Endobronchial Ultrasound Guided Biopsy in Respiratory Disease-Real-time Endobronchial Ultrasound GuidedTransbronchial Needle Aspiration
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概要
- 論文の詳細を見る
Endobronchial ultrasound (EBUS) guided biopsy in respiratory disease is a promising new modality. The radial probe EBUS has been used for the biopsy of peripheral lung lesions using the guide sheath. In addition, theradial probe EBUS guided TBNA has increased the yield of TBNA of mediastinal lymph nodes. However it is still not areal-time procedure with target visualization. To overcome these problems, a new convex probe endobronchial ultrasound (CP-EBUS) with ability to perform real-time EBUS guided TBNA (EBUS-TBNA) was developed. EBUS-TBNAcan be used for (a) lymph node staging in lung cancer patients; (b) diagnosis of intrapulmonary tumors; (c) diagnosisof unknown hilar and/or mediastinal lymphadenopathy; and (d) diagnosis of mediastinal tumors. A total of 161 procedures have been done using the CP-EBUS. In 98 patients with lung cancer or suspected lung cancer, EBUS-TBNA wasperformed to obtain samples from 121 lymph nodes. The sensitivity, specificity, and accuracy of EBUS-TBNA in distinguishing benign from malignant lymph nodes were 92.3%, 100%, and 93.9%, respectively. EBUS-TBNA of mediastinaltumors or mediastinal lymphadenopathy was successfully performed in 26 patients. The procedure was uneventful andthere were no complications. EBUS-TBNA is a novel approach that is safe and has a good diagnostic yield. This new ultrasound puncture bronchoscope has an excellent potential in assisting safe and accurate diagnostic interventionalbronchoscopy in respiratory diseases.
- 日本呼吸器内視鏡学会の論文
- 2004-12-25
著者
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SEKINE Yasuo
Department of Thoracic Surgery, Chiba University, Graduate School of Medicine
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IYODA Akira
Department of Thoracic Surgery, Chiba University, Graduate School of Medicine
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IIZASA Toshihiko
Department of Thoracic Surgery, Chiba University, Graduate School of Medicine
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FUJISAWA Takehiko
Department of Thoracic Surgery, Chiba University, Graduate School of Medicine
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YASUFUKU KAZUHIRO
Department of Surgery, Institute of Pulmonary Cancer Research, Chiba University School of Medicine
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Iyoda Akira
Department Of Thoracic Surgery Graduate School Of Medicine Chiba University
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Iyoda Akira
Department Of Basic Pathology Graduate School Of Medicine Chiba University
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Sekine Yasuo
Department Of Thoracic Surgery Graduate School Of Medicine Chiba University
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Sekine Yasuo
千葉大学 医学研究院胸部外科学
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SHIBUYA Kiyoshi
Department of Basic Pathology, Graduate School of Medicine, Chiba University
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OTSUJI MIZUTO
Department of Respiratory Surgery, Omiya Red Cross Hospital
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MOTOHASHI Shinichiro
Departments of Molecular Immunology, Graduate School of Medicine, Chiba University
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MORIYA Yasumitsu
Department of Thoracic Surgery, Graduate School of Medicine, Chiba University
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CHIYO Masako
Department of Thoracic Surgery, Graduate School of Medicine, Chiba University
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YASHIRO Tomoyasu
Department of Thoracic Surgery, Graduate School of Medicine, Chiba University
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Iwata Takekazu
Department of Thoracic Surgery, Graduate School of Medicine, Chiba University
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Yamaji Haruko
Department of Thoracic Surgery, Graduate School of Medicine, Chiba University
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Shibuya Kiyoshi
Department Of Thoracic Surgery Graduate School Of Medicine Chiba University
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Moriya Yasumitsu
Department Of Thoracic Surgery Graduate School Of Medicine Chiba University
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Saitoh Yukio
Department Of Thoracic Surgery Graduate School Of Medicine Chiba University
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Chiyo Masako
Department Of Thoracic Surgery Graduate School Of Medicine Chiba University
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Yamaji Haruko
Department Of Thoracic Surgery Graduate School Of Medicine Chiba University
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Otsuji Mizuto
Department Of Thoracic Surgery Graduate School Of Medicine Chiba University
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Otsuji Mizuto
Department Of Respiratory Surgery Omiya Red Cross Hospital
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Iwata Takekazu
Department Of Thoracic Surgery Graduate School Of Medicine Chiba University
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Fujisawa Takehiko
Department Of Thoracic Surgery Graduate School Of Medicine Chiba University
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Motohashi Shinichiro
Department Of Thoracic Surgery Graduate School Of Medicine Chiba University
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Motohashi Shinichiro
Department Of Immunology Graduate School Of Medicine Chiba University
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Fukushima Takanori
Dep. Of Neurosurgery Fukushima Takanori Memorial Hospital
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Iizasa Toshihiko
Department Of Thoracic Surgery Graduate School Of Medicine Chiba University
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Iwata Takekazu
Department Of Thoracic Surgery Chiba East Hospital
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Fujisawa Takehiko
Department Of Surgery Institute Of Pulmonary Cancer Research Chiba University School Of Medicine
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Saitoh Yukio
Department Of Thoracic Surgery Narita Red Cross Hospital
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Yasufuku Kazuhiro
Department Of Thoracic Surgery Chiba University Graduate School Of Medicine
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Shibuya Kiyoshi
Surgery Institute Of Pulmonary Cancer Research Chiba University School Of Medicine
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Yashiro Tomoyasu
Department Of Thoracic Surgery Graduate School Of Medicine Chiba University
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Moriya Yasumitsu
Department Of General Thoracic Surgery Graduate School Of Medicine Chiba University
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Moriya Yasumitsu
Department Of General Thoracic Surgery Chiba University Graduate School Of Medicine
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Yashiro Tomoyasu
Department of General Thoracic Surgery, Kimitsu-cho Hospital
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