Clinical Study
Diagnosis of Peripheral Lung Lesions via Conventional Flexible Bronchoscopy with Multiplanar CT Planning
Table 1
Patient characteristics and procedure details.
(%).
| Number of patients included in analysis | 226 |
| Male gender (%) | 139 (61.5%) |
| Median age (range) | 64 (30–90) |
| Median procedure duration in minutes (range) | 25 (5–75) |
| Median number of biopsy specimens (Range) | 8 (2–14) | Patients with at least 6 biopsy specimens (%) | 196/226 (86.7%) | Diagnostic yield when ≥6 forceps specimens (%) | 156/196 (79.6%), | Diagnostic yield when <6 forceps specimens (%) | 25/30 (83.3%) |
| BAL | | Median volume instilled (range) in mL | 60 (20–160) | Median percentage returns (range) | 37.5 (13.0–83.0) |
| Sedation | | Median midazolam dose (range) in mg | 2.5 (0–12.0) | Median fentanyl dose (range) in Mcg | 50.0 (0–100.0) |
| Complications (%) | 48/226 (21.2%) | Hypoxia (% of complications) | 6/48 (12.5%) | Bleeding (% of complications) | 40/48 (83.3%) | Pneumothorax (% of complications) | 2/48 (4.2%) |
| Patients with lesions >20 mm (%) | 179/225 (79.5%) | Diagnostic yield in lesions > 20 mm (%) | 152/179 (84.9%), | Diagnostic yield in lesions ≤ 20 mm (%) | 29/46 (63.0%) |
| CT-Bronchus sign present (%) | 165/224 (73.7%) | Diagnostic yield in present CT-Bronchus sign (%) | 136/165 (82.4%), | Diagnostic yield in absent CT-Bronchus sign (%) | 43/59 (72.8%) |
| Overall positive diagnostic yield of bronchoscopic biopsy (%) | 181/226 (80.1%) |
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