Cone beam navigation bronchoscopy: the next frontier

George Z Cheng; Lihua Liu; Matthew Nobari; Russell Miller; Momen Wahidi

doi:10.21037/jtd.2020.03.85

Cone beam navigation bronchoscopy: the next frontier

J Thorac Dis. 2020 Jun;12(6):3272-3278. doi: 10.21037/jtd.2020.03.85.

Authors

George Z Cheng¹, Lihua Liu^{2

3}, Matthew Nobari¹, Russell Miller^{1

4}, Momen Wahidi²

Affiliations

¹ Division of Pulmonary, Critical Care, and Sleep Medicine, University of California San Diego, La Jolla, CA, USA.
² Division of Pulmonary, Allergy, and Critical Care Medicine, Duke University Hospital, Durham, CA, USA.
³ Division of Pulmonary and Critical Care Medicine, First Affiliated Hospital, Guangxi Medical University, Nanning 530021, China.
⁴ Department of Pulmonary and Critical Care, Naval Medical Center San Diego, San Diego, CA, USA.

Abstract

Navigation bronchoscopy has reached a new horizon in its evolution. Combining with real-time imaging modalities, such as cone-beam computed tomography (CBCT) and augmented fluoroscopy (AF), navigation success can finally be confirmed with high degree of accuracy in real-time. With utilization of this modality, additional clinical observations are being made to help address the CT-body divergence problem and further improve navigation accuracy. This review focuses on description of CBCT navigation technique, provide tips on addressing CT-Body divergence, and review evidence for CBCT applications in navigation bronchoscopy.

Keywords: Cone-beam computed tomography (CBCT); augmented fluoroscopy (AF); navigation bronchoscopy.

Publication types

Review