Multi-Dimensional Display of Wang’s Lymph Node Map Using Virtual Bronchoscopic Navigation System

Fen Lan; Yaling Yue; Hong Shen; Hui Shen; Qiyuan Wang; Xiujing Yu; Laijuan Chen; Qin Li; Kopen Wang; Qinghua Liu; Yang Xia

doi:10.3389/fmolb.2021.679442

Multi-Dimensional Display of Wang’s Lymph Node Map Using Virtual Bronchoscopic Navigation System

Fen Lan, Yaling Yue, Hong Shen, Hui Shen, Qiyuan Wang, Xiujing Yu, Laijuan Chen, Qin Li, Kopen Wang, Qinghua Liu, Yang Xia

School of Medicine

Research output: Contribution to journal › Article › peer-review

Abstract

Background: Transbronchial needle aspiration (TBNA) is a classical technique for diagnosing mediastinal-hilar lymph node enlargement. However, the diagnostic value of conventional TBNA (cTBNA) is limited in small lymph nodes. Methods: Here, we generated an innovative multi-dimensional virtual lymph node map on top of Wang’s lymph node map using a Lungpoint Virtual Bronchoscopic Navigation System. Results: The virtual bronchoscopic navigation (VBN) system was combined with computed tomography (CT) images to generate extrabronchial, endobronchial, sagittal, coronal as well as horizontal views of the 11 intrathoracic lymph node stations and their adjacent tissues and blood vessels. We displayed the specific puncture site of each lymph node station. The 11 stations were divided into four groups: right mediastinal stations, left mediastinal stations, central mediastinal stations and hilar stations. Conclusion: The VBN system provides a precise view of the intrabronchial landmarks, which may increase the diagnostic accuracy of intrathoracic lymph node adenopathy and assist bronchoscopists with practicing TBNA.

Original language	English (US)
Article number	679442
Journal	Frontiers in Molecular Biosciences
Volume	8
DOIs	https://doi.org/10.3389/fmolb.2021.679442
State	Published - Jun 7 2021

Keywords

TBNA
bronchoscopy
lymph node map
mediastinal-hilar lymph node
virtual navigation system

ASJC Scopus subject areas

Biochemistry, Genetics and Molecular Biology (miscellaneous)
Molecular Biology
Biochemistry

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10.3389/fmolb.2021.679442

Cite this

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title = "Multi-Dimensional Display of Wang{\textquoteright}s Lymph Node Map Using Virtual Bronchoscopic Navigation System",

abstract = "Background: Transbronchial needle aspiration (TBNA) is a classical technique for diagnosing mediastinal-hilar lymph node enlargement. However, the diagnostic value of conventional TBNA (cTBNA) is limited in small lymph nodes. Methods: Here, we generated an innovative multi-dimensional virtual lymph node map on top of Wang{\textquoteright}s lymph node map using a Lungpoint Virtual Bronchoscopic Navigation System. Results: The virtual bronchoscopic navigation (VBN) system was combined with computed tomography (CT) images to generate extrabronchial, endobronchial, sagittal, coronal as well as horizontal views of the 11 intrathoracic lymph node stations and their adjacent tissues and blood vessels. We displayed the specific puncture site of each lymph node station. The 11 stations were divided into four groups: right mediastinal stations, left mediastinal stations, central mediastinal stations and hilar stations. Conclusion: The VBN system provides a precise view of the intrabronchial landmarks, which may increase the diagnostic accuracy of intrathoracic lymph node adenopathy and assist bronchoscopists with practicing TBNA.",

keywords = "TBNA, bronchoscopy, lymph node map, mediastinal-hilar lymph node, virtual navigation system",

author = "Fen Lan and Yaling Yue and Hong Shen and Hui Shen and Qiyuan Wang and Xiujing Yu and Laijuan Chen and Qin Li and Kopen Wang and Qinghua Liu and Yang Xia",

note = "Funding Information: This work was supported by the National Natural Science Foundation of China (81870022) and the Zhejiang Provincial Natural Science Foundation (LY20H010004). Publisher Copyright: {\textcopyright} Copyright {\textcopyright} 2021 Lan, Yue, Shen, Shen, Wang, Yu, Chen, Li, Wang, Liu and Xia.",

year = "2021",

month = jun,

day = "7",

doi = "10.3389/fmolb.2021.679442",

language = "English (US)",

volume = "8",

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TY - JOUR

T1 - Multi-Dimensional Display of Wang’s Lymph Node Map Using Virtual Bronchoscopic Navigation System

AU - Lan, Fen

AU - Yue, Yaling

AU - Shen, Hong

AU - Shen, Hui

AU - Wang, Qiyuan

AU - Yu, Xiujing

AU - Chen, Laijuan

AU - Li, Qin

AU - Wang, Kopen

AU - Liu, Qinghua

AU - Xia, Yang

N1 - Funding Information: This work was supported by the National Natural Science Foundation of China (81870022) and the Zhejiang Provincial Natural Science Foundation (LY20H010004). Publisher Copyright: © Copyright © 2021 Lan, Yue, Shen, Shen, Wang, Yu, Chen, Li, Wang, Liu and Xia.

PY - 2021/6/7

Y1 - 2021/6/7

N2 - Background: Transbronchial needle aspiration (TBNA) is a classical technique for diagnosing mediastinal-hilar lymph node enlargement. However, the diagnostic value of conventional TBNA (cTBNA) is limited in small lymph nodes. Methods: Here, we generated an innovative multi-dimensional virtual lymph node map on top of Wang’s lymph node map using a Lungpoint Virtual Bronchoscopic Navigation System. Results: The virtual bronchoscopic navigation (VBN) system was combined with computed tomography (CT) images to generate extrabronchial, endobronchial, sagittal, coronal as well as horizontal views of the 11 intrathoracic lymph node stations and their adjacent tissues and blood vessels. We displayed the specific puncture site of each lymph node station. The 11 stations were divided into four groups: right mediastinal stations, left mediastinal stations, central mediastinal stations and hilar stations. Conclusion: The VBN system provides a precise view of the intrabronchial landmarks, which may increase the diagnostic accuracy of intrathoracic lymph node adenopathy and assist bronchoscopists with practicing TBNA.

AB - Background: Transbronchial needle aspiration (TBNA) is a classical technique for diagnosing mediastinal-hilar lymph node enlargement. However, the diagnostic value of conventional TBNA (cTBNA) is limited in small lymph nodes. Methods: Here, we generated an innovative multi-dimensional virtual lymph node map on top of Wang’s lymph node map using a Lungpoint Virtual Bronchoscopic Navigation System. Results: The virtual bronchoscopic navigation (VBN) system was combined with computed tomography (CT) images to generate extrabronchial, endobronchial, sagittal, coronal as well as horizontal views of the 11 intrathoracic lymph node stations and their adjacent tissues and blood vessels. We displayed the specific puncture site of each lymph node station. The 11 stations were divided into four groups: right mediastinal stations, left mediastinal stations, central mediastinal stations and hilar stations. Conclusion: The VBN system provides a precise view of the intrabronchial landmarks, which may increase the diagnostic accuracy of intrathoracic lymph node adenopathy and assist bronchoscopists with practicing TBNA.

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KW - bronchoscopy

KW - lymph node map

KW - mediastinal-hilar lymph node

KW - virtual navigation system

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Multi-Dimensional Display of Wang’s Lymph Node Map Using Virtual Bronchoscopic Navigation System

Abstract

Keywords

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