Efficiency of Electromagnetic Navigation Bronchoscopy and Virtual Bronchoscopic Navigation

被引:17
作者
Qian, Kai [1 ]
Krimsky, William S. [2 ]
Sarkar, Saiyad A. [2 ]
Deng, Yi [3 ]
机构
[1] Kunming Univ Sci & Technol, Inst Peoples Hosp Yunnan Prov 1, Dept Thorac Surg, Kunming, Yunnan, Peoples R China
[2] Medstar Franklin Sq Med Ctr, Dept Resp Med, Baltimore, MD USA
[3] Army Med Univ, Daping Hosp, Inst Surg Res, Dept Oncol, Chongqing, Peoples R China
关键词
PERIPHERAL PULMONARY-LESIONS; RADIAL ENDOBRONCHIAL ULTRASOUND; DIAGNOSTIC YIELD; ULTRATHIN BRONCHOSCOPY; SAFETY; BIOPSY; METAANALYSIS; TOMOGRAPHY; SYSTEM;
D O I
10.1016/j.athoracsur.2020.01.019
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background. Image-guided bronchoscopy techniques have emerged as a means of improving pulmonary nodule biopsy yield. However comparisons of the diagnostic efficacy of electromagnetic navigation bronchoscopy (ENB) and virtual bronchoscopic navigation (VBN) have not reached a consensus. This meta-analysis evaluates the overall diagnostic yield and accuracy of ENB and VBN for pulmonary nodules. Methods. A systematic search was conducted to identify relevant articles. Meta-analysis was used to summarize the sensitivities, specificities, and area under the curve for ENB and VBN. Results. Thirty-two studies (1981 patients with pulmonary nodules) were included in this analysis. The pooled sensitivity, specificity, and area under the curve (95% confidence interval) of ENB were 0.80 (0.73-0.85), 0.81 (0.71-0.88), and 0.87 (0.84-0.90), respectively. Corresponding VBN values were 0.80 (0.76-0.83), 0.65 (0.56-0.73), and 0.81 (0.78-0.85), respectively. Comparison of the 2 techniques revealed that ENB had higher specificity and area under the curve but no difference in sensitivity. Conclusions. Both ENB and VBN are valuable tools in the diagnosis of lung nodules. ENB achieved a higher specificity than VBN in the diagnose of lung nodules, whereas ENB performed better than VBN for pulmonary nodules. These results are due to the real-time positioning function of ENB. (C) 2020 by The Society of Thoracic Surgeons
引用
收藏
页码:1731 / 1740
页数:10
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