Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2016 Oct;8(Suppl 9):S749-S755.
doi: 10.21037/jtd.2016.09.71.

Image-guided techniques for localizing pulmonary nodules in thoracoscopic surgery

Mong-Wei Lin  1 , Jin-Shing Chen  1
Affiliations
Review

Image-guided techniques for localizing pulmonary nodules in thoracoscopic surgery

Mong-Wei Lin et al. J Thorac Dis. 2016 Oct.

Abstract

Low-dose computed tomography (LDCT) screening has increased the detection rate for small pulmonary nodules with ground-glass opacity (GGO) in the peripheral lung parenchyma. Minimally invasive thoracoscopic surgery for these lung nodules is challenging for thoracic surgeons, and image-guided preoperative localization is mandatory for their successful resection. Image-guided localization methods primarily include two imaging tools: computed tomography (CT) and bronchoscopy. These different methods may use different localized materials, including hookwires, dyes, microcoils, fiducial markers, contrast media, and radiotracers. Ultrasonography and near-infrared imaging are also used for intraoperative localization of lung lesions. In this article, we review different localization techniques and discuss their indications and limitations.

Keywords: Computed tomography (CT); electromagnetic navigation bronchoscopy; pulmonary nodule; video-assisted thoracoscopic surgery (VATS).

PubMed Disclaimer

Conflict of interest statement

The authors have no conflicts of interest to declare.

References

    1. National Lung Screening Trial Research Team , Aberle DR, Adams AM, et al. Reduced lung-cancer mortality with low-dose computed tomographic screening. N Engl J Med 2011;365:395-409. 10.1056/NEJMoa1102873 - DOI - PMC - PubMed
    1. Moyer VA, U.S. Preventive Services Task Force . Screening for lung cancer: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med 2014;160:330-8. - PubMed
    1. Xu DM, Gietema H, de Koning H, et al. Nodule management protocol of the NELSON randomised lung cancer screening trial. Lung Cancer 2006;54:177-84. 10.1016/j.lungcan.2006.08.006 - DOI - PubMed
    1. Horeweg N, van der Aalst CM, Vliegenthart R, et al. Volumetric computed tomography screening for lung cancer: three rounds of the NELSON trial. Eur Respir J 2013;42:1659-67. 10.1183/09031936.00197712 - DOI - PubMed
    1. Henschke CI, McCauley DI, Yankelevitz DF, et al. Early Lung Cancer Action Project: overall design and findings from baseline screening. Lancet 1999;354:99-105. 10.1016/S0140-6736(99)06093-6 - DOI - PubMed

LinkOut - more resources