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Exobronchial Pulmonary Eye: Transthoracic Ultrasound-Guided Transbronchial Lung Biopsy in Different Pulmonary Shadows

Received: 7 March 2015     Accepted: 19 March 2015     Published: 23 March 2015
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Abstract

Background: Transbronchial lung biopsy (TBLB) is one of the most imperative applications of flexible bronchoscopy that may preclude the need for an open lung biopsy. A real-time ultrasonographic guidance may increase the diagnostic yield of TBLB. Purpose: The aim of this study is to evaluate the diagnostic yield of a real-time transthoracic ultrasound-guided transbronchial lung biopsy (TTUS-TBLB) in different pulmonary shadows. Patients and methods: One hundred and seventeen patients with radiological pulmonary shadows were submitted for fiberoptic bronchscopy and underwent either conventional TBLB (cTBLB) that only supported by prior localization with chest computed tomography (CT) in 84 patients (group 1) or under a real-time TTUS-TBLB in 33 patients (group 2). Results: The overall diagnostic yield of TBLB was 74.4% (87 cases out of 117; 79 cases by the first TBLB and 8 cases by second TBLB). The final diagnosis of the enrolled patients was; fifty two cases proved to be malignant (42 cases diagnosed by TBLB) and sixty five cases proved to be nonmalignant (45 cases diagnosed by TBLB). TTUS-TBLB achieved diagnosis in 81.81% of cases and cTBLB achieved diagnosis in 71.43%. Conclusion: The results of real-time TTUS-TBLB were promising and may improve the overall diagnostic yield of TBLB in either benign or malignant pulmonary shadows.

Published in International Journal of Medical Imaging (Volume 3, Issue 3)
DOI 10.11648/j.ijmi.20150303.11
Page(s) 41-48
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2015. Published by Science Publishing Group

Keywords

TBLB, Transthoracic Ultrasound, Pulmonary Shadows, Mass, Cavity

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Cite This Article
  • APA Style

    Ahmed Mohammed Abumossalam, Taha Taha Abdelgawad, Amro Abdelhamid Moawd, Abdelhadi Mohammed Shebl. (2015). Exobronchial Pulmonary Eye: Transthoracic Ultrasound-Guided Transbronchial Lung Biopsy in Different Pulmonary Shadows. International Journal of Medical Imaging, 3(3), 41-48. https://doi.org/10.11648/j.ijmi.20150303.11

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    ACS Style

    Ahmed Mohammed Abumossalam; Taha Taha Abdelgawad; Amro Abdelhamid Moawd; Abdelhadi Mohammed Shebl. Exobronchial Pulmonary Eye: Transthoracic Ultrasound-Guided Transbronchial Lung Biopsy in Different Pulmonary Shadows. Int. J. Med. Imaging 2015, 3(3), 41-48. doi: 10.11648/j.ijmi.20150303.11

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    AMA Style

    Ahmed Mohammed Abumossalam, Taha Taha Abdelgawad, Amro Abdelhamid Moawd, Abdelhadi Mohammed Shebl. Exobronchial Pulmonary Eye: Transthoracic Ultrasound-Guided Transbronchial Lung Biopsy in Different Pulmonary Shadows. Int J Med Imaging. 2015;3(3):41-48. doi: 10.11648/j.ijmi.20150303.11

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  • @article{10.11648/j.ijmi.20150303.11,
      author = {Ahmed Mohammed Abumossalam and Taha Taha Abdelgawad and Amro Abdelhamid Moawd and Abdelhadi Mohammed Shebl},
      title = {Exobronchial Pulmonary Eye: Transthoracic Ultrasound-Guided Transbronchial Lung Biopsy in Different Pulmonary Shadows},
      journal = {International Journal of Medical Imaging},
      volume = {3},
      number = {3},
      pages = {41-48},
      doi = {10.11648/j.ijmi.20150303.11},
      url = {https://doi.org/10.11648/j.ijmi.20150303.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijmi.20150303.11},
      abstract = {Background: Transbronchial lung biopsy (TBLB) is one of the most imperative applications of flexible bronchoscopy that may preclude the need for an open lung biopsy. A real-time ultrasonographic guidance may increase the diagnostic yield of TBLB. Purpose: The aim of this study is to evaluate the diagnostic yield of a real-time transthoracic ultrasound-guided transbronchial lung biopsy (TTUS-TBLB) in different pulmonary shadows. Patients and methods: One hundred and seventeen patients with radiological pulmonary shadows were submitted for fiberoptic bronchscopy and underwent either conventional TBLB (cTBLB) that only supported by prior localization with chest computed tomography (CT) in 84 patients (group 1) or under a real-time TTUS-TBLB in 33 patients (group 2). Results: The overall diagnostic yield of TBLB was 74.4% (87 cases out of 117; 79 cases by the first TBLB and 8 cases by second TBLB). The final diagnosis of the enrolled patients was; fifty two cases proved to be malignant (42 cases diagnosed by TBLB) and sixty five cases proved to be nonmalignant (45 cases diagnosed by TBLB). TTUS-TBLB achieved diagnosis in 81.81% of cases and cTBLB achieved diagnosis in 71.43%. Conclusion: The results of real-time TTUS-TBLB were promising and may improve the overall diagnostic yield of TBLB in either benign or malignant pulmonary shadows.},
     year = {2015}
    }
    

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  • TY  - JOUR
    T1  - Exobronchial Pulmonary Eye: Transthoracic Ultrasound-Guided Transbronchial Lung Biopsy in Different Pulmonary Shadows
    AU  - Ahmed Mohammed Abumossalam
    AU  - Taha Taha Abdelgawad
    AU  - Amro Abdelhamid Moawd
    AU  - Abdelhadi Mohammed Shebl
    Y1  - 2015/03/23
    PY  - 2015
    N1  - https://doi.org/10.11648/j.ijmi.20150303.11
    DO  - 10.11648/j.ijmi.20150303.11
    T2  - International Journal of Medical Imaging
    JF  - International Journal of Medical Imaging
    JO  - International Journal of Medical Imaging
    SP  - 41
    EP  - 48
    PB  - Science Publishing Group
    SN  - 2330-832X
    UR  - https://doi.org/10.11648/j.ijmi.20150303.11
    AB  - Background: Transbronchial lung biopsy (TBLB) is one of the most imperative applications of flexible bronchoscopy that may preclude the need for an open lung biopsy. A real-time ultrasonographic guidance may increase the diagnostic yield of TBLB. Purpose: The aim of this study is to evaluate the diagnostic yield of a real-time transthoracic ultrasound-guided transbronchial lung biopsy (TTUS-TBLB) in different pulmonary shadows. Patients and methods: One hundred and seventeen patients with radiological pulmonary shadows were submitted for fiberoptic bronchscopy and underwent either conventional TBLB (cTBLB) that only supported by prior localization with chest computed tomography (CT) in 84 patients (group 1) or under a real-time TTUS-TBLB in 33 patients (group 2). Results: The overall diagnostic yield of TBLB was 74.4% (87 cases out of 117; 79 cases by the first TBLB and 8 cases by second TBLB). The final diagnosis of the enrolled patients was; fifty two cases proved to be malignant (42 cases diagnosed by TBLB) and sixty five cases proved to be nonmalignant (45 cases diagnosed by TBLB). TTUS-TBLB achieved diagnosis in 81.81% of cases and cTBLB achieved diagnosis in 71.43%. Conclusion: The results of real-time TTUS-TBLB were promising and may improve the overall diagnostic yield of TBLB in either benign or malignant pulmonary shadows.
    VL  - 3
    IS  - 3
    ER  - 

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Author Information
  • Thoracic medicine department, Faculty of medicine, Mansoura University, Mansoura, Egypt

  • Thoracic medicine department, Faculty of medicine, Mansoura University, Mansoura, Egypt

  • Thoracic medicine department, Faculty of medicine, Mansoura University, Mansoura, Egypt

  • Pathology department, Faculty of medicine, Mansoura University, Mansoura, Egypt

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