Article information
Resumo
A ecoendoscopia brônquica constitui, na área da broncologia, um dos maiores avanços tecnológicos dos últimos anos. Existe, no presente momento, evidência científica que confirma a sua utilidade não só no diagnóstico e estadiamento do cancro do pulmão, como também noutras patologias. É fundamental que o broncologista execute e interprete este método de imagem correctamente, de forma a optimizar o diagnóstico e o tratamento dos seus doentes. O presente artigo faculta uma revisão de cariz eminentemente prático dos dois sistemas de ecoendoscopia actualmente disponíveis, abordando, igualmente, as suas principais indicações clínicas.
Rev Port Pneumol 2008; XIV (1): 55-88
Palavras-chave:
Ecoendoscopia brônquica
ecografia endoscópica
cancro do pulmão
gânglio linfático
estadiamento
punção aspirativa transbrônquica
Abstract
Endobronchial ultrasound (EBUS) has become a major advance in bronchoscopy. Substantial scientific evidence has confirmed its usefulness in lung cancer diagnosis and staging, as well as in other clinical settings. It is of growing importance that endoscopists perform and interpret this imaging method accurately, in order to optimize diagnosis and treatment of their patients.
The present article provides a practical and comprehensible review of the two EBUS systems currently available and its main clinical indications.
Rev Port Pneumol 2008; XIV (1): 55-88
Key-words:
Endobronchial ultrasound
endoscopic ultrasonography
lung cancer
lymph node
staging
fine needle aspiration biopsy
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Bibliografia / Bibliography
[1.]
T. Hurter, P. Hanrath.
Endobronchial sonography in the diagnosis of pulmonary and mediastinal tumors.
Dtsch Med Wochenschr, 115 (1990), pp. 1899-1905
[2.]
T. Hurter, P. Hanrath.
Endobronchial sonography: feasibility and preliminary results.
Thorax, 47 (1992), pp. 565-567
[3.]
N. Kurimoto, M. Murayama, S. Yoshioka, T. Nishisaka, K. Dohi.
Assessment of usefulness of endobronchial ultrasonography in determination of depth of tracheobronchial tumor invasion.
Chest, 115 (1999), pp. 1500-1506
[4.]
R.M. Steiner, J.B. Liu, B.B. Goldberg, J.R. Cohn.
The value of ultrasound-guided fiberoptic bronchoscopy.
Clin Chest Med, 16 (1995), pp. 519-534
[5.]
H.D. Becker.
Endobronchial ultrasound: a new perspective in bronchoscopy.
Lung Cancer, 16 (1996), pp. 112-113
[6.]
Y. Miyazu, T. Miyazawa, Y. Iwamoto, K. Kanoh, N. Kurimoto.
The role of endoscopic techniques, laserinduced fluorescence endoscopy and endobronchial ul trasonography in choice of appropriate therapy for bronchial cancer.
J Bronchol, 8 (2001), pp. 10-16
[7.]
M. Baba, Y. Sekine, M. Suzuki, S. Yoshida, K. Shibuya, T. Iizasa, Y. Saitoh, E.K. Onuma, H. Ohwada, T. Fujisawa.
Correlation between endobronchial ultrasonography (EBUS) images and histologic findings in normal and tumor-invaded bronchial wall.
Lung Cancer, 35 (2002), pp. 65-71
[8.]
S. Irani, T. Hess, M. Hofer, A. Gaspert, L.M. Bachmann, E.W. Russi, A. Boehler.
Endobronchial ultrasonography for the quantitative assessment of bronchial mural structures in lung transplant recipients.
Chest, 129 (2006), pp. 349-355
[9.]
A. Ernst, G.A. Silvestri, D. Johnstone.
Interventional pulmonary procedures: guidelines from the American College of Chest Physicians.
Chest, 123 (2003), pp. 1693-1717
[10.]
C.T. Bolliger, P.N. Mathur.
ERS/ATS statement on interventional pulmonology.
Eur Respir J, 19 (2002), pp. 356-373
[11.]
Y. Miyazu, T. Miyazawa, N. Kurimoto, Y. Iwamoto, K. Kanoh, N. Kohno.
Endobronchial ultrasonography in the assessment of centrally located early-stage lung cancer before photodynamic therapy.
Am J Respir Crit Care Med, 165 (2002), pp. 832-837
[12.]
S. Lam, C. MacAulay, J. leRichie, B. Palcic.
Detection and location of early lung cancer by fluorescence bronchoscopy.
Cancer, 89 (2000), pp. 2468-2473
[13.]
F.J.F. Herth, H.D. Becker, J. LoCicero III, A. Ernst.
Endoscopic ultrasound improves classification of suspicious lesions detected by autofluorescence bronchoscopy.
J Bronchol, 10 (2003), pp. 249-252
[14.]
F. Herth, H.D. Becker, J. LoCicero III, A. Ernst.
Endobronchial ultrasound in therapeutic bronchoscopy.
Eur Respir J, 20 (2002), pp. 118-121
[15.]
G.J. Herder, P. Verboom, E.F. Smit, P.C. van Velthoven, J.H. van den Bergh, C.D. Colder, I. van Mansom, J.C. van Mourik, P.E. Postmus, G.J. Teule, O.S. Hoekstra.
Practise, efficacy and cost of staging suspected non-small cell lung cancer. A retrospective study in two Dustch hospitals.
Thorax, 57 (2002), pp. 11-14
[16.]
F. Herth, A. Ernst, M. Schulz, H. Becker.
Endobronchial ultrasound reliably differentiates between airway infiltration and compression by the tumor.
Chest, 123 (2003), pp. 458-462
[17.]
T. Wakamatsu, K. Tsushima, M. Yasuo, Y. Yamazaki, S. Yoshikawa, N. Koide, M. Fujimori, T. Koizumi.
Usefulness of preoperative endobronchial ultrasound for airway invasion around the trachea: esophageal cancer and thyroid cancer.
Respiration, 73 (2006), pp. 651-657
[18.]
Y. Miyazu, T. Miyazawa, N. Kurimoto, Y. Iwamoto, A. Ishida, K. Kanoh, N. Kohno.
Endobronchial ultrasonography in the diagnosis and treatment of relapsing polychondritis with tracheobronchial malacia.
Chest, 124 (2003), pp. 2393-2395
[19.]
Y. Iwamoto, T. Miyazawa, N. Kurimoto, Y. Miyazu, A. Ishida, K. Matsuo, Y. Watanabe.
Interventional bronchoscopy in the management of airway stenosis due to tracheobronchial tuberculosis.
Chest, 126 (2004), pp. 1344-1352
[20.]
T.J. Shaw, S.L. Wakely, C.R. Peebles, R.L. Mehta, J.M. Turner, S.J. Wilson, P.H. Howarth.
Endobronchial ultrasound to assess airway wall thickening: validation in vitro and in vivo.
Eur Respir J, 23 (2004), pp. 813-817
[21.]
E.M. Harrow, W. Abi-Saleh, J. Blum, T. Harkin, S. Gasparini, D.J. Addrizzo-Harris, A.C. Arroliga, G. Wight, A.C. Metha.
The utility of transbronchial needle aspiration in the staging of bronchogenic carcinoma.
Am J Respir Crit Care Med, 161 (2000), pp. 601-607
[22.]
R.M. Pieterman, J.W.G. van Putten, J.J. Meuzelaar, E.L. Mooyaart, W. Vaalburg, G.H. Koeter, V. Fidler, J. Pruim, H.J. Groen.
Preoperative staging of non-small cell lung cancer with positron emission tomography.
N Engl J Med, 343 (2000), pp. 254-261
[23.]
E.M. Toloza, L. Harpole, F. Detterbeck, D.C. McCrory.
Non-invasive staging of non-small cell lung cancer: a review of the current evidence.
Chest, 123 (2003), pp. 137-146
[24.]
K.P. Wang, R. Brower, E.F. Haponik, S. Siegelman.
Flexible transbronchial needle aspiration for staging of bronchogenic carcinoma.
Chest, 84 (1983), pp. 571-576
[25.]
D.A. Schenk, J.H. Bower, C.L. Bryan, R.B. Currie, T.H. Spence, C.A. Duncan, D.L. Myers, W.T. Sullivan.
Transbronchial needle aspiration staging of bronchogenic carcinoma.
Am Rev Respir Dis, 134 (1986), pp. 146-148
[26.]
A.C. Metha, M.S. Kavuru, D.P. Meeker, G.N. Gephardt, C. Nunes.
Transbronchial needle aspiration for histology specimens.
Chest, 96 (1989), pp. 1128-1132
[27.]
S. Gasparini, L. Zuccatosta, M. Denictolis.
Transbronchial needle aspiration of mediastinal lesions.
Monaldi Arch Chest Dis, 55 (2000), pp. 29-32
[28.]
F.J. Herth, H.D. Becker, A. Ernest.
Ultrasound-guided transbronchial needle aspiration: an experience in 242 patients.
Chest, 123 (2003), pp. 604-607
[29.]
H. Okamoto, K. Watanabe, A. Nagatomo, H. Kunikane, H. Aono, T. Yamagata, M. Kase.
Endobronchial ultrasonography for mediastinal and hilar lymph node metastases of lung cancer.
Chest, 121 (2002), pp. 1498-1506
[30.]
F. Herth, H.D. Becker, A. Ernst.
Conventional vs endobronchial ultrasound-guided transbronchial needle aspiration: a randomized trial.
Chest, 125 (2004), pp. 322-325
[31.]
G. Plat, P. Pierard, A. Haller, J. Hutsebaut, J. Faber, M. Dusart, P. Eisendrath, J.P. Sculier, V. Ninane.
Endobronchial ultrasound and positron emission tomography positive mediastinal lymph nodes.
Eur Respir J, 27 (2006), pp. 276-281
[32.]
K. Yasufuku, P.N. Chhajed, Y. Sekine, T. Nakajima, M. Chiyo, A. Iyoda, S. Yoshida, M. Otsuji, K. Shibuya, T. Iizasa, Y. Saitoh, T. Fujisawa.
Endobronchial ultrasound using a new convex probe: a preliminary study on surgically resected specimens.
Oncol Rep, 11 (2004), pp. 293-296
[33.]
M. Krasnik, P. Vilmann, S.S. Larsen, G.K. Jacobsen.
Preliminary experience with a new method of endoscopic transbronchial real time ultrasound guided biopsy for diagnosis of mediastinal and hilar lesions.
Thorax, 58 (2003), pp. 1083-1088
[34.]
K. Yasufuku, M. Chiyo, Y. Sekine, P.N. Chhajed, K. Shibuja, T. Iizasa, T. Fujisawa.
Real-time endobronchial ultrasound guided transbronchial needle aspiration of mediastinal and hilar lymph nodes.
Chest, 126 (2004), pp. 122-128
[35.]
K. Yasufuku, M. Chiyo, E. Koh, M. Yasumitsu, A. Iyoda, Y. Sekine, K. Shibuya, T. Iizasa, T. Fujisawa.
Endobronchial ultrasound guided transbronchial needle aspiration for staging of lung cancer.
Lung Cancer, 50 (2005), pp. 347-354
[36.]
R.C. Rintoul, K.M. Skwarski, J.T. Murchison, W.A. Wallace, W.S. Walker, I.D. Penman.
Endobronchial and endoscopic ultrasound-guided real-time fine-needle aspiration for mediastinal staging.
Eur Respir J, 25 (2005), pp. 416-421
[37.]
F.J. Herth, R. Eberhardt, P. Vilmann, M. Krasnik, A. Ernst.
Real-time endobronchial ultrasound guided transbronchial needle aspiration for sampling mediastinal lymph nodes.
Thorax, 61 (2006), pp. 795-798
[38.]
F.J. Herth, A. Ernst, R. Eberhardt, P. Vilmann, H. Dienemann, M. Krasnik.
Endobronchial ultrasound-guided transbronchial needle aspiration of lymph nodes in the radiologically normal mediastinum.
Eur Respir J, 28 (2006), pp. 910-914
[39.]
K. Yasufuku, T. Nakajima, K. Motoori, Y. Sekine, K. Shibuya, K. Hiroshima, T. Fujisawa.
Comparison of endobronchial ultrasound, positron emission tomography, and CT for lymph node staging of lung cancer.
Chest, 130 (2006), pp. 710-718
[40.]
S.S. Larsen, M. Krasnik, P. Vilmann, G.K. Jacobssen, J.H. Pedersen, P. Faurschou, K. Folke.
Endoscopic ultrasound guided biopsy of mediastinal lesions has a major impact on patient management.
Thorax, 57 (2002), pp. 98-103
[41.]
F.J. Herth, W. Lunn, R. Eberhardt, H.D. Becker, A. Ernst.
Transbronchial versus transesophageal ultrasoundguided aspiration of enlarged mediastinal lymph nodes.
Am J Respir Crit Care Med, 171 (2005), pp. 1164-1167
[42.]
P. Vilmann, M. Krasnik, S.S. Larsen, G.K. Jacobsen, P. Clementsen.
Transesophageal endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) and endobronchial ultrasound-guided transbronchial needle aspiration (EBUSTBNA) biopsy: a combined approach in the evaluation of mediastinal lesions.
Endoscopy, 37 (2005), pp. 833-839
[43.]
M. Wong, K. Yasufuku, T. Nakajima, F.J. Herth, Y. Sekine, K. Shibuya, T. Iizasa, K. Hiroshima, W.K. Lam, T. Fujisawa.
Endobronchial ultrasound: new insight for the diagnosis of sarcoidosis.
Eur Respir J., 29 (2007), pp. 1182-1186
[44.]
T. Nakajima, K. Yasufuku, M. Suzuki, Y. Sekine, K. Shibuya, K. Hiroshima, T. Fujisawa.
Histological diagnosis of spinal chondrosarcoma by endobronchial ultrasoundguided transbronchial needle aspiration.
Respirology, 12 (2007), pp. 308-310
[45.]
T. Nakajima, K. Yasufuku, M. Wong, A. Iyoda, M. Suzuki, Y. Sekine, K. Shibuya, K. Hiroshima, T. Iizasa, T. Fujisawa.
Histological diagnosis of mediastinal lymph node metastases from renal cell carcinoma by endobronchial ultrasound-guided transbronchial needle aspiration.
Respirology, 12 (2007), pp. 302-303
[46.]
N. Kurimoto, M. Murayama, S. Yoshioka, T. Nishisaka.
Analysis of the internal structure of peripheral pulmonary lesions using endobronchial ultrasonography.
Chest, 122 (2002), pp. 1887-1894
[47.]
T.Y. Chao, C.H. Lie, Y.H. Chung, J.L. Wang, Y.H. Wang, M.C. Lin.
Differentiating peripheral pulmonary lesions based on images of endobronchial ultrasonography.
Chest, 130 (2006), pp. 1191-1197
[48.]
S. Omori, Y. Takiguchi, K. Hiroshima, N. Tanabe, K. Tatsumi, H. Kimura, K. Nagao, T. Kuriyama.
Peripheral pulmonary diseases: evaluation with endobronchial US – initial experience.
Radiology, 224 (2002), pp. 603-608
[49.]
F.J.F. Herth, A. Ernst, H.D. Becker.
Endobronchial ultrasound guided transbronchial lung biopsy in solitary pulmonary nodules and peripheral lesions.
Eur Respir J, 20 (2002), pp. 972-974
[50.]
T. Shirakawa, F. Imamura, J. Hamamoto, I. Honda, K. Fukushima, M. Sugimoto, T. Shirkakusa.
Usefulness of endobronchial ultrasonography for transbronchial lung biopsies of peripheral lung lesions.
Respiration, 71 (2004), pp. 260-268
[51.]
N. Kurimoto, T. Miyazawa, S. Okimasa, A. Maeda, H. Oiwa, Y. Miyazu, M. Murayama.
Endobronchial ultrasonography using a guide sheath increases the ability to diagnose peripheral pulmonary lesions endoscopically.
Chest, 126 (2004), pp. 959-965
[52.]
E. Kikuchi, K. Yamazaki, N. Sukoh, J. Kikuchi, H. Asahina, M. Imura, Y. Onodera, N. Kurimoto, I. Kinoshita, M. Nishimura.
Endobronchial ultrasonography with guide-sheath for peripheral pulmonary lesions.
Eur Respir J, 24 (2004), pp. 533-537
[53.]
G. Paone, E. Nicastri, G. Lucantoni, R. Dello Iacono, P. Battistoni, A.L. D’Angeli, G. Galluccio.
Endobronchial ultrasound-driven biopsy in the diagnosis of peripheral lung lesions.
Chest, 128 (2005), pp. 3551-3557
[54.]
F.J. Herth, R. Eberhardt, H.D. Becker, A. Ernst.
Endobronchial ultrasound-guided transbronchial lung biopsy in fluoroscopically invisible solitary pulmonary nodules: a prospective trial.
Chest, 129 (2006), pp. 147-150
[55.]
C.A. Dooms, E.K. Verbeken, H.D. Becker, M.G. Demedts, J.F. Vansteenkiste.
Endobronchial ultrasonography in bronchoscopic occult pulmonary lesions.
J Thorac Oncol, 2 (2007), pp. 121-124
[56.]
M. Yoshikawa, N. Sukoh, K. Yamazaki, K. Kanazawa, S. Fukumoto, M. Harada, E. Kikuchi, M. Munakata, M. Nishimura, H. Isobe.
Diagnostic value of endobronchial ultrasonography with a guide sheath for peripheral pulmonary lesions without x-ray fluoroscopy.
Chest, 131 (2007), pp. 1788-1793
[57.]
R. Eberhardt, D. Anantham, A. Ernst, Feller-Kopman, F. Herth.
Multimodality bronchoscopic diagnosis of peripheral lung lesions: a randomized controlled trial.
Am J Respir Crit Care Med, 176 (2007), pp. 36-41
[58.]
T. Shirakawa, F. Imamura, J. Hamamoto, T. Shirkakusa.
A Case of successful airway stent placement guided by endobronchial ultrasonography.
J Bronchol, 11 (2004), pp. 45-48
[59.]
T. Miyazawa, Y. Miyazu, Y. Iwamoto, A. Ishida, K. Kanoh, H. Sumiyoshi, M. Doi, N. Kurimoto.
Stenting at the flow-limiting segment in tracheobronchial stenosis due to lung cancer.
Am J Respir Crit Care Med, 169 (2004), pp. 1096-1102
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