Editor's Takeaway
This document serves as the definitive standard of care for interventional pulmonologists performing EBUS-TBNA for lung cancer staging.
The IP Wire
Advancing Diagnostic Precision in Peripheral Lung Nodules
The Evolution of Diagnostic Yield for Peripheral Lung Nodule Biopsies With Changes in Navigational Bronchoscopy Platforms, Tools, and Intraoperative Imaging Guidance demonstrates that the transition from electromagnetic navigation to robotic-assisted bronchoscopy (RAB) integrated with cone-beam computed tomography (CBCT) significantly elevates diagnostic yield through definitive tool-in-lesion confirmation. Concurrently, the Linear Endobronchial Ultrasound With a Lung Target: Analysis of the Stather Canadian Outcomes Registry for Chest Procedures (SCOPE) provides critical performance benchmarks for linear EBUS in peripheral targets, while The Effectiveness and Safety of Robotic-Assisted Bronchoscopy Across Diverse Patient Heights: A Subset Analysis of a Multicenter, Prospective, Observational Trial confirms that RAB maintains safety and efficacy profiles regardless of patient anthropometrics. Procedural environment quality is further addressed in Ambient Sound Pressure Levels in the Bronchoscopy Suite: Contrasting Flexible, Rigid, and Robotic-Assisted Bronchoscopy, which quantifies the acoustic burden associated with varying bronchoscopic modalities.
Editor's Top Pick: Evolution of Diagnostic Yield for Peripheral Lung Nodule Biopsies. This study provides the most significant practice-changing evidence by validating the synergy between robotic platforms and real-time CBCT, establishing a new standard for diagnostic accuracy in peripheral pulmonary lesions.
Optimizing Pleural and Parenchymal Interventions
Management of complex pleural disease is refined by Optimal Number of Pleural Biopsies During Pleuroscopy (OPTIBIOP), which defines the diagnostic threshold for tissue sampling, and Indwelling Pleural Catheter as a Safe and Convenient Alternative to Serial Thoracentesis for the Management of Hepatic Hydrothorax: A Retrospective Propensity-Matched Cohort Study, supporting IPCs as a viable, patient-centered alternative to repetitive drainage. In parenchymal disease, Transbronchial lung cryobiopsy in fibrotic hypersensitivity pneumonitis: prognostic differences and intra-lobar variability highlights the utility of cryobiopsy in characterizing interstitial lung disease, while Comparative Outcomes Based on Pre-Bronchoscopic Lung Volume Reduction (BLVR) Six-Minute Walk Distance (6MWD) establishes functional baseline metrics as predictors for BLVR success.
Latest Literature
View All Archives →Comparison of Procedural Safety and Diagnostic Yield Between Robotic-Assisted Bronchoscopy Platforms.
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Incidence and Outcomes of Post-Tuberculosis Airway Stenosis: A Population-Based Cohort Study.
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Artificial Intelligence in Interventional Pulmonology
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Contemporary Pulmonary Nodule Evaluation and Management in the U.S.: A Mixed Methods Study.
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To the Airway and Beyond: Introduction to an AJRCCM Special Section on Airway Disease.
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Provides high-level context on current and emerging airway disease management relevant to interventional pulmonologists.
Tool In Lesion- But Still Off Target: A Call of Concern for Lung Cancer Screening.
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Highlights ongoing limitations in targeting peripheral pulmonary lesions during screening and bronchoscopy.
Clearing the MIST: concurrent intrapleural tPA-DNase in pleural infection.
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Reinforces the evidence and efficacy of combined intrapleural fibrinolytic therapy for complex pleural infections and empyema.
Foreign Body Retrieval Using Robotic Bronchoscopy.
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Clinical Utility of Next Generation Sequencing in Concurrent EBUS-TBNA and Liquid Biopsies in NSCLC.
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Impact of comorbidities on endobronchial valve treatment response in severe emphysema patients.
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Pulmonary Alveolar Proteinosis in Greece–Türkiye–Cyprus: Answers in a Real‐Life Comparison
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Reinforces the role of Whole Lung Lavage (WLL) as the gold standard treatment for symptomatic PAP.
Trends in mortality involving coexisting lung cancer and sepsis in the United States: a CDC WONDER analysis, 1999-2024.
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Safety and efficacy of inhaled itraconazole in adults with asthma and allergic bronchopulmonary aspergillosis (PUR1900-ABPA): a randomized, double-blind, parallel group, placebo-controlled, multicenter, phase 2 trial.
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Evolving Lung Cancer Navigator Practice Through Targeted Professional Development: A Long-term Outcomes Analysis.
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Highlights the importance of multidisciplinary coordination in the IP lung cancer diagnostic pathway.
Rethinking pleural tuberculosis through the lens of cell-free DNA.
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Potential for molecular diagnostics to augment traditional pleural fluid analysis in undiagnosed exudative effusions.
Optimising response to immunotherapies in pleural mesothelioma: clinical data and alternative models for the evaluation of new strategies.
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Understanding the evolving landscape of mesothelioma treatment is essential for interventional pulmonologists managing pleural biopsies and indwelling pleural catheters.
Enhanced diagnosis of tuberculous pleurisy using a multiplex droplet digital PCR assay targeting circulating mycobacterial DNA.
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This novel diagnostic tool could significantly improve the yield of thoracentesis in patients with suspected tuberculous pleural effusions.
Association between corticosteroid exposure during chest-tube placement and pleurodesis failure in malignant pleural effusion: a retrospective analysis.
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Metered cryospray in patients with chronic bronchitis: a mechanistic randomised controlled study.
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Comparison of circulating tumor DNA assays for molecular residual disease detection in non-small cell lung cancer.
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Relevant to the diagnostic and monitoring pathway for lung cancer patients often managed by IP for biopsy and staging.
Trends in mortality with chronic obstructive pulmonary disease as the underlying cause and chronic kidney disease as a contributing cause among US adults, 1999-2020: a CDC WONDER analysis.
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Expectorated bronchial casts revealing lymphatic plastic bronchitis due to thoracic duct agenesis: case report.
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Cryobiopsy Reveals the Architectural Maturity of Tertiary Lymphoid Structures in Lung Cancer.
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Nasal Robotic-Assisted Bronchoscopy for Lung Abscess Drainage via Endobronchial Pigtail Catheter Under Monitored Anesthesia Care.
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Demonstrates a novel application of robotic platforms for targeted drainage of complex lung infections.
The efficacy-invasiveness trade-off: a retrospective cohort comparison of surgical operation and endobronchial valves for refractory lung bullae disease.
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Redefining ILD Diagnosis Through the Bronchoscope: Molecular and Imaging Innovations.
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Bronchoscopic evaluation of human airway surface liquid pH.
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Wearable-derived activity and physiological changes following pleural intervention in malignant pleural effusion.
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