Forskning
Udskriv Udskriv
Switch language
Region Hovedstaden - en del af Københavns Universitetshospital
Udgivet

Ultrasound techniques in the evaluation of the mediastinum, part I: endoscopic ultrasound (EUS), endobronchial ultrasound (EBUS) and transcutaneous mediastinal ultrasound (TMUS), introduction into ultrasound techniques

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  1. Simulation-Based Mastery Learning of Flexible Bronchoscopy: Deciding Factors for Completion

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. Early initiated postoperative rehabilitation reduces fatigue in patients with operable lung cancer: A randomized trial

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. Diagnostic Yield of EBUS-TBNA During the Learning Curve

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  4. Importance of oesophageal ultrasound in mediastinal staging of lung cancer

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  • Christoph Frank Dietrich
  • Jouke Tabe Annema
  • Paul Clementsen
  • Xin Wu Cui
  • Mathias Maximilian Borst
  • Christian Jenssen
Vis graf over relationer

Ultrasound imaging has gained importance in pulmonary medicine over the last decades including conventional transcutaneous ultrasound (TUS), endoscopic ultrasound (EUS), and endobronchial ultrasound (EBUS). Mediastinal lymph node staging affects the management of patients with both operable and inoperable lung cancer (e.g., surgery vs. combined chemoradiation therapy). Tissue sampling is often indicated for accurate nodal staging. Recent international lung cancer staging guidelines clearly state that endosonography (EUS and EBUS) should be the initial tissue sampling test over surgical staging. Mediastinal nodes can be sampled from the airways [EBUS combined with transbronchial needle aspiration (EBUS-TBNA)] or the esophagus [EUS fine needle aspiration (EUS-FNA)]. EBUS and EUS have a complementary diagnostic yield and in combination virtually all mediastinal lymph nodes can be biopsied. Additionally endosonography has an excellent yield in assessing granulomas in patients suspected of sarcoidosis. The aim of this review, in two integrative parts, is to discuss the current role and future perspectives of all ultrasound techniques available for the evaluation of mediastinal lymphadenopathy and mediastinal staging of lung cancer. A specific emphasis will be on learning mediastinal endosonography. Part I is dealing with an introduction into ultrasound techniques, mediastinal lymph node anatomy and diagnostic reach of ultrasound techniques and part II with the clinical work up of neoplastic and inflammatory mediastinal lymphadenopathy using ultrasound techniques and how to learn mediastinal endosonography.

OriginalsprogEngelsk
TidsskriftJournal of Thoracic Disease
Vol/bind7
Udgave nummer9
Sider (fra-til)E311-25
ISSN2072-1439
DOI
StatusUdgivet - sep. 2015

ID: 46035999