Robotic-assisted bronchoscopy combined with digital tomosynthesis for pulmonary nodules characterization: a single center experience - Scorecard - MDSpire
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Integration of Robotic Bronchoscopy and Digital Tomosynthesis for Characterizing Pulmonary Nodules: Insights from a Single-Center Study
Clinical Scorecard: Integration of Robotic Bronchoscopy and Digital Tomosynthesis for Characterizing Pulmonary Nodules: Insights from a Single-Center Study
At a Glance
Category
Detail
Condition
Peripheral Pulmonary Lesions (PPLs)
Key Mechanisms
Robotic-assisted bronchoscopy with shape-sensing technology and augmented fluoroscopy
Target Population
Adult patients with peripheral pulmonary lesions identified on chest CT
Care Setting
Interventional Pulmonology Unit of a tertiary referral center
Key Highlights
Diagnostic yield of 74.5% for sampled pulmonary lesions
Lesions ≥10 mm yielded a 79.2% diagnostic rate
Overall complication rate of 3.3% with no major bleeding
Upper lobe location and lesion visibility on CT significantly predicted diagnostic success
Median procedure time was 34.5 minutes
Guideline-Based Recommendations
Diagnosis
Utilize robotic-assisted bronchoscopy combined with augmented fluoroscopy for peripheral pulmonary lesions
Management
Consider multidisciplinary review for bronchoscopic sampling eligibility
Monitoring & Follow-up
Monitor for complications such as pneumothorax post-procedure
Risks
Potential for pneumothorax and other complications associated with bronchoscopic procedures
Patient & Prescribing Data
82 patients with 94 sampled pulmonary lesions
Integration of robotic technology and AI improves diagnostic accuracy and safety
Clinical Best Practices
Conduct thorough pre-procedural assessments including high-resolution chest CT
Ensure adequate training in robotic-assisted techniques for pulmonologists
Utilize real-time imaging for precise lesion targeting during procedures
by Flavio Marco Mirabelli, Emma Repaci, Gian Piero Bandelli, Thomas Galasso, Martina Ferioli, Marco Ferrari, Filippo Natali, Tommaso Abbate, Teresa Calari, Stefania Damiani, Francesca Giunchi, Mattia Riefolo, Lorenzo Scrofani, Annalisa Altimari, Elisa Gruppioni, Daniela Di Luca, Federica Pasquali, Piero Candoli
