Endobronchial Ultrasonography

Noriaki Kurimoto; Teruomi Miyazawa

doi:10.1055/s-2004-832715

Seminars in Respiratory and Critical Care Medicine, Table of Contents

Semin Respir Crit Care Med 2004; 25(4): 425-431
DOI: 10.1055/s-2004-832715

Endobronchial Ultrasonography

Noriaki Kurimoto¹ , Teruomi Miyazawa² ^, ³

¹Department of Thoracic Surgery, National Hiroshima Hospital, Hiroshima, Japan
²Department of Pulmonary Medicine, Hiroshima City Hospital, Hiroshima, Japan
³Department of Internal Medicine, University of Hiroshima School of Medicine, Hiroshima, Japan

Abstract

Endobronchial ultrasonography (EBUS) allows visualization of the tracheobronchial tree with real-time ultrasound and permits visualization of the internal structure of pulmonary lesions, which may narrow the differential diagnosis. The indications for EBUS are to (1) determine the depth of tumor invasion of tracheobronchial lesions, (2) define positional relationships with the pulmonary artery and veins and hilar structures and determine the extent of tumor invasion, (3) visualize paratracheal and peribronchial lymph nodes and metastatic lesions and enable EBUS-guided transbronchial needle aspiration (TBNA), and (4) localize and diagnose peripheral pulmonary lesions (benign or malignant). New and evolving applications of EBUS will increase the cost-effectiveness of EBUS in the diagnosis and treatment of thoracic diseases.

KEYWORDS

Endobronchial ultrasonography - transbronchial needle aspiration (TBNA) - depth of tumor invasion

Full Text

References

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Teruomi MiyazawaM.D. Ph.D.

Department of Pulmonary Medicine, Hiroshima City Hospital

7-33, Moto-machi, Naka-ku

Hiroshima, 730-8518 Japan

Email: miyazawt@carrot.ocn.ne.jp