Virtual Bronchoscopy as a Diagnostic Tool for Peripheral Lung Cancer
Main Article Content
Abstract
Introduction: virtual bronchoscopy is a non-invasive method that produces a three-dimensional view of the airway, based on data obtained from helical computed tomography, that provides a view similar to that produced by conventional bronchoscopy. Clinical case: a 49-year-old female patient with symptoms of hemoptysis, weight loss, dyspnea and chest pain. Chest tomography revealed a spiculated nodule with a positive bronchial sign, subsegment C of the anterior segment of the left upper lobe was identified through virtual navigation and, under fluoroscopic guidance, a transbronchial forceps biopsy was performed, with histopathological diagnosis of small cell carcinoma, that reduced surgical time and radiation exposure to the patient and healthcare personnel. Conclusion: computed tomography and bronchoscopy can be used as complementary techniques, for this reason, virtual bronchoscopy provides both diagnostic and potentially therapeutic information.
Downloads
Article Details
This work is licensed under a Creative Commons Attribution 4.0 International License.
References
Ferguson JS, McLeennan G. Virtual Bronchoscopy. Proc Am Thorac Soc 2005;2: 488-491. Doi: 10.1513/pats.200508-082DS.
Mitev M, Trajkova N, Arabadzhiev D, Valkanov S, Georgieva N. Virtual Bronchoscopy, importance of the method, aplication and prospects for tumors of the trachea and bronchi. Trakia Journal of Sciences 2017;15: 269-273. Doi:10.15547/tjs.2017.03.018
Pheng H, Ping F, Kwong L, Han S. Virtual Bronchoscopy. The International Journal of Virtual Reality 2000;4: 1-22. Doi:10.20870/IJVR.2000.4.4.2654
Koletsis E, Kalogeropoulou CH, Prodromaki E et al. Tumoral and non-tumoral trachea stenoses: evaluation with three-dimesional CT and virtual bronchoscopy. Journal of Cardiothorcic Surgery 2007;2:18. Doi:10.1186/1749-8090-2-18
Hoppe H, Walder B, Sonnenschein, Vock P, Dinkel H. Multidetector CT Virtual Bronchoscopy to Grade Tracheobronquial Stenosis. AJR 2002; 179:1195-1200. Doi: 10.2214/ajr.178.5.1781195
Akciger S, Degerlendirilmesinde K, Bronkoskopinin S. Efectiveness of Virtual Bronchoscopy in Evaluation of Centrally Located Lung Cancer. Bezmialem Science 2020;9(2):226-30. DOI: 10.14235/bas.galenos.2020.4262
Ullal A, Mundra R, Gupta Y, Mishra S. Virtual Bronchoscopy: Highly Sensitive Time and Life Saving Investigation in the Diagnosis of Foreing Body Aspiration-Our experience. Indian J Otolaryngol Head Neck Surg 2019; 71:S378-S383. Doi: 10.1007/s12070-018-1319-2
Bauer TL, Steiner KV. Virtual Bronchoscopy: Clinical Applications and Limitations. Surg Oncol Clin N Am 2007;16:323-328. Doi: 10.1016/j.soc.2007.03.005
Cuk V, Belina S, Fures R, Bukovic D, Lovric D. Virtual Bronchoscopy and 3D Spiral CT Reconstructions in the Management of Patient with Bronchial Cancer – Our experience with Syngo 3D Postprocessing Sotware. Coll Antropol 2007;1:315-320.
Asano F, Eberhardt R, Herth F. Virtual Bronchoscopic Navigation for Peripheral Pulmonary Lesions. Respiration 2014;88:430-440. Doi: 10.1159/000367900
Iwano S, Imaizumi K, Okada T, Hasegawa Y, Naganawa S. Virtual bronchoscopy-guided transbronchial biopsy for aiding the diagnosis of peripheral lung cancer. Eur J Radiol 2011;79:155-159. Doi:10.1016/j.ejrad.2009.11.023
Dheda K, Roberts C, Partridge M, Mootoosamy I. Is virtual bronchoscopy useful for physicians in a district general hospital? Postgrad Med J 2004;80:420-423. Doi: 10.1136/pgmj.2003.013946
Lazo D, Bunster K. Avances en videoroncoscopía. Rev Med Clin Condes 2015; 26:387-392. Doi: 10.1016/j.rmclc.2015.06.013
Toyota K, Uchida H, Ozasa H, Motooka A, Sakura S. Preoperative airway evaluation using multi-slice three-dimensional computed tomography for a patient with severe tracheal stenosis. British Journal of Anesthesia 2004; 6:865-7. Doi:10.1093/bja/aeh283
Fleiter T, Merkle E, Aschoff A et al. Comparison of Real-Time Virtual and fiberoptic Bronchoscopy in Patients with Bronchial Carcinoma: Opportunities and Limitations. AJR 1997;169:1591-1595. Doi: 10.2214/ajr.169.6.9393172.
Ishida T, Asano F, Yamazaki K et al. Virtual bronchoscopy navigation combined with endobronchial ultrasound to diagnose small peripheral pulmonary lesions: a randomised trial. Thorax 2011;66:1072-1077. Doi:10.1136/thx.2010.145490.
Lacasse Y, Martel S, Hérbert A, Carrier G, Raby B. Accuracy of virtual bronchoscopy to detect endobronchial lesions. Ann Thorac Surg 2004; 77:1774-80. Doi:10.1016/j.athoracsur.2003.10.068
Cesme D. Effectiveness of virtual bronchoscopy in evaluation of centrally located lung cáncer. Bezmialen Science 2021;9:226-30. Doi: 10.14235/bas.galenos.2020.4262