Clinical application of electromagnetic navigation bronchoscopy in the diagnosis and treatment of peripheral lung lesions

doi:10.3969/j.issn.1006-7795.2022.04.010

Abstract

Abstract: As low-dose computed tomography(CT) is applied more and more in high-risk populations for lung cancer screening, the detectable rate of peripheral pulmonary lesions (PPLs) also increases. Electromagnetic navigation bronchoscopy (ENB) is a tool that can diagnose, locate and treat PPLs. Because of its higher safety and reliability, the application of ENB may change the methods of diagnosis and treatment for lung diseases in the future so as to alleviate and even cure lung cancer, and path a way for the treatment of lung cancer.

Key words: electromagnetic navigation bronchoscopy, peripheral pulmonary lesions, diagnosis, treatment

CLC Number:

R655

Tan Xiaogang, Zhang Yi. Clinical application of electromagnetic navigation bronchoscopy in the diagnosis and treatment of peripheral lung lesions[J]. Journal of Capital Medical University, 2022, 43(4): 570-575.

References

[1] World Health Organization. Latest global cancer data: cancer burden rises to 19.3 million new cases and 10.0 million cancer deaths in 2020[EB/OL]. (2020－12－15)[2021-11-16]. https://www.iarc.who.int/wp-content/uploads/2020/12/pr292_E.pdf.
[2] Burdett S, Stewart L, Pignon J P. Chemotherapy in non-small cell lung cancer: an update of an individual patient data-based meta-analysis[J]. J Thorac Cardiovasc Surg, 2005, 129(5):1205.
[3] National Lung Screening Trial Research Team, Aberle D R, Adams A M, et al. Reduced lung-cancer mortality with low-dose computed tomographic screening[J]. N Engl J Med, 2011, 365(5):395－409.
[4] Schwartz A M, Henson D E. Diagnostic surgical pathology in lung cancer: ACCP evidence-based clinical practice guidelines (2nd edition)[J]. Chest, 2007, 132(3 Suppl):78S－93S.
[5] Kikuchi E, Yamazaki K, Sukoh N, et al. Endobronchial ultrasonography with guide-heath for peripheral pulmonary lesions[J]. Eur Respir J, 2004, 24(4):533－537.
[6] Tomiyama N, Yasuhara Y, Nakajima Y S, et al. CT-guided needle biopsy of lung lesions: a survey of severe complication based on 9783 biopsies in Japan[J]. Eur J Radiol, 2006, 59(1):60－64.
[7] Schreiner A M, Jones J G, Swistel A J, et al. Transthoracic fine needle aspiration resulting in implantation metastasis in the superficial tissues of the breast[J]. Cytopathology, 2013, 24(1):58－60.
[8] Gildea T R, Mazzone P J, Karnak D, et al. Electromagnetic navigation diagnostic bronchoscopy: a prospective study[J]. Am J Respir Crit Care Med, 2006, 174(9):982－989.
[9] Folch E E, Pritchett M A, Nead M A, et al. Electromagnetic navigation bronchoscopy for peripheral pulmonary lesions: one-year results of the prospective, multicenter NAVIGATE study[J]. J Thorac Oncol, 2019, 14(3):445－458.
[10] Folch E　E, Bowling M　R, Pritchett M　A. NAVIGATE 24-month results: electromagnetic navigation bronchoscopy for pulmonary lesions at 37 centers in Europe and the United States[J]. J Thorac Oncol, 2022, 17(4):519－531.
[11] Towe C W, Nead M A, Rickman O B, et al. Safety of electromagnetic navigation bronchoscopy in patients with COPD: results from the NAVIGATE study[J]. J Bronchology Interv Pulmonol, 2019, 26(1):33－40.
[12] Panchabhai T S, Biswas Roy S, Madan N, et al. Electromagnetic navigational bronchoscopy for diagnosing peripheral lung lesions in lung transplant recipients: a single-center experience[J]. J Thorac Dis,2018,10(8):5108-5114.
[13] Mehta A C, Hood K L, Schwarz Y, et al. The evolutional history of electromagnetic navigation bronchoscopy: state of the art[J]. Chest, 2018, 154(4):935－947.
[14] 黄海涛, 陈少慕,潘良斌,等.电磁导航支气管镜联合径向探头支气管内超声在肺周围型病灶诊断中的应用[J].中国肺癌杂志,2017,20(12)∶837-840.
[15] Kheir F, Thakore S R, Uribe Becerra J P, et al. Cone-beam computed tomography-guided electromagnetic navigation for peripheral lung nodules[J]. Respiration, 2021, 100(1):44－51.
[16] 余敏, 石沈云, 李燕, 等. 电磁导航支气管镜联合支气管内径向超声引导肺活检诊断肺外周结节[J]. 中国胸心血管外科临床杂志, 2022, 29(1):44－49.
[17] Song J W, Park I K, Bae S Y, et al. Electromagnetic navigation Bronchoscopy-Guided dye marking for localization of pulmonary nodules[J].Ann thorac Surg, 2022, 113(5):1663－1669.
[18] Mariolo A V, Vieira T, Stern J B, et al. Electromagnetic navigation bronchoscopy localization of lung nodules for thoracoscopic resection[J]. J Thorac Dis, 2021, 13(7):4371－4377.
[19] Jeong J H, Park H, Choi C M, et al. Preoperative electromagnetic navigation bronchoscopy-guided one-stage multiple-dye localization for resection of subsolid nodules: A single-center pilot study[J]. Thorac Cancer, 2022, 13(3):466－473.
[20] Sun Y J, Lou J, Xu Q L, et al. Comparison of clinical diagnostic value of spiral CT with different dose in patients with early-stage peripheral lung cancer[J]. Clin Transl Oncol, 2021, 23(6):1128－1133.
[21] Bolton W D, Cochran T, Ben-Or S, et al. Electromagnetic navigational bronchoscopy reduces the time required for localization and resection of lung nodules[J]. Innovations (Phila), 2017, 12(5):333－337.
[22] Ha D, Choi H, Almeida F A, et al. Histologic and molecular characterization of lung cancer with tissue obtained by electromagnetic navigation bronchoscopy[J]. J Bronchology Interv Pulmonol, 2013, 20(1):10－15.
[23] 叶欣, 范卫君, 王忠敏, 等. 热消融治疗肺部亚实性结节专家共识(2021年版)[J]. 中国肺癌杂志, 2021, 24(5):305-322.
[24] Harzheim D, Eberhardt R, Hoffmann H, et al. The solitary pulmonary nodule[J]. Respiration, 2015, 90(2):160－172.
[25] 刘宝东, 叶欣, 范卫君, 等. 影像引导射频消融治疗肺部肿瘤专家共识(2018年版)[J]. 中国肺癌杂志, 2018, 21(2):76-88.
[26] Koizumi T, Tsushima K, Tanabe T, et al. Bronchoscopy-Guided cooled radiofrequency ablation as a novel intervention therapy for peripheral lung cancer[J]. Respiration, 2015, 90(1):47－55.
[27] Xie F F, Zheng X X, Xiao B, et al. Navigation Bronchoscopy-Guided radiofrequency ablation for nonsurgical peripheral pulmonary tumors[J]. Respiration, 2017, 94(3):293－298.
[28] Yuan Z H, Wang Y, Zhang J, et al. A Meta-Analysis of clinical outcomes after radiofrequency ablation and microwave ablation for lung cancer and pulmonary metastases[J]. J Am Coll Radiol, 2019, 16(3):302－314.
[29] 刘洁, 张勇, 叶茂松, 等. 经电磁导航支气管镜微波消融在不可手术高危肺结节中的临床应用[J]. 中国胸心血管外科临床杂志, 2021, 28(11):1315－1321.
[30] Chan J W Y, Lau R W H, Ngai J C L, et al. Transbronchial microwave ablation of lung nodules with electromagnetic navigation bronchoscopy guidance-a novel technique and initial experience with 30 cases[J]. Transl Lung Cancer Res, 2021, 10(4):1608－1622.
[31] 姜格宁, 陈昶, 朱余明, 等. 上海市肺科医院磨玻璃结节早期肺腺癌的诊疗共识(第一版)[J]. 中国肺癌杂志, 2018, 21(3): 147-159.
[32] Qu R, Tu D, Hu S, et al. Electromagnetic navigation bronchoscopy-guided microwave ablation combined with uniportal video-assisted thoracoscopic surgery for multiple ground glass opacities[J]. Ann Thorac Surg, 2022, 113(4):1307－1315.
[33] 周超, 李文涛, 王瑞, 等. 双镜联合治疗同时性多原发肺癌13例临床分析[J]. 临床外科杂志, 2021, 29(1):38－41.
[34] Zeng C X, Fu X N, Yuan Z W, et al. Application of electromagnetic navigation bronchoscopy-guided microwave ablation in multiple pulmonary nodules: a single-centre study[J]. Eur J Cardiothorac Surg, 2022: ezac071.
[35] Bowling M R, Folch E E, Khandhar S J, et al. Fiducial marker placement with electromagnetic navigation bronchoscopy: a subgroup analysis of the prospective, multicenter NAVIGATE study[J]. Ther Adv Respir Dis, 2019, 13: 1753466619841234.
[36] Gaspard D, Boujaoude Z, Kubicek G, et al. Transthoracic placement of fiducials with ultrasound or electronic navigational bronchoscopy needle guidance by the interventional pulmonologist: a case series[J]. Respirol Case Rep, 2021, 9(9):e0818.