David Feller-Kopman, MD, William Lunn, MD, Armin Ernst, MD 

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Presentation transcript:

Autofluorescence Bronchoscopy and Endobronchial Ultrasound: A Practical Review  David Feller-Kopman, MD, William Lunn, MD, Armin Ernst, MD  The Annals of Thoracic Surgery  Volume 80, Issue 6, Pages 2395-2401 (December 2005) DOI: 10.1016/j.athoracsur.2005.04.084 Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 The conventional bronchoscopic image (left) shows a fairly normal right upper lobe uptake in a patient with sputum cytology positive for non-small cancer and a negative chest computed tomography. The right panel shows the same area with autofluorescence endoscopy. The purplish discoloration is abnormal and biopsy revealed carcinoma in situ. The Annals of Thoracic Surgery 2005 80, 2395-2401DOI: (10.1016/j.athoracsur.2005.04.084) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Shown is the inflated balloon around a radial endobronchial ultrasound probe. The Annals of Thoracic Surgery 2005 80, 2395-2401DOI: (10.1016/j.athoracsur.2005.04.084) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Image of a bronchoscope with an incorporated radial ultrasound in the tip. This allows for real time imaging of a biopsy needle exiting from a side channel, similar to existing endoscopic ultrasound technology. The Annals of Thoracic Surgery 2005 80, 2395-2401DOI: (10.1016/j.athoracsur.2005.04.084) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Image of a lymph node biopsy under endobronchial ultrasound guidance. The needle (arrows) is clearly visible in the lymph node. The Annals of Thoracic Surgery 2005 80, 2395-2401DOI: (10.1016/j.athoracsur.2005.04.084) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 5 (A) Image on the left shows a normal endobronchial ultrasound image of the left mainstem bronchus branching into the left lower lobe (LLL). Visible structures are the left lower pulmonary vein (LLPV), a lymph node (LN), and the left atrium (LA). (B) Image shows an abnormal endobronchial ultrasound image of a tumor invading the wall and extending through the cartilage layer. Endobronchial curative treatment would not be promising in this patient. The Annals of Thoracic Surgery 2005 80, 2395-2401DOI: (10.1016/j.athoracsur.2005.04.084) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions