Navigation Bronchoscopy Case 1 Case 2 Case 3 Case 3 Case 3 Navigation bronchoscopy Uses CT imaging to create a 3D reconstruction Navigation bronchoscopy 201242 173185 Navigation ID: 913141
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Slide1
Andrew LowLung Cancer Lead BRI
Navigation Bronchoscopy
Slide2Case 1
Slide3Case 2
Slide4Case 3
Slide5Case 3
Slide6Case 3
Slide7Slide8Navigation bronchoscopy
Uses CT imaging to create a 3D reconstruction
Slide9Navigation bronchoscopy
2012;4(2
):
173-185
Slide10Navigation bronchoscopy
Slide11Sensitivity?
1106 pts
19 studies
Sensitivity 0.82
(0.79-0.85)Specificity 1.00 (0.98-1.00)
Slide12Safety?
Zhang et al 2015 - PTX rate of 5.9%Deng et al 2018 – PTX rate of 5.2%
Towe et al 2017 – 341 patients8.3% complication rate PTX 27 (7.5%) – 11 needed ICD, 16 observed
2 bleeds3 with resp failure64 – severe COPD, 114 – moderate COPD
Slide13Cost effectiveness?
BMJ Open
Resp Res 2020;7
:e000595.Average cost of CT guided biopsy £1357 Nav Bronchosocpy
£1942-£2331
Slide14Summary
Role in improving early diagnosisRole in reducing benign resectionsAnd presumably in reducing benign irradiationCost effectiveAcceptable diagnostic yield and safety
Slide15Slide16Slide17Questions?