A Case Series of Intra-Procedure Cone Beam Computed Tomography Utilizing Monarch™ Robotic Navigational Bronchoscopy

Monterroso, Carissa; Magge, Anil; Manley, Christopher; Ibrahim, Omar

doi:10.1164/ajrccm-conference.2020.201.1_meetingabstracts.a6780

Cited by 2 publications

(5 citation statements)

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“…In some cases, ferromagnetic interference with the electromagnetic navigation requires minor adjustments. Ibrahim et al have described their experience with CBCT and subsequent minor modifications used to correct for electromagnetic interference [17 ▪ ].…”

Section: Electromagnetic Navigation Robotic-assisted Bronchoscopy (Mo...mentioning

confidence: 99%

“…It is likely that some operators will use these more advanced imaging techniques for difficult-to-reach nodules or during ablation for peripheral pulmonary nodules with microwave or radiofrequency ablation. Case reports and studies showing the strengths of the combined use of robotic platforms and 3D-fluoroscopy or CBCT have been recently described and are shown in Table 1[17 ▪ ,33 ▪ ,34 ▪▪ ,35 ▪ ,36 ▪ ].…”

Section: Confirmatory and Ancillary Imaging Technologiesmentioning

confidence: 99%

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Robotic bronchoscopy and future directions of interventional pulmonology

Folch

Mittal

Oberg

2021

Current Opinion in Pulmonary Medicine

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Purpose of reviewTo describe the emerging field of robotic bronchoscopy within advanced diagnostic bronchoscopy. We review the literature available for these two novel platforms to highlight their differences and discuss the impact on future directions. Recent findingsThere are two distinct technologies both known as robotic bronchoscopy. The Monarch robotic-assisted bronchoscopy is based on electromagnetic guidance whereas the Ion robotic-assisted bronchoscopy is founded on shape sensing technology. Although there is ongoing work to explore the capabilities of these systems, studies have shown that both are safe modalities. Furthermore, both hold promise to improve diagnostic yield and may eventually pave the way for therapeutic bronchoscopic ablation in the future.

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Section: Electromagnetic Navigation Robotic-assisted Bronchoscopy (Mo...mentioning

confidence: 99%

Section: Confirmatory and Ancillary Imaging Technologiesmentioning

confidence: 99%

Robotic bronchoscopy and future directions of interventional pulmonology

Folch

Mittal

Oberg

2021

Current Opinion in Pulmonary Medicine

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“…28 Twenty-three studies were included in the final analysis, including 1409 subjects and 1541 nodules (Table 1). [11][12][13][14][29][30][31][32][33][34][35][36][37][38][39][40][41][42][43][44][45][46][47]…”

Section: Resultsmentioning

confidence: 99%

“…Twenty-three studies were included in the final analysis, including 1409 subjects and 1541 nodules (Table 1). 11–14,29–47 …”

Section: Resultsmentioning

confidence: 99%

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Robotic-assisted Navigation Bronchoscopy

Pyarali,

Hakami-Majd,

Sabbahi

et al. 2023

Journal of Bronchology &Amp; Interventional Pulmonology

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Background: Robotic-assisted navigation bronchoscopy (RANB) is a novel method to biopsy lung nodules, with initial reports demonstrating excellent accuracy. We aimed to evaluate pooled estimates of diagnostic yields and complication rates with RANB by performing a meta-analysis of the available literature. Methods: We searched 3 databases, including PubMed, EmBase, and Web of Science. The resulting abstracts were reviewed by 2 investigators. Analyses were performed using random effects models, and diagnostic yield and complication rates were estimated after the Freeman-Tukey transformation. Results: A total of 23 articles, comprising 1409 patients and 1541 nodules, were included in the final analysis. Mean ages ranged from 63.2 to 69.3 years. The average size of the nodules ranged between 5.9 and 25.0 mm. Most patients (54.0% to 92.0%) had a current or prior smoking history in studies that reported them (n=8). The pooled diagnostic yield was 81.9% (12 studies, 838 nodules, 95% CI: 83.4%-91.0%), and the pooled sensitivity for malignancy was 87.6% (8 studies, 699 nodules, 95% CI: 81.3%-89.5%). The pooled incidence of pneumothorax rates was 0.60% (95% CI: 0.11%-1.35%). The pooled incidence of major bleeding was <0.01%. Conclusion: Diagnostic yield for patients with pulmonary nodules undergoing RANB is high, though may be impacted by the prevalence of malignancy, participant selection, and publication bias. Complication rates, including pneumothoraces and bleeding rates, appear low across all studies. If RANB is available, clinicians should consider utilizing this platform to biopsy pulmonary nodules.

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A Case Series of Intra-Procedure Cone Beam Computed Tomography Utilizing Monarch™ Robotic Navigational Bronchoscopy

Cited by 2 publications

References 0 publications

Robotic bronchoscopy and future directions of interventional pulmonology

Robotic bronchoscopy and future directions of interventional pulmonology

Robotic-assisted Navigation Bronchoscopy

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