Respiratory Endoscopy by Takehiro Izumo, Shinji Sasada, Tomohiko Aso, Kazuko Nasu,

By Takehiro Izumo, Shinji Sasada, Tomohiko Aso, Kazuko Nasu, Yasuaki Arai, Christine Chavez

This e-book offers a close evaluate of the most recent concepts in respiration endoscopy, from either diagnostic and healing views; every one bankruptcy makes a speciality of one illness and the thoughts for early prognosis in addition to remedy. It comprehensively covers therapy and approaches, together with simultaneous X-ray fluoroscopy and its use in the course of bronchoscopic systems. This fast-developing know-how is vital for the scientific administration of non-malignant and malignant illnesses of the chest, specifically lung melanoma. respiration Endoscopy describes the cooperation among all of the participants of the healthcare workforce, and as such is a precious source not just for scientific employees, but additionally for radiological technicians and nursing employees who give a contribution considerably within the care of the sufferers present process those invasive tactics. by way of selling teamwork and offering sensible knowledge, it's going to increase the luck and protection of respiration endoscopy procedures.

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Nagasawa • Y. jp © Springer Science+Business Media Singapore 2017 T. Izumo et al. 1007/978-981-287-916-5_6 33 34 H. Nagasawa and Y. Kouno Fig. 1 Two-dimensional axial computed tomography image Fig. 2 Virtual Bronchoscopy and Its Use The user can follow the path of the bronchoscope on a navigation map. Zooming in and out on the map can be done with ease. The navigation map may reduce the difference between novices and skilled physicians on their techniques, such as the duration of bronchoscopy, contact with airway wall, etc.

2. Focus on the target branch in the adjusted CT image (Fig. 2). 8 Identification of the Involved Bronchus to Peripheral Pulmonary Lesions… 49 Fig. 1 Reverse the image horizontally if a lesion is located in the left lower lobe Fig. 3 Manual Drawing of Virtual Bronchoscopy View 1. Draw the peripheral bronchial branches of the target branch (Fig. 3). 2. If the resulting drawing of the bifurcation is not located in the center, rotate the orientation of the virtual bronchoscopy view (Fig. 4). 50 T.

Changing the orientation of the CT images will enable easy reconstruction of the endobronchial branches. 1 Indications When performing transbronchial biopsy of focal peripheral lung lesions, it is essential to review the CT images and identify the involved bronchi beforehand. Otherwise, nonspecific searching for the bronchial branch that will lead to the target would prolong procedure time and may cause unwanted bronchial damage. 2 Preparation • CT images with slice thickness of 2 mm or less and reconstructed seamlessly from the target lesion to the lobar bronchus • Workstation or any image viewer • Pencil and paper T.

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