Image-Guided System for Radial-Probe Endobronchial Ultrasound Bronchoscopy

Wennan Zhao, Danish Ahmad, Jennifer Toth, Rebecca Bascom, William E. Higgins

Research output: Chapter in Book/Report/Conference proceedingConference contributionpeer-review

2 Scopus citations

Abstract

During the diagnosis of peripheral pulmonary lesions (PPLs), radial-probe endobronchial ultrasound (RP-EBUS) is often used in combination with bronchoscopy to visualize extraluminal structures and confirm lesion sites. However, due to the steep learning curve, a physician's ability to use RP-EBUS varies greatly in practice. On another front, image-guided bronchoscopy systems are now commonly used to assist with bronchoscopy planning and guidance.1 A procedure plan is first generated from the patient's CT scan consisting of airway routes leading to each target lesion. Next, during live bronchoscopy, the system helps navigate the bronchoscope along the preplanned airway route close to the target lesion. However, there is no direct modality linkage and guidance between RP-EBUS and the guidance system during image-guided bronchoscopy. We now propose a multimodal image-guided methodology for guiding RP-EBUS consisting of two parts: 1) a CT-based procedure planning method that enables optimal RP-EBUS invocation, localization, preview, and RP-EBUS video simulation. 2) an intra-operative guidance system tailored to RP-EBUS localization of PPLs. We present results demonstrating the proposed system.

Original languageEnglish
Title of host publicationMedical Imaging 2022
Subtitle of host publicationImage-Guided Procedures, Robotic Interventions, and Modeling
EditorsCristian A. Linte, Jeffrey H. Siewerdsen
PublisherSPIE
ISBN (Electronic)9781510649439
DOIs
StatePublished - 2022
EventMedical Imaging 2022: Image-Guided Procedures, Robotic Interventions, and Modeling - Virtual, Online
Duration: Mar 21 2022Mar 27 2022

Publication series

NameProgress in Biomedical Optics and Imaging - Proceedings of SPIE
Volume12034
ISSN (Print)1605-7422

Conference

ConferenceMedical Imaging 2022: Image-Guided Procedures, Robotic Interventions, and Modeling
CityVirtual, Online
Period03/21/2203/27/22

Keywords

  • Bronchoscopy
  • image-guided bronchoscopy
  • lung cancer
  • radial probe endobronchial ultrasound (RP-EBUS)
  • virtual bronchoscopy (VB)

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