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Evaluation of the radiofrequency identification lung marking system: a multicenter study in Japan

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Abstract

Background

The radiofrequency identification (RFID) lung marking system is a novel technique using near-field radio-communication technology. The purpose of this study was to investigate the utility and feasibility of this system in the resection of small pulmonary nodules.

Methods

We retrospectively reviewed clinical records of 182 patients who underwent sublobar resection with the RFID marking system between March 2020 and November 2021 in six tertial hospitals in Japan. Target markings were bronchoscopically made within 3 days before surgery. The contribution of the procedure to the surgery and safety was evaluated.

Results

Target nodule average diameter and depth from the lung surface were 10.9 ± 5.4 mm and 14.6 ± 9.9 mm, respectively. Radiologically, one third of nodules appeared as pure ground-glass nodules (GGNs) on CT. The average distance from target nodule to RFID tag was 8.9 ± 7.1 mm. All surgical procedures were completed by video-assisted thoracoscopic surgery. Planned resection was achieved in all cases without any complications. The surgeons evaluated this system as helpful in 93% (necessary: 67%, useful; 26%) of cases. Nodule radiological features (p < 0.001) and type of surgery (p = 0.0013) were associated with the degree of contribution. In most cases, identification of the RFID tag was required within 1 min despite adhesion (p = 0.27).

Conclusion

The RFID lung marking system was found to be safe and effective during successful sublobar resection. Patients with pure GGNs are the best candidates for the system.

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Abbreviations

CT:

Computed tomography

GGN:

Ground-glass nodule

GGO:

Ground-glass opacity

RFID:

Radiofrequency identification

VAL-MAP:

Virtual-assisted lung mapping

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Authors and Affiliations

  1. Department of General Thoracic, Breast and Pediatric Surgery, Fukuoka University School of Medicine and Hospital, 7-45-1 Nanakuma, Jonan-Ku, Fukuoka, 814-0180, Japan

    So Miyahara, Ryuichi Waseda, Yuichirou Ueda & Toshihiko Sato

  2. Department of Thoracic Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan

    Yojiro Yutaka & Hiroshi Date

  3. Department of Surgery II, Faculty of Medicine, Yamagata University, Yamagata, Japan

    Jun Suzuki & Hiroyuki Oizumi

  4. Division of Thoracic Surgery, Department of Surgery, Tenri Hospital, Nara, Japan

    Masashi Goto & Tatsuo Nakagawa

  5. Department of Thoracic Surgery, St. Luke’s International Hospital, Tokyo, Japan

    Fumitsugu Kojima

  6. Second Department of Surgery (Chest Surgery), University of Occupational and Environmental Health, Kitakyusyu, Japan

    Masaru Takenaka & Fumihiro Tanaka

Authors
  1. So Miyahara
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  2. Ryuichi Waseda
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Corresponding author

Correspondence to So Miyahara.

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Disclosures

Drs. Yojiro Yutaka, Hiroshi Date and Toshihiko Sato have a financial relationship with HOGY Medical Co Ltd. Drs. So Miyahara, Ryuichi Waseda, Yuichirou Ueda, Jun Suzuki, Hiroyuki Oizumi, Masashi Goto, Tatsuo Nakagawa, Fumitsugu Kojima, Masaru Takenaka and Fumihiro Tanaka have no conflicts of interest or financial ties to disclose.

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Supplementary file1 (DOCX 22 kb)

Supplementary file2 (MPG 39192 kb)—This video demonstrates the sequence of the process of the RFID tag placement and surgery.

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Miyahara, S., Waseda, R., Ueda, Y. et al. Evaluation of the radiofrequency identification lung marking system: a multicenter study in Japan. Surg Endosc 37, 3619–3626 (2023). https://doi.org/10.1007/s00464-022-09858-8

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