Abstract
Interventional pulmonology is an important aspect of thoracic oncology with established place and role in both diagnostic and treatment domain of lung cancer invading central airways (trachea and principal bronchi). While success ratio of interventional techniques is reported to vary in different studies, they remain a vital part of armamentarium with excellent potential and perspective. Increase in number and variety of these techniques led to the development of internationally accepted guidelines for their use. Of diagnostic techniques, white light bronchoscopy, autofluorescence videobronchoscopy, narrow-band imaging, and endobronchial ultrasound have mostly been used in the past. Newer diagnostic techniques, such as electromagnetic navigation, bronchoscopic navigation using cone bean computed tomography, confocal fluorescence microscopy (endoscopy), optical coherence tomography, and ultrathin bronchoscopy, had also shown promise in this field. Of therapeutic techniques with immediate effect, laser photoresection, electrocautery, and argon plasma coagulation remain standard approaches in this domain, while therapeutic techniques with delayed effect, such as balloon dilatation (bronchoplasty), endobronchial brachytherapy cryotherapy, and photodynamic therapy, have also been used with success and, if properly managed, very low toxicity. They are being presented in detail in other chapters.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Belanger AR, Burks AC, Chambers DM et al (2019) Peripheral lung nodule diagnosis and fiducial marker placement using a novel tip-tracked electromagnetic navigation bronchoscopy system. J Bronchology Interv Pulmonol 26:41–48
Bolliger CT, Sutedja TG, Strausz J, Freitag L (2006) Therapeutic bronchoscopy with immediate effect: laser, electrocautery, argon plasma coagulation and stents. Eur Respir J 27:1258–1271
Chaddha U, Hogarth DK, Murgu S (2019) Bronchoscopic ablative therapies for malignant central airway obstruction and peripheral lung tumors. Ann Am Thorac Soc 16:1220–1229
Chauhan NK, Elhence P, Deokar K et al (2021) Vascular patterns on narrow band imaging (NBI) video bronchoscopy of lung cancer patients and its relationship with histology: an analytical cross-sectional study. Adv Respir Med 89:30–36
Chen W, Gao X, Tian Q et al (2011) A comparison of autofluorescence bronchoscopy and white light bronchoscopy in detection of lung cancer and preneoplastic lesions: a meta-analysis. Lung Cancer 73:183–188
Chowdhury R, Amin A, Bhattacharyya K (2015) Intermittent fluorescence oscillations in lipid droplets in a live normal and lung cancer cell: time-resolved confocal microscopy. J Phys Chem B 119:10868–10875
Colt HG, Murgu SD (2010) Interventional bronchoscopy from bench to bedside: new techniques for early lung cancer detection. Clin Chest Med 31:29–37
Colt HG, Murgu SD, Korst RJ, Slatore CG, Unger M, Quadrelli S (2013) Follow-up and surveillance of the patient with lung cancer after curative-intent therapy: diagnosis and management of lung cancer, 3rd ed: American College of Chest Physicians evidence-based clinical practice guidelines. Chest 143(5 Suppl):e437S–e454S
Duhamel DR, Harrell JH II (2001) Laser bronchoscopy. Chest Surg Clin N Am 11:769–789
Goorsenberg A, Kalverda KA, Annema J, Bonta P (2020) Advances in optical coherence tomography and confocal laser endomicroscopy in pulmonary diseases. Respiration 99:190–205
Ho E, Agrawal A, Hogarth DK, Murgu S (2021) What should we realistically expect from robotic bronchoscopy in the near future? J Thorac Dis 13:405–408
Iftikhar IH, Musani AI (2015) Narrow-band imaging bronchoscopy in the detection of premalignant airway lesions: a meta-analysis of diagnostic test accuracy. Ther Adv Respir Dis 9:207–216
Kent AJ, Byrnes KA, Chang SH (2020) State of the art: robotic bronchoscopy. Semin Thorac Cardiovasc Surg 32:1030–1035
Kinoshita T, Effat A, Gregor A et al (2019) A novel laser fiberscope for simultaneous imaging and phototherapy of peripheral lung cancer. Chest 156:571–578
Lee P, Kupeli E, Mehta AC (2002) Therapeutic bronchoscopy in lung cancer. Laser therapy, electrocautery, brachytherapy, stents, and photodynamic therapy. Clin Chest Med 23:241–256
Liam CK, Lee P, Yu CJ, Bai C, Yasufuku K (2021) The diagnosis of lung cancer in the era of interventional pulmonology. Int J Tuberc Lung Dis 25:6–15
Liu N, Kan J, Cao W et al (2019) Metagenomic next-generation sequencing diagnosis of peripheral pulmonary infectious lesions through virtual navigation, radial EBUS, ultrathin bronchoscopy, and ROSE. J Int Med Res 47:4878–4885
Mahajan AK, Ibrahim O, Perez R, Oberg CL, Majid A, Folch E (2020) Electrosurgical and laser therapy tools for the treatment of malignant central airway obstructions. Chest 157:446–453
Matsuno Y, Asano F, Shindoh J et al (2011) CT-guided ultrathin bronchoscopy: bioptic approach and factors in predicting diagnosis. Intern Med 50:2143–2148
Michel RG, Kinasewitz GT, Fung K-M, Keddissi JI (2010) Optical coherence tomography as an adjunct to flexible bronchoscopy in the diagnosis of lung cancer: a pilot study. Chest 138:984–988
Miller SM, Bellinger CR, Chatterjee A (2013) Argon plasma coagulation and electrosurgery for benign endobronchial tumors. J Bronchology Interv Pulmonol 20:38–40
Mudambi L, Miller R, Eapen GA (2017) Malignant central airway obstruction. J Thorac Dis 9(Suppl 10):S1087–S1110
Ost DE, Ernst A, Lei X et al, AQuIRE Bronchoscopy Registry (2016) Diagnostic yield and complications of bronchoscopy for peripheral lung lesions. Results of the AQuIRE Registry. Am J Respir Crit Care Med 193(1):68–77.
Rakotomamonjy A, Petitjean C, Salaün M, Thiberville L (2014) Scattering features for lung cancer detection in fibered confocal fluorescence microscopy images. Artif Intell Med 61:105–118
Shepherd RW, Radchenko C (2019) Bronchoscopic ablation techniques in the management of lung cancer. Ann Transl Med 7:362
Shostak E, Hariri LP, Cheng GZ, Adams DC, Suter MJ (2018) Needle based optical coherence tomography to guide transbronchial lymph node biopsy. J Bronchology Interv Pulmonol 25:189–197
Squiers JJ, Teeter WA, Hoopman JE et al (2014) Holmium:YAG laser bronchoscopy ablation of benign and malignant airway obstructions: an 8-year experience. Lasers Med Sci 29:1437–1443
Sun J, Garfield DH, Lam B et al (2011) The value of autofluorescence bronchoscopy combined with white light bronchoscopy compared with white light alone in the diagnosis of intraepithelial neoplasia and invasive lung cancer: a meta-analysis. J Thorac Oncol 6:1336–1344
Sutedja G (2003) New techniques for early detection of lung cancer. Eur Respir J 21:57–66
Unger M (1985) Neodymium:YAG laser therapy for malignant and benign endobronchial obstructions. Clin Chest Med 6:277–290
Usuda J (2018) Virtual bronchoscopic navigation (VBN) and electromagnetic navigation system. Kyobu Geka 71:843–849
Verhoeven RLJ, Fütterer JJ, Hoefsloot W, van der Heijden EHFM (2021) Cone-beam CT image guidance with and without electromagnetic navigation bronchoscopy for biopsy of peripheral pulmonary lesions. J Bronchology Interv Pulmonol 28:60–69
Wahidi MM, Herth FJF, Ernst A (2007) State of the art: interventional pulmonology. Chest 131:261–274
Yarmus L, Feller-Kopman D (2010) Bronchoscopes of the twenty-first century. Clin Chest Med 31(1):19–27
Yasufuku K (2010) Early diagnosis of lung cancer. Clin Chest Med 31:39–47
Zhu J, Li W, Zhou J et al (2017) The diagnostic value of narrow-band imaging for early and invasive lung cancer: a meta-analysis. Clinics (Sao Paulo) 72:438–448
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2022 The Author(s), under exclusive license to Springer Nature Switzerland AG
About this chapter
Cite this chapter
Perin, B., Zarić, B. (2022). Interventional Pulmonology. In: Jeremić, B. (eds) Advances in Radiation Oncology in Lung Cancer. Medical Radiology(). Springer, Cham. https://doi.org/10.1007/174_2022_300
Download citation
DOI: https://doi.org/10.1007/174_2022_300
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-031-34846-4
Online ISBN: 978-3-031-34847-1
eBook Packages: MedicineMedicine (R0)