مورد إلكتروني
Ultrasonography of the Mediastinum: Techniques, Current Practice, and Future Directions
| العنوان: | Ultrasonography of the Mediastinum: Techniques, Current Practice, and Future Directions |
|---|---|
| بيانات النشر: | 2018 |
| تفاصيل مُضافة: | Fuso, Leonello Varone, Francesco Magnini, Daniele Calvello, Mariarosaria Lo Greco, Erminia Richeldi, Luca Fuso, Leonello (ORCID:0000-0002-1198-6712) Varone, Francesco Magnini, Daniele Richeldi, Luca (ORCID:0000-0001-8594-1448) |
| نوع الوثيقة: | Electronic Resource |
| مستخلص: | In the everyday practice of respiratory physicians, ultrasound techniques play a key role by enabling several diagnostic and interventional procedures. The application of ultrasound to endoscopic procedures allows both a visualization and a guided sampling of mediastinal and hilar lymph nodes. Endobronchial ultrasound can be combined with transbronchial needle aspiration, and, similarly, endoscopic ultrasound can be combined with fine-needle aspiration to sample virtually all mediastinal nodal stations from the airways and the esophagus. Endobronchial ultrasound–transbronchial needle aspiration and endoscopic ultrasound–fine needle aspiration showed a complementary diagnostic yield, and, recently, endoscopic ultrasound with bronchoscope was introduced in clinical practice to perform a transesophageal needle aspiration by using an ultrasound bronchoscope. This technique allows a single operator to perform both transbronchial and transesophageal needle sampling with the same instrument during a single bronchoscopic procedure. Mediastinal staging impacts the management of patients affected by lung cancer, and the most recent guidelines clearly state that endobronchial ultrasound and endoscopic ultrasound should be the initial tissue sampling procedure over surgical staging. In addition, endoscopic ultrasound techniques demonstrated an excellent yield in diagnosing lymphoma and benign diseases, for example, sarcoidosis. The aim of this review was to discuss the current role and future perspectives of endosonography techniques available for the evaluation of the mediastinum. Special emphasis was placed on equipment and technical aspects, the diagnostic role, and future directions of development. |
| مصطلحات الفهرس: | EBUS needle injection therapy, EBUS-TBNA, EUS-FNA, endosonography, lung cancer staging, lymphoma, mediastinal lymph node, sarcoidosi, simulator-based training, Bronchoscopy, Endoscopic Ultrasound-Guided Fine Needle Aspiration, Endosonography, Human, Lung, Lung Neoplasm, Lymph Node, Lymphatic Metastasi, Lymphoma, Mediastinum, Neoplasm Staging, Practice Guidelines as Topic, Sarcoidosi, Ultrasonography, Interventional, Settore MED/10 - MALATTIE DELL'APPARATO RESPIRATORIO, info:eu-repo/semantics/article |
| URL: | info:eu-repo/semantics/altIdentifier/pmid/30065076 info:eu-repo/semantics/altIdentifier/wos/WOS:000450873100013 volume:63 issue:11 firstpage:1421 lastpage:1438 numberofpages:18 issueyear:2018 journal:RESPIRATORY CARE |
| الإتاحة: | Open access content. Open access content |
| ملاحظة: | English |
| أرقام أخرى: | SYC oai:publicatt.unicatt.it:10807/148480 10.4187/respcare.06047 info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-85056068912 1145017841 |
| المصدر المساهم: | UNIV CATTOLICA DEL SACRO CUORE From OAIster®, provided by the OCLC Cooperative. |
| رقم الانضمام: | edsoai.on1145017841 |
| قاعدة البيانات: | OAIster |
| الوصف غير متاح. |