Improved diagnostic yield of bronchoscopy in peripheral pulmonary lesions: combination of radial probe endobronchial ultrasound and rapid on-site evaluation.

Abstract:

BACKGROUND:Rapid on-site evaluation (ROSE) of cytologic specimens is a useful ancillary technique in needle aspiration procedures of pulmonary/mediastinal lesions, but few reports had been carried out to confirm the utility in the diagnosis of peripheral pulmonary lesions (PPLs) by radial probe endobronchial ultrasound (R-EBUS). METHODS:To evaluate the impact of ROSE on the diagnostic yield of R-EBUS for PPLs, we retrospectively analyzed the diagnostic yields of transbronchial biopsy (TBB) or brushing using R-EBUS for patients with PPLs in a tertiary university hospital from December 2012 to December 2014. RESULTS:A total of 815 patients with PPLs were included. A definite diagnosis was made by R-EBUS-guided TBB or brushing for 627 patients (76.9%). A total of 279 patients (34.2%) were examined by a ROSE technique. The combination of R-EBUS guided TBB or brushing with ROSE raised the diagnostic yield in the diagnosis of PPLs, especially difficult cases: right apical and left apical-posterior segment locations, small PPLs <3 cm without bronchus signs on computed tomography (CT) scan, PPLs with pleural effusions, and the position of probe is not within. CONCLUSIONS:ROSE can improve the PPLs diagnostic yield when using R-EBUS guided TBB or brushing.

journal_name

J Thorac Dis

authors

Chen CH,Cheng WC,Wu BR,Chen CY,Chen WC,Hsia TC,Liao WC,Tu CY,Shih CM,Hsu WH,Wang KP

doi

10.3978/j.issn.2072-1439.2015.12.13

subject

Has Abstract

pub_date

2015-12-01 00:00:00

pages

S418-25

issue

Suppl 4

eissn

2072-1439

issn

2077-6624

pii

jtd-07-S4-S418

journal_volume

7

pub_type

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