Implementation of endoscopic ultrasound for lung cancer staging

Annema, Jouke T.; Bohoslavsky, R.; Burgers, Sjaak A.; Smits, M.; Taal, Babs G.; Venmans, Ben J.W.; Nabers, Hans; Borne, Ben van de; Balkom, Roland van; Haitjema, T.; Welling, Alle; Staaks, Gerald; Dekkers, Olaf M.; Rabe, Klaus F.

doi:10.1016/j.gie.2009.07.027

Cited by 43 publications

(24 citation statements)

References 26 publications

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“…Most of the data in literature are produced by the same expert centres. Nevertheless, data on the implementation of EUS-FNA or EBUS-TBNA in routine clinical practice by chest physicians obtained sensitivities and accuracies for mediastinal staging of lung cancer similar to that of the experts with longstanding experience [35,36].…”

Section: Review: Diagnostic Bronchoscopy C Dooms Et Almentioning

confidence: 69%

Diagnostic bronchoscopy: state of the art

Dooms

Seijó²,

Gasparini³

et al. 2010

Eur Respir Rev

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Since the introduction of the flexible fibreoptic bronchoscope in the late 1960s there have been relatively few technological advances for three decades, aside from the development of a white light video bronchoscope with a miniature charge-coupled device built in its tip replacing the fibreoptics. White light flexible videobronchoscopy with its ancillary devices (forceps biopsy, bronchial brushing, bronchoalveolar lavage, bronchial washings and transbronchial needle aspiration) has long been the only established diagnostic bronchoscopic technique. With the advances in microtechnology over the past two decades, recent technical developments such as autofluorescence bronchoscopy and endoscopic ultrasound allow better evaluation of endobronchial, mediastinal and parenchymal lesions.

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Section: Review: Diagnostic Bronchoscopy C Dooms Et Almentioning

confidence: 69%

Diagnostic bronchoscopy: state of the art

Dooms

Seijó²,

Gasparini³

et al. 2010

Eur Respir Rev

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“…This procedure requires skilled and experienced investigators. The overall prevalence in the published studies was 58%, the median sensitivity was 89% (range 50−100%), the median specificity was 100%, and the median NPV was 86% (range 68−100%) respectively [36,47,48]. Complications such as bleeding or infection are rare and no mortality for either ultrasound guided needle technique has been reported.…”

Section: Minimally Invasive Techniquesmentioning

confidence: 99%

Staging of lung cancer: the role of noninvasive, minimally invasive and invasive techniques

Stamatis

2015

Eur Respir J

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Accurate staging and restaging of primary tumour and mediastinal nodes in patients with lung cancer is of significant importance. For primary tumours, computed tomography (CT) scans of the chest are recommended. Positron emission tomography (PET) imaging should be used in patients with curative intent treatment to evaluate metastatic disease. Diagnosis of the primary tumour should be performed using bronchoscopy or CT-guided transthoracic needle aspiration. In patients with enlarged mediastinal nodes and no distant metastasis, invasive staging of the mediastinum is required. For suspicious N2 or N3 disease, endoscopic needle techniques, such as endobronchial ultrasound and transbronchial needle aspiration, oesophageal ultrasound and fine needle aspiration, or a combination of both, are preferred to any surgical staging technique. In cases of suspicious nodes and negative results using needle aspiration techniques, invasive surgical staging using mediastinoscopy or video-assisted thoracic surgery should be performed. In central tumours or N1 nodes, preoperative invasive staging is indicated.Restaging after induction therapy remains a controversial topic. Today, neither CT, PET nor PET/CT scans are accurate enough to make final further therapeutic decisions for mediastinal nodal involvement. An invasive technique providing cytohistological information is still recommended.

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“…It is generally agreed that sampling in the mediastinum is technically easier than in other locations [92] and a study showed that chest physicians achieved satisfactory results after participating in an EUS implementation programme for staging lung cancer patients [93]. The only study exploring learning curves for EUS-FNA for lung cancer staging found that acquisition of skills varied between individuals and that 20 procedures were not enough to ensure basic competency [94].…”

Section: Introductionmentioning

confidence: 99%