Endobronchial Ultrasound

Endobronchial ultrasound has received explosive attention amongst pulmonologists, thoracic surgeons and gastroenterologists and the procedure is increasingly being performed. Even though the technology has been in use for over 10 years, technical modifications have just recently lead to the ability for near ubiquitous use. The editors and contributors have all been active in the field for years, are well published and certainly are considered opinion leaders and well-traveled teachers, having offered many courses in bronchoscopy and endobronchial ultrasound.

This high-yield reference book focuses on the clinical, technical, and pathological aspects of endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA). Its reviews cover all aspects of EBUS-TBNA, including the clinical perspective, technical aspects of the procedure, and cytomorphology of common and uncommon entities, as well as highlights diagnostic challenges. Each chapter features a multitude of full-color high-resolution images and includes key references to the current literature in the field. Additionally, reference tables and informative figures highlight the salient points. The book is unique in that it is written by experienced thoracic surgeons, pulmonary medicine physicians, and cytopathologists who use EBUS-TBNA in a large medical center. This publication is of interest to individuals learning and practicing cytopathology, in addition to clinicians practicing pulmonary/thoracic medicine or surgery. In short, it provides important pearls of wisdom to create a comprehensive reference for all physicians involved with EBUS-TBNA.

Endobronchial ultrasonography (EBUS) is an exciting new diagnostic tool that has added significantly to the diagnosis and staging of lung cancer and other thoracic diseases. This book is co-authored by one of the technology's pioneers and will help the reader to use EBUS to diagnose and stage lung cancer and a variety of different tumours of the chest region. Endobronchial Ultrasonography covers all of the standard techniques and the new developments involved in EBUS as it combines two common procedures, bronchoscopy and real-time ultrasonography. This allows physicians to obtain precise biopsies of lymph nodes and masses within the chest cavity. Over 250 high quality colour digital images are featured throughout the book to illustrate the different applications of EBUS, complemented by specific case studies. This book is accompanied by a companion website featuring over 30 video clips cited in the text.

Endobronchial ultrasonography (EBUS) is an exciting and still developing diagnostic tool that has added significantly to the diagnosis and staging of lung cancer and other thoracic diseases. Co-authored by one of the technology's pioneers, this book helps the reader to use EBUS to diagnose and stage lung cancer and a variety of different tumours of the chest region. The second edition of Endobronchial Ultrasonography covers all of the standard techniques and the very latest developments and guidelines involved in EBUS, combining two common procedures, bronchoscopy and real-time ultrasonography, allowing physicians to obtain precise biopsies of lymph nodes and masses within the chest cavity.

This issue of Chest Medicine Clinics focuses on Interventional Pulmonology, with topics including: Flexible bronchoscopy; Radiology for mediastinal lymph node station in lung cancer diagnosis and staging; Lung cancer screening; Early lung cancer detection; Palliative care and interventional pulmonology; Anesthesia for flexible and rigid bronchoscopy; Mediastinal and pulmonary pathology: Specimen collection and processing; Bronchial Thermoplasty: A nonpharmacological therapy for severe asthma; Bronchoscopic lung volume reduction; Malignant pleural effusion: From diagnostics to therapeutics; Intrapleural therapeutics; Percutaneous dilational tracheostomy; Tracheobronchial stenosis and Tracheobroncho malacia: diagnostic and therapeutic dilemmas; Pediatric interventional pulmonology; The Business of Bronchoscopy: How to set up an Interventional Pulmonology Program; Bronchoscopic therapies for peripheral lung malignancies; and Bronchial Thermoplasty: A nonpharmacological therapy for severe asthma.

This book introduces basic ROSE techniques and resources required to set up ROSE service. It reviews the cytomorphologic features that are recognizable during ROSE, including those important for sample adequacy, specimen triage, preliminary interpretation, and potential diagnostic pitfalls. Economic and regulatory aspects are discussed as well as the pros and cons of telecytology. The book is formatted for clinical settings, simulating the ROSE process that occurs in the ultrasound room, CT room, bronchoscopy suite, and endoscopy suite. Each chapter focuses on the cytomorphologic clues and pitfalls of the entities specific to that clinical setting. Rapid On-Site Evaluation: A Practical Guide will be a valuable resource for pathologists, cytotechnologists, physicians who perform biopsies and/or ROSE evaluation, and trainees for utilizing ROSE and improving diagnostic performance of biopsies.

This book covers all aspects of diagnostic and therapeutic bronchoscopy, which go beyond the techniques of inspection, simple lavage and biopsies of the tracheobronchial tree. In a first section, historical aspects as well as the modern use of both rigid and flexible instruments, the set-up of a bronchoscopy unit, anaesthetic techniques, and functional evaluation for patients undergoing interventional bronchoscopy are discussed. A diagnostic section on transbronchial needle aspiration and bronchoscopic ultrasound is followed by extensive coverage of all existing therapeutic techniques: foreign body removal, laser resection, electrocautery, argon plasma coagulation, cryotherapy, brachytherapy, photodynamic therapy, stenting, and a chapter on multi-modality treatment of advanced pulmonary malignancies. A fourth section deals with percutaneous image-guided procedures, percutaneous dilatational tracheostomy, and transtracheal oxygen therapy. The last section provides an in-depth look at emerging bronchoscopic technology, such as autofluorescence, virtual bronchoscopy, and gene therapy. Written by the world's leading authorities in the field and beautifully illustrated, this book presents the state of the art of interventional bronchoscopy. It is recommended reading for pulmonologists, thoracic or ENT surgeons, oncologists and physicians who take an interest in bronchoscopy.

A comprehensive and unique review of the bronchoscopy, equipment and quality improvement fundamentals.

This competency program addresses course organization, ultrasound physics, EBUS equipment and instrumentation, mediastinal exploration and staging, radiography- bronchoscopy correlations, image analysis, tumor markers, specimen handling, team dynamics and communication, and EBUS-related techniques. We provide validated assessment tools, simulation exercises, examples of practical approach case studies, and checklists to help assure patient and equipment safety.

This book provides a detailed overview of the latest innovations in respiratory endoscopy, from both diagnostic and therapeutic perspectives; each chapter focuses on one disease and the techniques for early diagnosis as well as treatment. It comprehensively covers treatment and procedures, including simultaneous X-ray fluoroscopy and its use during bronchoscopic procedures. This fast-developing technology is essential for the medical management of non-malignant and malignant diseases of the chest, especially lung cancer. Respiratory Endoscopy describes the cooperation between all the members of the healthcare team, and as such is a valuable resource not only for medical staff, but also for radiological technicians and nursing staff who contribute significantly in the care of the patients undergoing these invasive procedures. By promoting teamwork and providing practical know-how, it will improve the success and safety of respiratory endoscopy procedures.