Cone Beam CT Guided Robotic Navigational Bronchoscopy
NCT05358041 · Status: UNKNOWN · Type: OBSERVATIONAL · Enrollment: 200
Last updated 2022-05-03
Summary
Navigational bronchoscopy (NB) is used to access peripheral and central parenchymal lung lesions via endobronchial and transbronchial approach. Currently there are multiple platforms available to provide guidance to reach the peripheral and central lesions in the lung which are inaccessible via traditional video bronchoscopy. Traditionally NB is done under fluoroscopic guidance using C-arm but with development of Cone Beam CT and 3D reconstruction technology, fluoroscopy can be enhanced to much higher resolution and can also provide real time 3D augmentation of the lesion. It also enables the user to obtain a CT of the Chest to confirm the real time location of the lesion and the bronchoscopic biopsy catheter and instruments. This has proven to improve the yield and sensitivity of Navigational bronchoscopic guided Biopsy of the lung nodules and masses. Out of the various navigational platforms we have, most of them are based on Electromagnetic guidance and some on Shape sensing technology. Some of the platforms have fixed angle catheter while the newer robotic platforms have articulating catheters with much more range of motion. So far we do not have any data directly comparing the diagnostic yield of Electromagnetic navigational bronchoscopy with Robotic shape sensing guided bronchoscopy while using Cone Beam CT and Augmented fluoroscopy with both the platforms. With my study, I want to examine the change in diagnostic yield and sensitivity of fixed angle ENB guided bronchoscopy and articulating robotic shape sensing bronchoscopy both using Cone Beam CT with 3D reconstruction.
Conditions
- Lung Nodule
- Lung Mass
- Lung Cancer
Interventions
- DEVICE
-
Robotic Bronchoscopy
Replace the Super-D EMN navigational platform with Ion Robotic bronchoscopy platform guided with shape sensing technology
Sponsors & Collaborators
-
Columbus Regional Health
lead OTHER
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2021-11-03
- Primary Completion
- 2022-11-03
- Completion
- 2022-11-03
Countries
- United States
Study Locations
More Related Trials
-
Electromagnetic Navigational Bronchoscopy Vs. Transthoracic Needle Biopsy for the Sampling of Peripheral Lung Nodules
NCT02651506 ·Status: WITHDRAWN ·Phase: PHASE2
-
Bronchoscopic Navigation Robot-guided Dye Marking-assisted Thoracoscopic Pulmonary Nodule Resection
NCT06821451 ·Status: RECRUITING ·Phase: NA
-
Added Value of Cone Beam CT Guidance to Electromagnetic Navigation Bronchoscopy for the Diagnosis of Pulmonary Nodule.
NCT05257382 ·Status: COMPLETED ·Phase: NA
-
Confocal Laser Endomicroscopy Nodule Localization by Robotic Bronchoscopy
NCT05231278 ·Status: COMPLETED ·Phase: NA
-
AI-Assisted Bronchoscopy Navigation and Diagnostic System for Severe Pneumonia: A Multicenter Prospective Study
NCT07230431 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
nCLE For Diagnosis Of Peripheral Lung Nodules By Robotic Navigational Bronchoscopy
NCT04441749 ·Status: UNKNOWN
-
Virtual Bronchoscopic Navigation to Increase Diagnostic Yield in Patients With Pulmonary Nodules
NCT05383105 ·Status: RECRUITING
-
Comparative Performance of Robotic, Electromagnetic Navigation and Fluoroscopy Drives Optimal Diagnostic Strategy for Peripheral Pulmonary Lesions
NCT06701448 ·Status: COMPLETED ·Phase: NA
-
ENB Vs. Conventional Bronchoscopy With Fluoroscopy for Safe and Effective Biopsy of Pulmonary Lesions
NCT04447482 ·Status: UNKNOWN ·Phase: NA
-
Robotic Bronchoscopy for Peripheral Pulmonary Lesions
NCT03727425 ·Status: COMPLETED ·Phase: NA
-
RAB Versus Ultrathin Bronchoscopy With VBN in the Diagnosis of PPNs
NCT06962436 ·Status: RECRUITING ·Phase: NA
-
NAVIGATE: Clinical Evaluation of superDimension™ Navigation System for Electromagnetic Navigation Bronchoscopy™
NCT02410837 ·Status: COMPLETED
-
Evaluation of the LungPoint Virtual Bronchoscopic Navigation (VBN) System
NCT01067755 ·Status: UNKNOWN
-
Study Using Combined Virtual 4-D Electromagnetic (EM) Tip-Tracked Devices & EBUS in Diagnosis of Lung Nodules
NCT01947530 ·Status: COMPLETED ·Phase: NA
-
Application of Three-Dimensionally Printed Navigational Template in Lung Biopsy
NCT04775901 ·Status: UNKNOWN ·Phase: NA
-
The Effectiveness and Safety of Electromagnetic Navigation Real-time Guided Percutaneous Lung Biopsy
NCT05799014 ·Status: UNKNOWN ·Phase: NA
-
Image - Navigated Resection of Lung Nodules
NCT04702165 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Bronchoscopy Assisted by Electromagnetic Navigation (EMN) in the Diagnosis of Small Pulmonary Nodules
NCT01779388 ·Status: COMPLETED ·Phase: NA
-
Navigated EBUS and Functional Imaging in Lung Cancer
NCT02745002 ·Status: COMPLETED ·Phase: NA
-
Pilot Study of Navigational Bronchoscopy and Transthoracic Needle Biopsy
NCT02109458 ·Status: COMPLETED ·Phase: NA
-
A Real-World Case Study Evaluating the Efficacy and Safety of RBS Cryobiopsy
NCT06832930 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Confocal Laser Endomicroscopy Guided Cryobiopsy in the Diagnosis of Interstitial Lung Disease
NCT06741826 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Radial-Probe Endobronchial Ultrasound in Detecting Atelectasis in Patients Undergoing Peripheral Bronchoscopy
NCT03523689 ·Status: COMPLETED
-
Combined Application of EBUS and EUS in Lung Cancer
NCT01385111 ·Status: COMPLETED ·Phase: NA
-
Transbronchial Lung Biopsy Guided by ENB
NCT03628222 ·Status: COMPLETED ·Phase: NA