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 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.

Pleural effusions, left and right heart dysfunction, mediastinal nodal pathology, and pulmonary embolism are just a few of the many thoracic diseases which can be diagnosed with the help of ultrasound techniques! Chest sonography has become an established procedure in the stepwise imaging diagnosis of pulmonary, cardiac, and pleural disease. It is the method of choice for many diseases and allows the investigator to make an unequivocal diagnosis without exposing the patient to costly and stressful procedures. This book, volume 37 in the well-known Progress in Respiratory Research series, presents the state of the art in clinical chest ultrasonography. As implied by its title, it covers all aspects of ultrasound involving the chest, at the same time differentiating between routine and emergency procedures. Basic elements such as indications, investigational techniques and imaging artifacts are detailed in separate chapters. The large number of excellent illustrations and the compact text provide concise and easy-to-assimilate information about the diagnostic procedure. Apart from the printed still pictures, the book comes with a complimentary online repository containing a variety of key videos. Each chapter presents an autonomous concise overview of indications, methods, diagnoses and pitfalls and can be used as a systematic review. It is written by leading experts as a guide by clinicians for clinicians and is a must for physicians, pulmonologists, intensivists, as well as all doctors with an interest in chest medicine.

This new edition offers comprehensive coverage of all areas of interventional pulmonology, a minimally invasive endoscopic method for diagnosing and treating lung disorders. The text is divided into eight sections on the major areas of interventional pulmonology, including basic endoscopy, lung cancer staging, and interventional bronschoscopy in asthma and emphysema. Chapters then explore specific procedures and techniques, including medical thoracoscopy, flexible and rigid bronchoscopy, endobronchial ultrasound, and electromagnetical navigation with coverage of history, indications and contraindications, and up-to-date evidence-based reviews. In recent years there have been many advances in interventional pulmonology, the most significant relating to lung cancer early diagnosis and late-stage treatment. Two new chapters on lung cancer epidemiologic changes and personalized lung cancer treatment explore new methods for maximizing patient care for an increasingly prevalent disease. This inclusive volume concludes with a look towards the future of interventional pulmonology and experimental techniques currently being tested. Interventions in Pulmonary Medicine, Second Edition, is a must have for pulmonologists, endoscopists, pulmonary oncologists, ENT physicians, thoracic surgeons, anesthesiologists, and intensive care specialists and their teams.

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 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.