Radial endobronchial ultrasound – guided bronchoscopy for the diagnosis of peripheral pulmonary lesions: A systematic review and meta-analysis of prospective trials

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Radial Endobronchial Ultrasound (r-EBUS) for Diagnosing Peripheral Pulmonary Lesions (PPLs)

Key Findings:

  • The diagnostic yield of r-EBUS for PPLs is approximately 73.4%.
  • Factors influencing diagnostic yield include location and size of the lesion, type and appearance on CT, presence of certain signs, and use of rapid on-site evaluation (ROSE).
  • Overall complications, pneumothorax, and bleeding rates are low at 3.1%, 0.4%, and 1.1% respectively.

Practical Solutions and Value:

  • r-EBUS is an effective and safe method for diagnosing PPLs.
  • Identifying lesion characteristics and using ROSE can improve diagnostic yield.
  • Complication rates associated with r-EBUS are relatively low, highlighting its safety.

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