Endobronchial Ultrasound: a Pictorial Essay

Overview

Journal Acta Biomed

Specialty General Medicine

Date 2023 Aug 4

PMID 37539612

Authors

Alberto Fantin

Nadia Castaldo

Chiara Tirone

Giulia Sartori

Ernesto Crisafulli

Filippo Patrucco

Luigi Vetrugno

Vincenzo Patruno

Affiliations

Soon will be listed here.

Abstract

Background And Aim: endobronchial ultrasound has gained widespread popularity in the last decade, becoming the primary technique for minimally invasive evaluation of the mediastinum and staging of lung cancer. Several tertiary and quaternary care institutes use this method, performed by trained and accredited specialists. Its main indications are (I) diagnosis and staging of lung cancer, (II) mediastinal lymphadenopathy diagnosis (III) sampling peripheral pulmonary lesions.

Conclusions: this manuscript aims to describe the operational potential of both convex endobronchial ultrasound probe and radial endobronchial ultrasound probe technology, focusing on lung cancer. This narrative review is complemented with by the description of peculiar clinical cases in which endobronchial ultrasound played a pivotal role in reaching the diagnosis.

Citing Articles

Small cell lung cancer and neuroendocrine tumours.

Pandjarova I, Mercieca D, Gijtenbeek R, Pereira J, Fantin A, Castaldo N Breathe (Sheff). 2024; 20(3):240004.

PMID: 39534494 PMC: 11555584. DOI: 10.1183/20734735.0004-2024.

Minimally Invasive Sampling of Mediastinal Lesions.

Fantin A, Castaldo N, Crisafulli E, Sartori G, Villa A, Felici E Life (Basel). 2024; 14(10).

PMID: 39459591 PMC: 11509195. DOI: 10.3390/life14101291.

References

Al-Saffar F, Ibrahim S, Seeram V, Bajwa A, Shujaat A . Use of endobronchial ultrasound to evaluate nonthrombotic endovascular lesions in pulmonary arteries: a systematic review. J Bronchology Interv Pulmonol. 2015; 22(1):28-32. DOI: 10.1097/LBR.0000000000000133. View

Sun J, Zheng X, Mao X, Wang L, Xiong H, Herth F . Endobronchial Ultrasound Elastography for Evaluation of Intrathoracic Lymph Nodes: A Pilot Study. Respiration. 2017; 93(5):327-338. DOI: 10.1159/000464253. View

Boskovic T, Stojanovic M, Stanic J, Pena Karan S, Vujasinovic G, Dragisic D . Pneumothorax after transbronchial needle biopsy. J Thorac Dis. 2014; 6(Suppl 4):S427-34. PMC: 4203979. DOI: 10.3978/j.issn.2072-1439.2014.08.37. View

Steinfort D, Khor Y, Manser R, Irving L . Radial probe endobronchial ultrasound for the diagnosis of peripheral lung cancer: systematic review and meta-analysis. Eur Respir J. 2010; 37(4):902-10. DOI: 10.1183/09031936.00075310. View

Krist A, Davidson K, Mangione C, Barry M, Cabana M, Caughey A . Screening for Lung Cancer: US Preventive Services Task Force Recommendation Statement. JAMA. 2021; 325(10):962-970. DOI: 10.1001/jama.2021.1117. View

Pritchett M, Lau K, Skibo S, Phillips K, Bhadra K . Anesthesia considerations to reduce motion and atelectasis during advanced guided bronchoscopy. BMC Pulm Med. 2021; 21(1):240. PMC: 8286573. DOI: 10.1186/s12890-021-01584-6. View

Demirci N, Guleryuz M, Kolay E . Primary Cardiac Angiosarcoma Diagnosed From an Endobronchial Ultrasound (EBUS)-Guided Biopsy. Arch Bronconeumol (Engl Ed). 2018; 54(10):524. DOI: 10.1016/j.arbres.2018.03.005. View

Hylton D, Turner S, Kidane B, Spicer J, Xie F, Farrokhyar F . The Canada Lymph Node Score for prediction of malignancy in mediastinal lymph nodes during endobronchial ultrasound. J Thorac Cardiovasc Surg. 2020; 159(6):2499-2507.e3. DOI: 10.1016/j.jtcvs.2019.10.205. View

Lin C, Fan H, Yao Z, Lin Y, Wen Y, Wu S . Cone-Beam Computed Tomography-Derived Augmented Fluoroscopy Improves the Diagnostic Yield of Endobronchial Ultrasound-Guided Transbronchial Biopsy for Peripheral Pulmonary Lesions. Diagnostics (Basel). 2022; 12(1). PMC: 8774719. DOI: 10.3390/diagnostics12010041. View

10.

Kumar A, Mohan A, Dhillon S, Harris K . Substernal thyroid biopsy using Endobronchial Ultrasound-guided Transbronchial Needle Aspiration. J Vis Exp. 2014; (93):e51867. PMC: 4353431. DOI: 10.3791/51867. View

11.

Fantin A, Castaldo N, Seides B, Majori M . Pulmonary Embolism as a Finding During Endobronchial Ultrasound: An Occasional Occurrence or a New Element to Be Staged?. Cureus. 2022; 13(12):e20137. PMC: 8720493. DOI: 10.7759/cureus.20137. View

12.

Hurter T, Hanrath P . Endobronchial sonography: feasibility and preliminary results. Thorax. 1992; 47(7):565-7. PMC: 463872. DOI: 10.1136/thx.47.7.565. View

13.

Lin J, Sabath B, Sarkiss M, Jimenez C, Casal R . Lateral Decubitus Positioning for Mobile CT-guided Robotic Bronchoscopy: A Novel Technique to Prevent Atelectasis. J Bronchology Interv Pulmonol. 2022; 29(3):220-223. DOI: 10.1097/LBR.0000000000000844. View

14.

Du Rand I, Barber P, Goldring J, Lewis R, Mandal S, Munavvar M . British Thoracic Society guideline for advanced diagnostic and therapeutic flexible bronchoscopy in adults. Thorax. 2011; 66 Suppl 3:iii1-21. DOI: 10.1136/thoraxjnl-2011-200713. View

15.

Mazzone P, Silvestri G, Souter L, Caverly T, Kanne J, Katki H . Screening for Lung Cancer: CHEST Guideline and Expert Panel Report. Chest. 2021; 160(5):e427-e494. PMC: 8727886. DOI: 10.1016/j.chest.2021.06.063. View

16.

Cammarota G, Vetrugno L, Longhini F . Lung ultrasound monitoring: impact on economics and outcomes. Curr Opin Anaesthesiol. 2023; 36(2):234-239. DOI: 10.1097/ACO.0000000000001231. View

17.

Ali M, Trick W, Mba B, Mohananey D, Sethi J, Musani A . Radial endobronchial ultrasound for the diagnosis of peripheral pulmonary lesions: A systematic review and meta-analysis. Respirology. 2017; 22(3):443-453. DOI: 10.1111/resp.12980. View

18.

Ishiwata T, Inage T, Gregor A, Motooka Y, Chan H, Bernards N . Preclinical evaluation of thin convex probe endobronchial ultrasound-guided transbronchial needle aspiration for intrapulmonary lesions. Transl Lung Cancer Res. 2022; 11(7):1292-1301. PMC: 9359960. DOI: 10.21037/tlcr-22-120. View

19.

Badiei A, Nguyen P, Jersmann H, Wong M . Radial Endobronchial Ultrasound Greyscale Texture Analysis Using Whole-Lesion Analysis Can Characterise Benign and Malignant Lesions without Region-of-Interest Selection Bias. Respiration. 2018; 97(1):78-83. DOI: 10.1159/000492752. View

20.

Gildea T, Mazzone P, Karnak D, Meziane M, Mehta A . Electromagnetic navigation diagnostic bronchoscopy: a prospective study. Am J Respir Crit Care Med. 2006; 174(9):982-9. PMC: 2648102. DOI: 10.1164/rccm.200603-344OC. View