Electromagnetic navigation bronchoscope-guided microwave ablation for treatment of peripheral pulmonary nodules_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

CHEN Qiuming , AN Zhou , MA Honghai , CHENG Jun ,  HU Jian

Department of Thoracic Surgery, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310003, P.R.China;

Corresponding author：

HU Jian, Email: dr_hujian@zju.edu.cn

Keywords：

Electromagnetic navigation bronchoscope; microwave ablation; pulmonary nodules; review

DOI：

10.7507/1007-4848.202001026

Video：

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Increasing peripheral pulmonary nodules are detected given the growing adoption of chest CT screening for lung cancer. The invention of electromagnetic navigation bronchoscope provides a new diagnosis and treatment method for pulmonary nodules, which has been demonstrated to be feasible and safe, and the technique of microwave ablation through bronchus is gradually maturing. The one-stop diagnosis and treatment of pulmonary nodules can be completed by the combination of electromagnetic navigation bronchoscopy and microwave ablation, which will help achieve local treatment through the natural cavity without trace.

Citation： CHEN Qiuming, AN Zhou, MA Honghai, CHENG Jun, HU Jian. Electromagnetic navigation bronchoscope-guided microwave ablation for treatment of peripheral pulmonary nodules. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2020, 27(7): 830-833. doi: 10.7507/1007-4848.202001026 Copy

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7.	Folch EE, Pritchett MA, Nead MA, et al. Electromagnetic navigation bronchoscopy for peripheral pulmonary lesions: one-year results of the prospective, multicenter NAVIGATE study. J Thorac Oncol, 2019, 14(3): 445-458.
8.	Harms W, Krempien R, Grehn C, et al. Electromagnetically navigated brachytherapy as a new treatment option for peripheral pulmonary tumors. Strahlenther Onkol, 2006, 182(2): 108-111.
9.	Santos RS, Gupta A, Ebright MI, et al. Electromagnetic navigation to aid radiofrequency ablation and biopsy of lung tumors. Ann Thorac Surg, 2010, 89(1): 265-268.
10.	Xie F, Zheng X, Xiao B, et al. Navigation bronchoscopy-guided radiofrequency ablation for nonsurgical peripheral pulmonary tumors. Respiration, 2017, 94(3): 293-298.
11.	Moussa AM, Ziv E, Solomon SB, et al. Microwave ablation in primary lung malignancies. Semin Intervent Radiol, 2019, 36: 326-333.
12.	Wolf FJ, Grand DJ, Machan JT, et al. Microwave ablation of lung malignancies: effectiveness, CT findings, and safety in 50 patients. Radiology, 2008, 247(3): 871-879.
13.	Healey TT, March BT, Baird G, et al. Microwave ablation for lung neoplasms: A retrospective analysis of long-term results. J Vasc Interv Radiol, 2017, 28(2): 206-211.
14.	Yuan Z, Wang Y, Zhang J, et al. A meta-analysis of clinical outcomes after radiofrequency ablation and microwave ablation for lung cancer and pulmonary metastases. J Am Coll Radiol, 2019, 16(3): 302-314.
15.	Yang X, Ye X, Lin Z, et al. Computed tomography-guided percutaneous microwave ablation for treatment of peripheral ground-glass opacity-lung adenocarcinoma: A pilot study. J Cancer Res Ther, 2018, 14(4): 764-771.
16.	Narsule CK, Sales Dos Santos R, Gupta A, et al. The efficacy of electromagnetic navigation to assist with computed tomography-guided percutaneous thermal ablation of lung tumors. Innovations (Phila), 2012, 7(3): 187-190.

1. Black WC, Gareen IF, Soneji SS, et al. Cost-effectiveness of CT screening in the National Lung Screening Trial. N Engl J Med, 2014, 371(19): 1793-1802.
2. Heerink WJ, de Bock GH, de Jonge GJ, et al. Complication rates of CT-guided transthoracic lung biopsy: meta-analysis. Eur Radiol, 2017, 27(1): 138-148.
3. Solomon SB, White P Jr, Acker DE, et al. Real-time bronchoscope tip localization enables three-dimensional CT image guidance for transbronchial needle aspiration in swine. Chest, 1998, 114(5): 1405-1410.
4. Schwarz Y, Mehta AC, Ernst A, et al. Electromagnetic navigation during flexible bronchoscopy. Respiration, 2003, 70(5): 516-522.
5. Gildea TR, Mazzone PJ, Karnak D, et al. Electromagnetic navigation diagnostic bronchoscopy: a prospective study. Am J Respir Crit Care Med, 2006, 174(9): 982-989.
6. Gex G, Pralong JA, Combescure C, et al. Diagnostic yield and safety of electromagnetic navigation bronchoscopy for lung nodules: a systematic review and meta-analysis. Respiration, 2014, 87(2): 165-176.
7. Folch EE, Pritchett MA, Nead MA, et al. Electromagnetic navigation bronchoscopy for peripheral pulmonary lesions: one-year results of the prospective, multicenter NAVIGATE study. J Thorac Oncol, 2019, 14(3): 445-458.
8. Harms W, Krempien R, Grehn C, et al. Electromagnetically navigated brachytherapy as a new treatment option for peripheral pulmonary tumors. Strahlenther Onkol, 2006, 182(2): 108-111.
9. Santos RS, Gupta A, Ebright MI, et al. Electromagnetic navigation to aid radiofrequency ablation and biopsy of lung tumors. Ann Thorac Surg, 2010, 89(1): 265-268.
10. Xie F, Zheng X, Xiao B, et al. Navigation bronchoscopy-guided radiofrequency ablation for nonsurgical peripheral pulmonary tumors. Respiration, 2017, 94(3): 293-298.
11. Moussa AM, Ziv E, Solomon SB, et al. Microwave ablation in primary lung malignancies. Semin Intervent Radiol, 2019, 36: 326-333.
12. Wolf FJ, Grand DJ, Machan JT, et al. Microwave ablation of lung malignancies: effectiveness, CT findings, and safety in 50 patients. Radiology, 2008, 247(3): 871-879.
13. Healey TT, March BT, Baird G, et al. Microwave ablation for lung neoplasms: A retrospective analysis of long-term results. J Vasc Interv Radiol, 2017, 28(2): 206-211.
14. Yuan Z, Wang Y, Zhang J, et al. A meta-analysis of clinical outcomes after radiofrequency ablation and microwave ablation for lung cancer and pulmonary metastases. J Am Coll Radiol, 2019, 16(3): 302-314.
15. Yang X, Ye X, Lin Z, et al. Computed tomography-guided percutaneous microwave ablation for treatment of peripheral ground-glass opacity-lung adenocarcinoma: A pilot study. J Cancer Res Ther, 2018, 14(4): 764-771.
16. Narsule CK, Sales Dos Santos R, Gupta A, et al. The efficacy of electromagnetic navigation to assist with computed tomography-guided percutaneous thermal ablation of lung tumors. Innovations (Phila), 2012, 7(3): 187-190.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Electromagnetic navigation bronchoscope-guided microwave ablation for treatment of peripheral pulmonary nodules

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