A novel clip-on device for electromagnetic tracking in endobronchial ultrasound bronchoscopy.

The established method for assessment of mediastinal and hilar lymph nodes is endobronchial ultrasound bronchoscopy (EBUS) with needle aspirations. Previously, we presented an electromagnetic navigation platform for this purpose. There were several issues with the permanent electromagnetic tracking...

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Publicado en:Minimally Invasive Therapy & Allied Technologies Vol. 31; no. 7; pp. 1041 - 1050
Autores principales: Kildahl-Andersen, Arne, Hofstad, Erlend Fagertun, Peters, Karlijn, Van Beek, Gregory, Sorger, Hanne, Amundsen, Tore, Langø, Thomas, Leira, Håkon Olav
Formato: diagnostic images pictorial research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Oct2022
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Taylor & Francis Ltd
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        10.1080/13645706.2022.2091937
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        atl: A novel clip-on device for electromagnetic tracking in endobronchial ultrasound bronchoscopy.
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        au:
          Kildahl-Andersen, Arne
          Hofstad, Erlend Fagertun
          Peters, Karlijn
          Van Beek, Gregory
          Sorger, Hanne
          Amundsen, Tore
          Langø, Thomas
          Leira, Håkon Olav
        affil: St Olavs Hospital, Trondheim University Hospital, Trondheim, Norway
      sug:
        subj:
          Electromagnetics Equipment and Supplies
          Bronchoscopy Equipment and Supplies
          Endosonography Equipment and Supplies
          Equipment Design
          Bronchoscopy Methods
          Mediastinal Neoplasms Diagnosis
          Lung Neoplasms Diagnosis
          Lymph Nodes Analysis
          Lymph Nodes Pathology
          Human
          Printing, Three-Dimensional
          Calibration
          Phantoms, Imaging
          Pilot Studies
          Descriptive Statistics
          Sensitivity and Specificity
          Validation Studies
          Equipment Reliability
      ab: The established method for assessment of mediastinal and hilar lymph nodes is endobronchial ultrasound bronchoscopy (EBUS) with needle aspirations. Previously, we presented an electromagnetic navigation platform for this purpose. There were several issues with the permanent electromagnetic tracking (EMT) sensor attachment on the tip of the experimental EBUS bronchoscope. The purpose was to develop a device for on-site attachment of the EMT sensor. A clip-on EMT sensor attachment device was 3D-printed in Ultem™ and attached to an EBUS bronchoscope. A specially designed ultrasound probe calibration adapter was developed for on-site and quick probe calibration. Navigation accuracy was studied using a wire cross water phantom and clinical feasibility was tested in a healthy volunteer. The device attached to the EBUS bronchoscope increased its diameter from 6.9 mm to 9.5 mm. Average preclinical navigation accuracy was 3.9 mm after adapter calibration. The maneuvering of the bronchoscope examining a healthy volunteer was adequate without harming the respiratory epithelium, and the device stayed firmly attached. Development, calibration and testing of a clip-on EMT sensor attachment device for EBUS bronchoscopy was successfully demonstrated. Acceptable accuracy results were obtained, and the device is ready to be tested in patient studies.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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