Presentation is loading. Please wait.

Presentation is loading. Please wait.

Vascular Image Patterns of Lymph Nodes for the Prediction of Metastatic Disease During EBUS-TBNA for Mediastinal Staging of Lung Cancer  Takahiro Nakajima,

Published byAudrey Bruce Modified over 5 years ago

Similar presentations

Presentation on theme: "Vascular Image Patterns of Lymph Nodes for the Prediction of Metastatic Disease During EBUS-TBNA for Mediastinal Staging of Lung Cancer  Takahiro Nakajima,"— Presentation transcript:

1 Vascular Image Patterns of Lymph Nodes for the Prediction of Metastatic Disease During EBUS-TBNA for Mediastinal Staging of Lung Cancer  Takahiro Nakajima, MD, PhD, Takashi Anayama, MD, PhD, Masato Shingyoji, MD, PhD, Hideki Kimura, MD, PhD, Ichiro Yoshino, MD, PhD, Kazuhiro Yasufuku, MD, PhD  Journal of Thoracic Oncology  Volume 7, Issue 6, Pages (June 2012) DOI: /JTO.0b013e31824cbafa Copyright © 2012 International Association for the Study of Lung Cancer Terms and Conditions

2 FIGURE 1 EBUS Power/Color Doppler-mode image characteristics of LNs. This figure shows the different EBUS Power/Color Doppler-mode image characteristics used for the classification of LNs. (A), Grade 0: no blood flow or small amounts of flow, (B) Grade I: a few main vessels running toward the center of the LN from the hilum, (C) Grade II: a few punctiforms or rod-shaped flow signals, a few small vessels found as a long strip of a curve, (D) Grade III: rich flow, more than four vessels found with different diameters and twist or helical-flow signal, (E) BA inflow sign: The blood flow from the BA toward the LN that was visualized as blue signals on EBUS Color Doppler-mode image. EBUS, endobronchial ultrasound; LN, lymph node; BA, bronchial artery. Journal of Thoracic Oncology 2012 7, DOI: ( /JTO.0b013e31824cbafa) Copyright © 2012 International Association for the Study of Lung Cancer Terms and Conditions

3 FIGURE 2 Representative Doppler-mode findings of EBUS images characteristics. (A) Grade 0, (B) Grade I, (C) Grade II, (D) Grade III, and (E) BA inflow sign. EBUS, endobronchial ultrasound; BA, bronchial artery. Journal of Thoracic Oncology 2012 7, DOI: ( /JTO.0b013e31824cbafa) Copyright © 2012 International Association for the Study of Lung Cancer Terms and Conditions

4 FIGURE 3 EBUS Doppler-mode image classification and final diagnosis. The actual results of comparison between EBUS Doppler-mode image classification and final diagnosis. When LNs had been categorized as Grade 0 or I, and negative for BA inflow sign, they tended to be benign. Conversely, when LNs had been categorized as Grade II or III, and positive for BA inflow sign, they tended to be malignant, vice versa. EBUS, endobronchial ultrasound; LN, lymph node; BA, bronchial artery. Journal of Thoracic Oncology 2012 7, DOI: ( /JTO.0b013e31824cbafa) Copyright © 2012 International Association for the Study of Lung Cancer Terms and Conditions

5 FIGURE 4 Overview of EBUS Doppler-mode image findings and final diagnosis. Forty-nine of 58 LNs (87.5%) were metastatic when both categories were determined as “metastatic,” and 50 out of 57 LNs (84.7%) were nonmetastatic when both categories were determined as “benign,” vice versa. (49 lymph nodes: Doppler positive, final positive; nine lymph nodes: Doppler positive, final negative; 50 lymph nodes: Doppler negative, final negative; and seven lymph nodes: Doppler negative, final positive). EBUS, endobronchial ultrasound; LN, lymph node. Journal of Thoracic Oncology 2012 7, DOI: ( /JTO.0b013e31824cbafa) Copyright © 2012 International Association for the Study of Lung Cancer Terms and Conditions

Download ppt "Vascular Image Patterns of Lymph Nodes for the Prediction of Metastatic Disease During EBUS-TBNA for Mediastinal Staging of Lung Cancer  Takahiro Nakajima,"

Similar presentations

Massive Bronchogenic Cyst Joseph B. Levin, BA, Chi Wan Koo, MD, Jessica S. Donington, MD Journal of Thoracic Oncology Volume 5, Issue 11, Pages 1862-1863.

Massive Bronchogenic Cyst Joseph B. Levin, BA, Chi Wan Koo, MD, Jessica S. Donington, MD Journal of Thoracic Oncology Volume 5, Issue 11, Pages
Comparison of Endobronchial Ultrasound and/or Endoesophageal Ultrasound with Transcervical Extended Mediastinal Lymphadenectomy for Staging and Restaging.

Comparison of Endobronchial Ultrasound and/or Endoesophageal Ultrasound with Transcervical Extended Mediastinal Lymphadenectomy for Staging and Restaging.
Assessment of Lymph Node Ratio to Replace the pN Categories System of Classification of the TNM System in Esophageal Squamous Cell Carcinoma  Yingjie.

Assessment of Lymph Node Ratio to Replace the pN Categories System of Classification of the TNM System in Esophageal Squamous Cell Carcinoma  Yingjie.
Carcinoma NOS is a Common Histologic Diagnosis and is Increasing in Proportion Among Non-small Cell Lung Cancer Histologies  Sai-Hong Ignatius Ou, MD,

Carcinoma NOS is a Common Histologic Diagnosis and is Increasing in Proportion Among Non-small Cell Lung Cancer Histologies  Sai-Hong Ignatius Ou, MD,
Which is the Better Prognostic Factor for Resected Non-small Cell Lung Cancer: The Number of Metastatic Lymph Nodes or the Currently Used Nodal Stage.

Which is the Better Prognostic Factor for Resected Non-small Cell Lung Cancer: The Number of Metastatic Lymph Nodes or the Currently Used Nodal Stage.
The eighth edition TNM stage classification for lung cancer: What does it mean on main street?  Frank C. Detterbeck, MD  The Journal of Thoracic and Cardiovascular.

The eighth edition TNM stage classification for lung cancer: What does it mean on main street?  Frank C. Detterbeck, MD  The Journal of Thoracic and Cardiovascular.
True Negative Predictive Value of Endobronchial Ultrasound in Lung Cancer: Are We Being Conservative Enough?  Bryan A. Whitson, MD, PhD, Shawn S. Groth,

True Negative Predictive Value of Endobronchial Ultrasound in Lung Cancer: Are We Being Conservative Enough?  Bryan A. Whitson, MD, PhD, Shawn S. Groth,
Endobronchial Ultrasonography for Positron Emission Tomography and Computed Tomography–Negative Lymph Node Staging in Non-Small Cell Lung Cancer  Masato.

Endobronchial Ultrasonography for Positron Emission Tomography and Computed Tomography–Negative Lymph Node Staging in Non-Small Cell Lung Cancer  Masato.
Prognostic Significance of the Number of Lymph Nodes Removed at Lobectomy in Stage IA Non-small Cell Lung Cancer  Sai-Hong Ignatius Ou, MD, PhD, Jason.

Prognostic Significance of the Number of Lymph Nodes Removed at Lobectomy in Stage IA Non-small Cell Lung Cancer  Sai-Hong Ignatius Ou, MD, PhD, Jason.
Endobronchial ultrasonography (EBUS)—Its role in staging of non–small cell lung cancer and who should do it?  Rafael S. Andrade, MD, David D. Odell, MD,

Endobronchial ultrasonography (EBUS)—Its role in staging of non–small cell lung cancer and who should do it?  Rafael S. Andrade, MD, David D. Odell, MD,
A prospective controlled trial of endobronchial ultrasound-guided transbronchial needle aspiration compared with mediastinoscopy for mediastinal lymph.

A prospective controlled trial of endobronchial ultrasound-guided transbronchial needle aspiration compared with mediastinoscopy for mediastinal lymph.
Sonographic Features of Endobronchial Ultrasonography Predict Intrathoracic Lymph Node Metastasis in Lung Cancer Patients  Lei Wang, MD, Weihua Wu, MD,

Sonographic Features of Endobronchial Ultrasonography Predict Intrathoracic Lymph Node Metastasis in Lung Cancer Patients  Lei Wang, MD, Weihua Wu, MD,
Treatment of Lung Cancer with an ALK Inhibitor After EML4-ALK Fusion Gene Detection Using Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration 

Treatment of Lung Cancer with an ALK Inhibitor After EML4-ALK Fusion Gene Detection Using Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration 
Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration for the Diagnosis of Intrathoracic Lymphadenopathy in Patients with Extrathoracic Malignancy:

Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration for the Diagnosis of Intrathoracic Lymphadenopathy in Patients with Extrathoracic Malignancy:
Transbronchial Biopsy Needle Rinse Solution Used for Comprehensive Biomarker Testing in Patients with Lung Cancer  Yuichi Sakairi, MD, PhD, Kenichi Sato,

Transbronchial Biopsy Needle Rinse Solution Used for Comprehensive Biomarker Testing in Patients with Lung Cancer  Yuichi Sakairi, MD, PhD, Kenichi Sato,
Ribonucleic Acid Microarray Analysis From Lymph Node Samples Obtained by Endobronchial Ultrasonography-Guided Transbronchial Needle Aspiration  Takahiro.

Ribonucleic Acid Microarray Analysis From Lymph Node Samples Obtained by Endobronchial Ultrasonography-Guided Transbronchial Needle Aspiration  Takahiro.
Endoscopic ultrasound-guided fine needle aspiration and endobronchial ultrasound- guided transbronchial needle aspiration: Are two better than one in mediastinal.

Endoscopic ultrasound-guided fine needle aspiration and endobronchial ultrasound- guided transbronchial needle aspiration: Are two better than one in mediastinal.
Electronic Updates for JTO Readers

Electronic Updates for JTO Readers
Hedgehog Signaling Pathway and Lung Cancer

Hedgehog Signaling Pathway and Lung Cancer
How I Do It—Optimal Methodology for Multidirectional Analysis of Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration Samples  Takahiro Nakajima,

How I Do It—Optimal Methodology for Multidirectional Analysis of Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration Samples  Takahiro Nakajima,

Similar presentations

Ads by Google