Use of videobronchoscopic narrow band imaging compared with white light in diagnosing some bronchopulmonary diseases
| Autor: | A. Abdallah, Suzan Mohamed Farouk Helal, Ehab M. Atta, Amr M. I. Yehya, Rasha Daabis |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
videobronchoscopy peripheral lung mass 03 medical and health sciences 0302 clinical medicine White light Medicine Narrow band imaging (NBI) Lung cancer bronchopulmonary diseases Pathological lcsh:RC705-779 Lung business.industry lcsh:Medical emergencies. Critical care. Intensive care. First aid lcsh:Diseases of the respiratory system lcsh:RC86-88.9 medicine.disease lung cancer Chronic cough medicine.anatomical_structure 030228 respiratory system Bronchopulmonary diseases histopathology 030211 gastroenterology & hepatology Histopathology Radiology medicine.symptom Airway business |
| Zdroj: | The Egyptian Journal of Bronchology, Vol 12, Iss 1, Pp 83-91 (2018) |
| ISSN: | 2314-8551 1687-8426 |
| DOI: | 10.4103/ejb.ejb_12_17 |
| Popis: | Objective Narrow band imaging (NBI) videobronchoscopy is an advanced technique aiming at obvious mucosal vasculature detection. This study investigated its role in diagnosing some bronchopulmonary diseases, compared with white light videobronchoscopy (WLB). Methods In this study, we evaluated 30 patients presenting with different bronchopulmonary diseases and 15 controls presenting with chronic cough for at least 3 months. Full airway examination was done by fiberoptic bronchoscopy first under WLB then under NBI. Multiple biopsies were taken from susceptible lesions; pathological interpretation was performed. Results In the present study, the most frequent presentations in CT scan in group A were lung masses in 16 patients. Endobronchial masses were detected in 8 patients by both WLB and NBI, all (100%) were pathologically positive by NBI compared to 7 patients (87.5%) by WLB. Eight patients were presented with peripheral masses, 4 patients (50%) were pathologically positive while none of them (0%) was positive by WLB samples. NBI showed better sensitivity and accuracy in comparison to WLB (100% and 90.0% in NBI and 52.94% and 63.33% in WLB respectively), with similar specificity (76.92%). Conclusions NBI is a safe and effective modality that can be used in combination with WLB to improve the in diagnosis of different bronchopulmonary disorders particularly lung cancer. It proved to be more sensitive and accurate than WLB alone. NBI could have a better diagnostic yield than WLB for lung cancer especially in peripheral lung masses. NBI is useful for characterization of vascular pattern of malignant lesions of the bronchial mucosa. |
| Databáze: | OpenAIRE |
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