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Updates in Advanced Diagnostic Bronchoscopy: Electromagnetic Navigational Bronchoscopy Chasing the Solitary Pulmonary Nodule

Bowling, Mark R. MD; Anciano, Carlos J. MD

doi: 10.1097/CPM.0000000000000191
Topics in Pulmonary Medicine

Evaluation of the solitary pulmonary nodule has been limited with standard bronchoscopic approaches. The addition of advanced imaging, endobronchial ultrasound and virtual bronchoscopy has improved the bronchoscopic assessment of these lesions. Electromagnetic navigational bronchoscopy is one of the newer devices that creates a 3-dimensional reconstruction of the patient’s anatomy based on a computed tomography scan of the chest, which with electromagnetic technology can combine the virtual image with the patient’s actual anatomy at the time of the procedure and thus guide tissue collection from the pulmonary nodule. This review focuses on the utility of electromagnetic navigational bronchoscopy in the evaluation of the pulmonary nodule, examines all available literature, and discusses the various types and differences between the navigational systems.

Departments of *Internal Medicine, Division of Pulmonary, Critical Care and Sleep Medicine

Cardiovascular Surgery, Division of Thoracic and Foregut Surgery

Cardiovascular Sciences, Brody School of Medicine, East Carolina University, Greenville, NC

Disclosure: The authors did not receive any funding for this work from any of the following organizations: National Institutes of Health (NIH), Wellcome Trust, Howard Hughes Medical Institute (HHMI).

M.R.B.: consultant for Medtronic Corporation, Genentech Pharmaceuticals, and Biodesix. C.J.A.: consultant for Medtronic Corporation.

Address correspondence to: Mark R. Bowling, MD, Department of Internal medicine, Division of Pulmonary, Critical Care and Sleep Medicine, Brody School of Medicine, East Carolina University, Greenville, NC 27834. E-mail:

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