TITLE:
Training benefits of virtual bronchoscopy prior to Endobronchial Ultrasound Guide sheath
AUTHORS:
D. Fielding, F. Bashirzadeh, P. Nguyen
KEYWORDS:
Virtual Bronchoscopy, Lung Neoplasms and Solitary Pulmonary Nodule/Diagnosis, Transbronchial Biopsy, Three-Dimensional Imaging, Endobronchial Ultrasonography
JOURNAL NAME:
Open Journal of Clinical Diagnostics,
Vol.1 No.3,
December
9,
2011
ABSTRACT: Research questions. How does a virtual bronchoscopy navigation system (VBNS) improve prediction of candidate bronchus across a range of doctors investigating a range of lesions with Endobronchial ultrasound (EBUS) guide sheath? To what extent do benefits of virtual bronchoscopic pre-procedure navigation apply to experienced versus inexperienced bron- choscopists? Methods: Using archived EBUS Guide sheath cases, a comparison was made between identified candidate 4th order bronchus by Computerised tomography (CT) evaluation versus that identified after virtual path creation. Results: From 7 archived cases, 14 doctors identified the correct bronchus in 94 of 98 assessments (95%). Percentage of cases where there was an improvement in localisation by 2 or more 4th order bronchi was 39.8% overall (28.6% – 51.0%), 26.6 for experienced and 53.1 for inexperienced bronchoscopists (p