New endobronchial ultrasound (EBUS) techniques

The article “Endobronchial ultrasound: minimally invasive technology to aid in the diagnosis of thoracic diseases”,⁽⁾ contributes to technical-diagnostic evolution of pulmonary lesions. Endobronchial ultrasound with a radial transducer enabled to perform cytopathological examination and transbronchial biopsy of small lung lesions. Bronchoscopic radial ultrasound and fluoroscopic images are usually combined procedures. The ability to target small peripheral lesions is technically complex due to the challenging localization of small airways in relation to lung lesions. For this reason, we began to perform the procedure in an interventional radiology suite, with the Philips Azurion angiograph by using image fusion software (Allura Clarity Philips, Netherlands) and cone beam tomography ( and ). In this way, we can perform roadmap navigation, and identify bronchial ramifications and the lesion ( to ). This technology allowed to reach smaller and more peripheral lesions, reduce radiation for patients and healthcare professionals, and make endobronchial intervention more accessible and less morbid.

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