Usefulness of Endobronchial Ultrasonography With a Guide Sheath and Virtual Bronchoscopic Navigation for Ground-Glass Opacity Lesions Yasuyuki Ikezawa,

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Usefulness of Endobronchial Ultrasonography With a Guide Sheath and Virtual Bronchoscopic Navigation for Ground-Glass Opacity Lesions Yasuyuki Ikezawa, MD, PhD, Naofumi Shinagawa, MD, PhD, Noriaki Sukoh, MD, PhD, Megumi Morimoto, MD, Hajime Kikuchi, MD, PhD, Masahiro Watanabe, MD, Kosuke Nakano, MD, Satoshi Oizumi, MD, PhD, Masaharu Nishimura, MD, PhD The Annals of Thoracic Surgery Volume 103, Issue 2, Pages 470-475 (February 2017) DOI: 10.1016/j.athoracsur.2016.09.001 Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) Thin-section computed tomographic (CT) image, showing homogeneous focal translucent pure ground-glass opacity (GGO) in the lung window. (B) Thin-section CT image, showing no solid component in the mediastinum. (C) Endobronchial ultrasonography image, showing pure GGO with a delicate high-echoic pattern compared with normal lung tissue (arrows). (D) Thin-section CT image, showing homogeneous focal translucent mixed GGO with solid components in the lung window. (E) Thin-section CT image, showing some solid components in the mediastinum. (F) Endobronchial ultrasonography image, showing mixed GGO characterized by a low-echoic nodule (arrow heads) with hyperechoic fine dots (arrows) surrounded by a highly reflective interface between the aerated lung and the lesion. The Annals of Thoracic Surgery 2017 103, 470-475DOI: (10.1016/j.athoracsur.2016.09.001) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Flow diagram of 169 ground-glass opacity (GGO) predominant-type lesions. (EBUS = endobronchial ultrasonography.) The Annals of Thoracic Surgery 2017 103, 470-475DOI: (10.1016/j.athoracsur.2016.09.001) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions