“…iberoptic bronchoscopy and transbronchial biopsy (TBB) are commonly used in the diagnostic approach to many pulmonary disorders. [1][2][3][4][5][6][7] With such widespread application, bronchoscopists have disagreed as to the necessity of fluoroscopic guidance in TBB.8'9 For a number of years the American Thoracic Society has recommended in its official position paper on bronchoscopy that TBB be performed only under fluoroscopic control, although very recently the ATS has deleted that statement. 10 The safety ofTBB without fluoroscopy has been demonstrated in several recent studies.…”