Electromagnetic navigation bronchoscopy for lung nodule. The present study prospectively evaluated the diagnostic yield and safety of electromagnetic navigationguided bronchoscopy biopsy, for small peripheral lung lesions in patients where standard techniques were nondiagnostic. We hypothesized that localizing nodules with electromagnetic navigation bronchoscopy and marking them with methylene blue would allow minimally invasive resection and reduce conversion to thoracotomy. Electromagnetic navigation bronchoscopy blue cross nc. Electromagnetic navigation bronchoscopyguided dye marking for thoracoscopic resection of. Electromagnetic navigation bronchoscopy page 1 of 2 policy name. Mehta department of pulmonary, allergy and critical care medicine, and department of radiology, the cleveland clinic foundation, cleveland. Herein, we report our experience with this navigational system, its diagnostic yields, and associated complications. Consistent bronchoscopy suite setup is imperative, as metal objects within 50 cm of the electromagnetic. Several parameters have been shown to affect diagnostic yield including patient selection.
Electromagnetic navigation diagnostic bronchoscopy for. Electromagnetic navigation bronchoscopy using superdimensionbronchus system is a novel method to increase diagnostic yield of peripheral and mediastinal lung lesions. Electromagnetic navigational bronchoscopy enb is a new bronchoscopic technique for navigational transbronchial lung biopsy tblb that guides the sheath to the target lesion in real time. The study was conducted in a tertiary medical centre on 40 consecutive patients considered unsuitable for straightforward surgery or computed tomography. Electromagnetic navigational bronchoscopy enbguided pleural dye marking followed by thoracoscopic resection is a novel alternative technique for definitive diagnosis.
Combination of electromagnetic navigation bronchoscopy. The basic components of this global positioning systemlike technology include a magnetic field generator, a sensor and computer integration, and a computed tomography scan used as a threedimensional map. Electromagnetic navigation bronchoscopy enb has been in continuous evolution since its introduction in 2004. Electromagnetic navigation bronchoscopy springerlink. Electromagnetic navigation bronchoscopy enb is a common method for guiding fm placement. Electromagnetic navigation bronchoscopy enb is one of several technological advances which have broadened the indications for bronchoscopy in the diagnostic workup of lung cancer. The technique facilitates bronchoscopic sampling of peripheral pulmonary. Navigate clinical evaluation of superdimension navigation system for electromagnetic navigation bronchoscopy is a prospective, multicenter, global, cohort study. The study aims to enroll up to 2,500 consecutive subjects presenting for evaluation of lung lesions utilizing the enb procedure at up to 75 clinical sites in the united states, europe, and asia. Electromagnetic navigation bronchoscopy for peripheral pulmonary. The purpose of enb is to allow navigation to distal regions of the lungs, so that.
The basic components of this global positioning systemlike technology include a. Electromagnetic navigation bronchoscopyguided fiducial placement for robotic stereotactic radiosurgery of lung tumors. Electromagnetic navigation bronchoscopy is a safe method for sampling peripheral and mediastinal lesions with high diagnostic yield independent of lesion size and location. Electromagnetic navigation bronchoscopy enb is a relatively new method for diagnosing pulmonary lesions in patients with low lung function. Electromagnetic navigation bronchoscopy is may be considered medically necessary for. Electromagnetic navigation bronchoscopy is designed to biopsy peripheral lung lesions by an endobronchial route using a realtime navigation system. Electromagnetic navigation bronchoscopy enb is an exciting new bronchoscopic technique that promises accurate navigation to peripheral. Electromagnetic navigation bronchoscopyguided dye marking. Please refer to the members plan document for specific coverage information. Dye marking is commonly achieved either through a percutaneous computed tomography ctguided approach or an electromagnetic navigation bronchoscopy enb technique and is currently the most common localization technique for superficial lesions distance to the pleural surface uc san diego health is proud to offer our patients. Pdf electromagnetic navigation diagnostic bronchoscopy. The purpose of electromagnetic navigation bronchoscopy is to allow navigation to distal regions of the lungs. Electromagnetic navigationassisted bronchoscopy 205. Pulmonary nodules smaller than 1 cm can be difficult to identify during minimally invasive resection, necessitating conversion to thoracotomy.
Intended use is for patients who have peripheral lung lesions or patients who are not suitable surgical candidates. Electromagnetic navigation bronchoscopy enb is an imageguided localization procedure that allows the operator to steer a bronchoscope to peripheral lung lesions. Electromagnetic navigation bronchoscopy request pdf. Electromagnetic navigation bronchoscopy for identifying. Pdf electromagnetic navigation bronchoscopy enb is an exciting new bronchoscopic technique that promises accurate navigation to peripheral pulmonary. Aetna considers electromagnetic navigationguided bronchoscopy for the management of peripheral lung lesions experimental and investigational because of. Electromagnetic navigation diagnostic bronchoscopy a prospective study thomas r. Navigational bronchoscopy diagnosis and therapy kazuhiro yasufuku md, phd director, interventional thoracic surgery program associate professor of surgery, university of toronto division of thoracic surgery, toronto general hospital 1. Clinicians performing bronchoscopy have utilized various forms of navigation technology ranging from fluoroscopy or computed tomography ctaided guidance in earlier years, now to virtual bronchoscopy and realtime tracking using electromagnetic navigation emn platforms. The purpose of enb is to allow navigation to distal regions. Electromagnetic navigationassisted bronchoscopy operative. Electromagnetic navigation bronchoscopyguided dye marking for thoracoscopic resection of pulmonary nodules the annals of thoracic surgery. Electromagnetic navigation bronchoscopy enhances standard bronchoscopy by providing a 3dimensional roadmap of the lungs and realtime information about the position of the steerable probe during bronchoscopy. Medical policy electromagnetic navigation bronchoscopy.
Electromagnetic navigation bronchoscopy enb is intended to enhance standard bronchoscopy by providing a 3dimensional roadmap of the lungs and realtime information about the position of the steerable probe during bronchoscopy. Electromagnetic navigation bronchoscopy enb is intended to enhance standard bronchoscopy by providing a threedimensional roadmap of the lungs and realtime information about the position of the steerable probe during bronchoscopy. Medical policy title electromagnetic navigation bronchoscopy. Electromagnetic navigation bronchoscopy enb is a promising technology that increases the diagnostic accuracy of peripheral lung and mediastinal lesions and is taken as a supplement to traditional bronchoscopy, endotracheal ultrasound, and endotracheal biopsy techniques into consideration. Electromagnetic navigation bronchoscopy enb is one of several technological advances which have broadened the.
409 144 1017 1481 893 474 1514 567 1221 959 72 287 90 1371 238 1598 362 558 270 441 281 1600 988 261 79 1537 1227 668 843 1297 1072 1439 748 861 10 1211 480 771 566 1396 863 1015 407 1400 132 1266 103 1398 1098 788