Mobile cone-beam computed tomography combined with electromagnetic navigation bronchoscopy for the diagnosis of peripheral pulmonary nodules.
Lin Ye, Siyuan Hong, Xiaoxuan Zheng et al.
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In 30 seconds
This prospective, single-centre trial assessed the diagnostic performance of mobile cone-beam computed tomography (mCBCT) combined with electromagnetic navigation bronchoscopy (ENB) for peripheral pulmonary nodules (PPNs). The study found an overall diagnostic yield of 79.6%. mCBCT-guided navigation correction significantly improved the tool-in-lesion rate from 54.6% to 87.0%, an absolute increase of 32.4%.
Key findings
- Overall diagnostic yield was 79.6% (86/108) after mCBCT assessment.
- Tool-in-lesion rate improved from 54.6% (59/108) to 87.0% (94/108) after navigation correction.
- Navigation correction was required in 42.6% (46/108) of cases.
- Procedure-related atelectasis was identified in 7.4% (8/108) of patients.
Why it matters
The integration of mCBCT with ENB enhances the diagnostic yield for peripheral pulmonary nodules, particularly for smaller lesions and those lacking a CT bronchus sign, which may improve patient outcomes through more accurate diagnoses.