Yeungnam Univ J Med.  2020 Oct;37(4):253-261. 10.12701/yujm.2020.00584.

An update on the role of bronchoscopy in the diagnosis of pulmonary disease

• Ahn JH

• KMID: 2508169
• DOI: http://doi.org/10.12701/yujm.2020.00584

Abstract

Bronchoscopy has evolved over the past few decades and has been used by respiratory physicians to diagnose various airway and lung diseases. With the popularization of medical check-ups and growing interest in health, early diagnosis of lung diseases is essential. With the development of endobronchial ultrasound, ultrathin bronchoscopy, and electromagnetic navigational bronchoscopy, bronchoscopy has been able to widen its scope in diagnosing pulmonary diseases. In this review, we have described the brief history, role, and complications of bronchoscopy used in diagnosing pulmonary lesions, from simple flexible bronchoscopy to bronchoscopy combined with several up-to-date technologies.

Keyword

Bronchoscopy; Cryobiopsy; Electromagnetic navigation bronchoscopy; Endobronchial ultrasound; Lung diseases

Figure

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  Fig. 1. Radiographic and bronchoscopic findings of foreign body (A, B), bronchogenic carcinoma (C), and endobronchial tuberculosis (D).

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  Fig. 2. Axial images of chest computed tomography and convex probe-endobronchial ultrasound-transbronchial needle aspiraton for the right paratracheal lymph node (A) and the central lung mass (B).

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  Fig. 3. Axial images of chest computed tomography and the ultrasound images associated with the probe location of radial probe-endobronchial ultrasound. (A) Within the lesion. (B) Adjacent to the lesion.

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  Fig. 4. Axial image of chest computed tomography (A) and the ultrasound image (B) associated with radial probe-endobronchial ultrasound-guide sheath performed to diagnose ground-glass opacity pulmonary lesions.

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  Fig. 5. (A-E) Electromagnetic navigational bronchoscopy assisted tissue sampling for a peripheral pulmonary lesion using the SPiN System (Veran Medical Technologies, St. Lou­is, MO, USA).

Reference

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