New Image Characteristics in Endobronchial Ultrasonography for Differentiating Peripheral Pulmonary Lesions

Chien Hao Lie, Tung Ying Chao, Yu Hsiu Chung, Jui Long Wang, Yi Hsi Wang, Meng Chih Lin*

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

17 Scopus citations

Abstract

Endobronchial ultrasonography (EBUS) rapidly and accurately localizes peripheral pulmonary lesions. It can aid differential diagnosis by characterizing lesions and discriminating between neoplastic and non-neoplastic disease. From July 2005 through December 2006, patients with peripheral lesions underwent EBUS examination in a tertiary-referral teaching hospital. Image characteristics were subsequently correlated with definite histopathologic diagnosis. Three current-issued image patterns of EBUS were assayed from 40 initial patients, including (a) hypoechoic areas, (b) anechoic areas and (c) luminant areas around the probe. Excluding 22 cases because of inconsistent typing, 193 patients possessing definite diagnoses were enrolled in the investigation, of which 107 cases (55.4%) were neoplastic diseases. Hypoechoic areas appeared to be unrelated to the nature of the lesions (p = 0.288). Most lesions with anechoic areas were neoplasms (18 of 21 cases, 85.7%) and lesions without luminant areas suggested non-neoplastic disease (19 of 24 cases, 79.2%). Anechoic and luminant areas were significantly different between neoplasm and non-neoplasm groups (p = 0.003 and p < 0.001, respectively). The average additional time for EBUS required was 3.85 ± 2.36 min (range 1 to 13 min). In conclusion, this uncomplicated and time-saving method of using EBUS image patterns could provide additional information to facilitate differential diagnoses. (E-mail: [email protected]).

Original languageEnglish
Pages (from-to)376-381
Number of pages6
JournalUltrasound in Medicine and Biology
Volume35
Issue number3
DOIs
StatePublished - 03 2009
Externally publishedYes

Keywords

  • Bronchoscopy
  • Endobronchial ultrasonography
  • Peripheral pulmonary lesions

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