Chinese expert consensus on cone-beam CT-guided diagnosis, localization and treatment for pulmonary nodules

Dongyang Xu; Fangfang Xie; Jisong Zhang; Hong Chen; Zhongbo Chen; Zhenbiao Guan; Gang Hou; Cheng Ji; Haitao Li; Manxiang Li; Wei Li; Xuan Li; Yishi Li; Hairong Lian; Jiangrong Liao; Dan Liu; Zhuang Luo; Haifeng Ouyang; Yongchun Shen; Yiwei Shi; Chunli Tang; Nansheng Wan; Tao Wang; Hong Wang; Huaqi Wang; Juan Wang; Xuemei Wu; Yang Xia; Kui Xiao; Wujian Xu; Fei Xu; Huizhen Yang; Junyong Yang; Taosheng Ye; Xianwei Ye; Pengfei Yu; Nan Zhang; Peng Zhang; Quncheng Zhang; Qi Zhao; Xiaoxuan Zheng; Jun Zou; Enguo Chen; Jiayuan Sun; Professional Committee on Interventional Pulmonology of China Association for Promotion of Health Science and Technology

doi:10.1111/1759-7714.15222

Chinese expert consensus on cone-beam CT-guided diagnosis, localization and treatment for pulmonary nodules

Thorac Cancer. 2024 Mar;15(7):582-597. doi: 10.1111/1759-7714.15222. Epub 2024 Feb 9.

Authors

Dongyang Xu^{1

2

3}, Fangfang Xie^{1

2

3}, Jisong Zhang⁴, Hong Chen⁵, Zhongbo Chen⁶, Zhenbiao Guan⁷, Gang Hou⁸, Cheng Ji⁹, Haitao Li¹⁰, Manxiang Li¹¹, Wei Li¹², Xuan Li¹³, Yishi Li¹⁴, Hairong Lian¹⁵, Jiangrong Liao¹⁶, Dan Liu¹⁷, Zhuang Luo¹⁸, Haifeng Ouyang¹⁹, Yongchun Shen¹⁷, Yiwei Shi²⁰, Chunli Tang²¹, Nansheng Wan²², Tao Wang²³, Hong Wang²⁴, Huaqi Wang²⁵, Juan Wang²⁶, Xuemei Wu²⁷, Yang Xia²⁸, Kui Xiao²⁹, Wujian Xu³⁰, Fei Xu³¹, Huizhen Yang³², Junyong Yang³³, Taosheng Ye³⁴, Xianwei Ye³⁵, Pengfei Yu³⁶, Nan Zhang³⁷, Peng Zhang³⁸, Quncheng Zhang³², Qi Zhao³⁹, Xiaoxuan Zheng^{1

2

3}, Jun Zou⁴⁰, Enguo Chen⁴, Jiayuan Sun^{1

2

3}; Professional Committee on Interventional Pulmonology of China Association for Promotion of Health Science and Technology

Affiliations

¹ Department of Respiratory Endoscopy, Shanghai Chest Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
² Department of Respiratory and Critical Care Medicine, Shanghai Chest Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
³ Shanghai Engineering Research Center of Respiratory Endoscopy, Shanghai, China.
⁴ Department of Pulmonary and Critical Care Medicine, Regional Medical Center for National Institute of Respiratory Disease, Sir Run Run Shaw Hospital of Zhejiang University, Hangzhou, China.
⁵ Department of Pulmonary and Critical Care Medicine, Second Affiliated Hospital of Harbin Medical University, Harbin, China.
⁶ Department of Pulmonary and Critical Care Medicine, The Affiliated Hospital of Medical School, Ningbo University, Ningbo, China.
⁷ Department of Respiration, Changhai Hospital, Naval Medical University, Shanghai, China.
⁸ Department of Pulmonary and Critical Care Medicine, China-Japan Friendship Hospital, Beijing, China.
⁹ Department of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Soochow University, Suzhou, China.
¹⁰ Department of Respiratory and Critical Care Medicine, The Second Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.
¹¹ Department of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
¹² Department of Respiratory Disease, The First Affiliated Hospital of Bengbu Medical College, Bengbu, China.
¹³ Department of Respiratory Medicine, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, China.
¹⁴ Dept of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
¹⁵ Department of Respiratory Medicine, Affiliated Hospital of Jiangnan University, Wuxi, China.
¹⁶ Department of Respiratory Medicine, Guizhou Aerospace Hospital, Zunyi, China.
¹⁷ Department of Respiratory and Critical Care Medicine, West China Hospital of Sichuan University, Chengdu, China.
¹⁸ Department of Respiratory and Critical Care Medicine, First Affiliated Hospital of Kunming Medical University, Kunming, China.
¹⁹ Department of Respiratory Diseases, Xi'an International Medical Center, Xi'an, China.
²⁰ Department of Respiratory and Critical Care Medicine, Shanxi Medical University Affiliated First Hospital, Taiyuan, China.
²¹ China State Key Laboratory of Respiratory Disease & National Clinical Research Center for Respiratory Disease, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
²² Department of Respiratory and Critical Care Medicine, Tianjin Medical University General Hospital, Tianjin, China.
²³ Department of Respiratory and Critical Care Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
²⁴ Department of Respiratory Medicine, Lanzhou University Second Hospital, Lanzhou, China.
²⁵ Department of Respiratory Medicine, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
²⁶ Department of Respiratory and Critical Care Medicine, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
²⁷ Department of Respiratory Centre, The Second Affiliated Hospital of Xiamen Medical College, Xiamen, China.
²⁸ Department of Respiratory and Critical Care Medicine, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
²⁹ Department of Respiratory Medicine, The Second Xiangya Hospital, Central South University, Changsha, China.
³⁰ Department of Respiratory and Critical Care Medicine, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, China.
³¹ Department of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Nanchang University, Nanchang, China.
³² Department of Respiratory and Critical Care Medicine, Henan Provincial People's Hospital, People's Hospital of Zhengzhou University, Zhengzhou, China.
³³ Department of Respiratory Medicine, Xinjiang Chest Hospital, Wulumuqi, China.
³⁴ Department of Tuberculosis, The Third People's Hospital of Shenzhen, Shenzhen, China.
³⁵ Department of Pulmonary and Critical Care Medicine, Guizhou Provincial People's Hospital, Guiyang, China.
³⁶ Department of Respiratory and Critical Care Medicine, Yantai Yuhuangding Hospital, Affiliated with the Medical College of Qingdao, Yantai, China.
³⁷ Department of Respiratory Medicine, Emergency General Hospital, Beijing, China.
³⁸ Pulmonary Intervention Department, Anhui Chest Hospital, Hefei, China.
³⁹ Department of Respiratory Medicine, Nanjing Drum Tower Hospital, Nanjing University Medical School, Nanjing, China.
⁴⁰ Department of Respiratory and Critical Care Medicine, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, China.

Abstract

Cone-beam computed tomography (CBCT) system can provide real-time 3D images and fluoroscopy images of the region of interest during the operation. Some systems can even offer augmented fluoroscopy and puncture guidance. The use of CBCT for interventional pulmonary procedures has grown significantly in recent years, and numerous clinical studies have confirmed the technology's efficacy and safety in the diagnosis, localization, and treatment of pulmonary nodules. In order to optimize and standardize the technical specifications of CBCT and guide its application in clinical practice, the consensus statement has been organized and written in a collaborative effort by the Professional Committee on Interventional Pulmonology of China Association for Promotion of Health Science and Technology.

Keywords: cone-beam CT; diagnosis; localization; pulmonary nodule; treatment.

MeSH terms

Cone-Beam Computed Tomography / methods
Humans
Lung
Lung Neoplasms* / diagnostic imaging
Lung Neoplasms* / surgery
Multiple Pulmonary Nodules* / surgery
Retrospective Studies

Abstract

MeSH terms

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