RP EBUS as a guide for transbronchial pulmonary biopsy in the diagnosis of organizing pneumonia
Diffuse parenchymal lung diseases (DPLDs) include a wide variety of manifestations characterized by different degrees of inflammation and fibrosis with various patterns of secondary lobule alterations, such that the diagnosis often requires histopathological confirmation in addition to clinical and radiological data. Radial probe endobronchial ultrasonography (RP EBUS) can be used as a guide for transbronchial pulmonary biopsy (TBPB) to obtain tissue samples, and thus can be a useful tool in the diagnostic management of peripheral pulmonary lesions. Organizing pneumonia (OP) is a particular type of DPLD characterized by lung inflammation and scarring that obstruct the small airways and air sacs of the lung. In this study, we describe how and when RP EBUS can be used to guide TBPB and significantly help in the diagnosis of OP.
British Thoracic Society. The diagnosis, assessment and treatment of diffuse parenchimal lung diseases in adults. Thorax 1999; 54 (S1): S1 – S28.
American Thoracic Society/European Respiratory Society. International Multidisciplinary Consensus Classification of the Idiopathic Interstitial Pneumonias. Am J Respir Crit Care Med 2002; 165: 277 – 304.
Herth FJ, Ernst A, Becker HD. Endobronchial ultrasound-guided transbronchial lung biopsy in solitary pulmonary nodules and peripheral lesions. Eur Respir J 2002; 20: 972 – 4.
Kim EJ, and Kim KC. Utility of Radial Probe Endobronchial Ultrasound-Guided Transbronchial Lung Biopsy in Diffuse Lung Lesions. Tuberc Respir Dis 2019; 82: 201 – 2010.
Lazor R. Organizing Pneumonias. In: Cottin V, Cordier JF, Richeldi L eds. Orphan Lung Diseases. A Clinical Guide to Rare Lung Disease. Springer Verlag London 2015; 363 – 378.
Raj R, Raparia K, Lynch DA, and Brown KK. Surgical Lung Biopsy for Interstitial Lung Diseases. Chest 2017; 151(5): 1131 – 1140.
Hutchinson JP, Fogarty AW, McKeever TM, Hubbard RB. In hospital mortality after surgical lung biopsy for interstitial lung disease in the United States. 2000 to 2011. Am J Respir Crit Care Med 2016; 193(10):1161 – 1167.
Izumo T, Sasada S, Chavez C, Matsumoto Y and Tsuchida T. Radial endobronchial ultrasound images for ground-glass opacity pulmonary lesions. Eur Respir J 2015; 45: 1661 – 1668.
Sasada S, Izumo T, Chavez C, Tsuchida T: Blizzard Sign as a specific endobronchial ultrasound image for ground glass opacity: A case report. Respiratory Medicine Case Reports 12 2014; 19 – 21.
Ali MS, Trick W, Mba BI, Mohananey D, Sethi J, Musani AI. Radial endobronchial ultrasound for the diagnosis of peripheral pulmonary lesions: a systematic review and metaanalysis. Respirology 2017; 22: 443 – 453.
Poletti V, Chilosi M, Olivieri D. Diagnostic Invasive Procedures in Diffuse Infiltrative Lung Diseases. Respiration 2004;71:107 – 119.
Gupta A, Youness H, Dhillon SS, Harris K. The value of using radial endobronchial ultrasound to guide transbronchial lung cryobiopsy. J Thorac Dis 2019; 11(1):329 – 334.
Kurimoto N, Miyazawa T, Okimasa S, Maeda A, Oiwa H, Miyazu Y and Murayama M. Endobronchial Ultrasonography Using a Guide Sheath Increases the Ability To Diagnose Peripheral Pulmonary Lesions Endoscopically. Chest 2004; 126: 959 – 965.
Kurimoto N, Murayama M, Yoshioka S, and Nishisaka T. Analysis of the Internal Structure of Peripheral Pulmonary Lesions Using Endobronchial Ultrasonography Chest 2002; 122:1887 – 1894.
Gasparini S, Ferretti M, Secchi EB, Baldelli S, Zuccatosta L, Gusella P. Integration of transbronchial and percutaneous approach in the diagnosis of peripheral pulmonary nodules or masses: experience with 1,027 consecutive cases. Chest 1995; 108:131 – 137.
Chung YH, Lie CH, Chao TY, Wang YH, Lin AS, Wang JL, Lin MC. Endobronchial ultrasonography with distance for peripheral pulmonary lesions. Respir Med 2007;101: 738 - 745.
Yoshikawa M, Sukoh N, Yamazaki K, Kanazawa K, Fukumoto S, Harada M, Kikuchi E, Munukata M, Nishimura M, Isobe H: Diagnostic value of endobronchial ultrasonography with a guide sheath for peripheral pulmonary lesions without X‑ray fluoroscopy. Chest 2007; 131: 1788 – 1793.
Miao M, Yan L, Hou‑Rong C, Jing‑Jing D, Yong‑Sheng W, Yu‑Juan G, Jing‑Hong D, Qi Z, Yong‑Long X, Fan‑Qing M, Xiang‑Shan F, Li‑Yun M: Radial Probe Endobronchial Ultrasound‑guided Lung Biopsy for Histopathological Diagnosis of Cryptogenic Organizing Pneumonia. Chin Med J 2017; 130: 236 – 238.
Gnass M, Filarecka A, Pankowski J, Soja J, Bugalho A, Szlubowski A: Transbronchial lung cryobiopsy guided by endobronchial ultrasound radial miniprobe in interstitial lung diseases: preliminary results of a prospective study. Polish Archives of Internal Medicine 2018; 128 (4): 259 – 262.
Led Zeppelin: Stairway to heaven. Led Zeppelin IV; 1969.
Talking Heads: Road to nowhere. Little Creatures; 1985.
The Beatles: The long and winding road. Let it Be; 1970.
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