Small pulmonary nodule localization techniques in the era of lung cancer screening: a narrative review

被引:0
作者
Zhang, Hao [1 ]
Zhang, Chi [2 ]
Li, Lin [3 ]
Qi, Jun [4 ]
Yang, Guo-Huan [5 ]
Li, Ying-Qiang [6 ]
Gong, Chang-Qi [6 ]
机构
[1] Dianjiang Peoples Hosp Chongqing, Dept Radiol, Chongqing, Peoples R China
[2] Chongqing Yangjiaping Middle Sch, Class 21, Grade 2025, Chongqing, Peoples R China
[3] Dianjiang Peoples Hosp Chongqing, Dept Pharm, Chongqing, Peoples R China
[4] Changshou Dist Peoples Hosp Chongqing, Dept Thorac & Cardiovasc Surg, Chongqing, Peoples R China
[5] Dianjiang Peoples Hosp Chongqing, Dept Pulm & Crit Care Med, Chongqing, Peoples R China
[6] Dianjiang Peoples Hosp Chongqing, Carcinoma Dept Tradit Chinese Med, Chongqing, Peoples R China
关键词
CT-guided techniques; decision-making algorithm; lung cancer screening; pulmonary nodule localization; video-assisted thoracoscopic surgery (VATS); ASSISTED THORACOSCOPIC SURGERY; HOOK WIRE; EFFICACY; EXPERIENCE; SAFETY; BLUE;
D O I
10.1097/JS9.0000000000002247
中图分类号
R61 [外科手术学];
学科分类号
摘要
The widespread adoption of high-resolution computed tomography (CT) screening has led to increased detection of small pulmonary nodules, necessitating accurate localization techniques for surgical resection. This review examines the evolution, efficacy, and safety of various localization methods for small pulmonary nodules. Studies focusing on localization techniques for pulmonary nodules <= 30 mm in diameter were included, with emphasis on technical success rates and complication profiles. Preoperative CT-guided techniques, including hook-wire (success rate 94-98%) and anchored needle localization (success rate >99%, dislodgement rate 0%) demonstrate high technical success rates, though with varying complication profiles. Microcoil localization (97-98% success) shows comparable efficacy with lower complication rates. Dye-based methods offer simplicity but can be limited by rapid diffusion. Newer techniques like medical adhesive localization (success rate up to 100%) and electromagnetic navigation bronchoscopy (97.2% success) show promise in reducing complications and improving accuracy. Intraoperative methods such as ultrasound and hybrid operating room approaches provide real-time guidance but may be limited by nodule characteristics and available expertise. This review presents a radar chart analysis comparing techniques across key parameters and introduces an innovative decision-making algorithm that considers nodule characteristics, patient factors, and institutional resources, providing practical guidance and serving as a reference for clinicians. While no single method is universally superior, the trend towards minimally invasive, precise, and flexible approaches is evident. Future research should focus on large-scale comparative studies and the integration of artificial intelligence for optimized technique selection and improved patient outcomes.
引用
收藏
页码:2624 / 2632
页数:9
相关论文
共 37 条
[1]   Reduced Lung-Cancer Mortality with Low-Dose Computed Tomographic Screening [J].
Aberle, Denise R. ;
Adams, Amanda M. ;
Berg, Christine D. ;
Black, William C. ;
Clapp, Jonathan D. ;
Fagerstrom, Richard M. ;
Gareen, Ilana F. ;
Gatsonis, Constantine ;
Marcus, Pamela M. ;
Sicks, JoRean D. .
NEW ENGLAND JOURNAL OF MEDICINE, 2011, 365 (05) :395-409
[2]   Localization of Pulmonary Nodules Using Navigation Bronchoscope and a Near-Infrared Fluorescence Thoracoscope [J].
Anayama, Takashi ;
Qiu, Jimmy ;
Chan, Harley ;
Nakajima, Takahiro ;
Weersink, Robert ;
Daly, Michael ;
McConnell, Judy ;
Waddell, Thomas ;
Keshavjee, Shaf ;
Jaffray, David ;
Irish, Jonathan C. ;
Hirohashi, Kentaro ;
Wada, Hironobu ;
Orihashi, Kazumasa ;
Yasufuku, Kazuhiro .
ANNALS OF THORACIC SURGERY, 2015, 99 (01) :224-230
[3]  
Beqari J., 2024, J Thorac Dis, V14, P2845
[4]   A comparison of efficacy and safety of preoperative versus intraoperative computed tomography-guided thoracoscopic lung resection [J].
Chao, Yin-Kai ;
Pan, Kuang-Tse ;
Wen, Chih-Tsung ;
Fang, Hsin-Yueh ;
Hsieh, Ming-Ju .
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2018, 156 (05) :1974-+
[5]   A single-center experience of 100 image-guided video-assisted thoracoscopic surgery procedures [J].
Chao, Yin-Kai ;
Wen, Chih-Tsung ;
Fang, Hsin-Yueh ;
Hsieh, Ming-Ju .
JOURNAL OF THORACIC DISEASE, 2018, 10 :S1624-S1630
[6]   Artificial intelligence applications for thoracic imaging [J].
Chassagnon, Guillaume ;
Vakalopoulou, Maria ;
Paragios, Nikos ;
Revel, Marie-Pierre .
EUROPEAN JOURNAL OF RADIOLOGY, 2020, 123
[7]   Comparative study of the effect of preoperative hookwire and methylene blue localization techniques on post-operative hospital stay and complications in thoracoscopic pulmonary nodule surgery [J].
Chu, Senlin ;
Wei, Ning ;
Lu, Dong ;
Chai, Jie ;
Liu, Shun ;
Lv, Weifu .
BMC PULMONARY MEDICINE, 2022, 22 (01)
[8]   Preoperative localization of small pulmonary lesions with a short hook wire and suture system: Experience with 168 procedures [J].
Dendo, S ;
Kanazawa, S ;
Ando, A ;
Hyodo, T ;
Kouno, Y ;
Yasui, K ;
Mimura, H ;
Akaki, S ;
Kuroda, M ;
Shimizu, N ;
Hiraki, Y .
RADIOLOGY, 2002, 225 (02) :511-518
[9]  
Gex G., 2021, Respiration, V91, P364
[10]   Evaluation of Individuals With Pulmonary Nodules: When Is It Lung Cancer? Diagnosis and Management of Lung Cancer, 3rd ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines [J].
Gould, Michael K. ;
Donington, Jessica ;
Lynch, William R. ;
Mazzone, Peter J. ;
Midthun, David E. ;
Naidich, David P. ;
Wiener, Renda Soylemez .
CHEST, 2013, 143 (05) :E93-E120