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Journal of medical ultrasonics (2001)
Apr, 2024;51 (2): 245-251.

Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA): revolutionizing the landscape of lung disease diagnostics.

Shinichi Yamamoto, Masayuki Nakayama
Author Information
  1. Shinichi Yamamoto: Department of Endoscopy, Jichi Medical University Hospital, Tochigi, Japan. tcvyamap@jichi.ac.jp. ORCID
  2. Masayuki Nakayama: Department of Endoscopy, Jichi Medical University Hospital, Tochigi, Japan.
PMID: 38114815 DOI: 10.1007/s10396-023-01391-y

Abstract

Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) has emerged as a revolutionary diagnostic tool for lung diseases, including lung cancer, sarcoidosis, and lymphoproliferative diseases. This minimally invasive procedure offers a superior diagnostic yield while ensuring maximum patient safety when compared to traditional invasive techniques such as mediastinoscopy and thoracoscopy. By enabling real-time imaging and sampling of mediastinal and hilar lymph nodes and masses directly from the bronchoscope, EBUS-TBNA has redefined the precision of diagnostic bronchoscopy. This comprehensive review explores the origins, development, and current status of EBUS-TBNA, highlighting its successes and identifying potential areas for improvement. Technological advancements have continuously enhanced the reliability and efficacy of EBUS-TBNA over time. The mechanisms underlying the superior diagnostic yield of EBUS-TBNA are thoroughly discussed, further solidifying its position as the gold standard for lung cancer staging and diagnosis. Furthermore, this review delves into the crucial role of EBUS-TBNA in lung cancer diagnosis, supported by studies comparing its accuracy, safety, and cost-effectiveness to other diagnostic tools. Looking ahead, ongoing research aims to expand the applications of EBUS-TBNA and improve its diagnostic performance. Notable advancements in needle design and sampling techniques hold promise for further enhancing its efficacy. Maximizing its potential through comprehensive training and continuous technological developments will enable broader clinical applications, ultimately leading to improved patient outcomes. As EBUS-TBNA continues to evolve, its diagnostic impact is expected to increase, solidifying its position as an indispensable tool in the diagnosis and management of lung diseases.

Keywords

EBUS-TBNA EUS-B-FNA Molecular testing Sampling tool Staging for lung cancer

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MeSH Term

Humans
Endoscopic Ultrasound-Guided Fine Needle Aspiration
Lung Diseases
Bronchoscopy
Lung Neoplasms
Lung
Journal Article Review

Word Cloud

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