: 37325061 PMC: 10266245. DOI: 10.7150/jca.84894.

Immunotherapy and Chemotherapy Versus Sleep Disturbances for NSCLC Patients.

Zarogoulidis P, Petridis D, Kosmidis C, Sapalidis K, Nena L, Matthaios D Curr Oncol. 2023; 30(2):1999-2006.

PMID: 36826116 PMC: 9955782. DOI: 10.3390/curroncol30020155.

Non-Small-Cell Lung Cancer Immunotherapy and Sleep Characteristics: The Crossroad for Optimal Survival.

Zarogoulidis P, Petridis D, Kosmidis C, Sapalidis K, Nena L, Matthaios D Diseases. 2023; 11(1).

PMID: 36810540 PMC: 9944906. DOI: 10.3390/diseases11010026.

Case Report: Endoscopic radiofrequency ablation with radial-EBUS and ROSE.

Zarogoulidis P, Hohenforst-Schmidt W, Papadopoulos V, Perdikouri E, Courcoutsakis N, Porpodis K Front Med Technol. 2023; 5:1022220.

PMID: 36741470 PMC: 9894892. DOI: 10.3389/fmedt.2023.1022220.

Cryobiopsy for pneumonitis diagnosis in NSCLC immunotherapy.

Zarogoulidis P, Kosmidis C, Perdikouri E, Hohemforst-Schmidt W, Sardeli C Respir Med Case Rep. 2022; 39:101741.

PMID: 36161237 PMC: 9489498. DOI: 10.1016/j.rmcr.2022.101741.

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