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Chinese expert consensus on shape-sensing robotic-assisted bronchoscopy (ssRAB) in the management of peripheral pulmonary lesions

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机构: [1]Department of Respiratory Endoscopy, Shanghai Chest Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China [2]Department of Respiratory and Critical Care Medicine, Shanghai Chest Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China [3]Shanghai Engineering Research Center of Respiratory Endoscopy, Shanghai, China [4]Shanghai Key Laboratory of Lung Inflammation and Injury, Department of Pulmonary Medicine, Zhongshan Hospital, Fudan University, Shanghai, China [5]Department of Respiratory and Critical Care Medicine, West China Hospital, Sichuan University, Chengdu, China [6]Department of Respiratory and Critical Care Medicine, Henan Provincial People’s Hospital, People’s Hospital of Zhengzhou University, Zhengzhou, China [7]Department of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Soochow University, Suzhou, China [8]Department of Pulmonary and Critical Care Medicine, China-Japan Friendship Hospital, Beijing, China [9]Department of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Xi’an Jiaotong University, Xi’an, China [10]China State Key Laboratory of Respiratory Disease & National Clinical Research Center for Respiratory Disease, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China [11]Department of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Nanchang University, Nanchang, China [12]Department of Pulmonary and Critical Care Medicine, Second Affiliated Hospital of Harbin Medical University, Harbin, China [13]Department of Pulmonary and Critical Care Medicine, The Affiliated Hospital of Medical School, Ningbo University, Ningbo, China [14]Endoscopy Center, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, China [15]Department of Respiration, Changhai Hospital, Naval Military Medical University, Shanghai, China [16]Department of Respiratory and Critical Care Medicine, The Second Hospital of Hebei Medical University, Shijiazhuang, China [17]Department of Respiratory Disease, The First Affiliated Hospital of Bengbu Medical College, Bengbu, China [18]Department of Respiratory Medicine, Shanghai Tenth People’s Hospital, Tongji University School of Medicine, Shanghai, China [19]Department of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China [20]Department of Respiratory Medicine, Affiliated Hospital of Jiangnan University, Wuxi, China [21]Department of Respiratory Medicine, Guizhou Aerospace Hospital, Zunyi, China [22]Department of Respiratory and Critical Care Medicine, First Affiliated Hospital of Kunming Medical University, Kunming, China [23]Department of Respiratory Diseases, Xi’an International Medical Center, Xi’an, China [24]Department of Respiratory and Critical Care Medicine, Shanxi Medical University Affiliated First Hospital, Taiyuan, China [25]Department of Respiratory and Critical Care Medicine, Tianjin Medical University General Hospital, Tianjin, China [26]Department of Respiratory and Critical Care Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China [27]Department of Respiratory Medicine, Lanzhou University Second Hospital, Lanzhou, China [28]Department of Respiratory Medicine, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China [29]Department of Respiratory and Critical Care Medicine, Beijing Tiantan Hospital, Capital Medical University, Beijing, China [30]Department of Anesthesiology, Shanghai Chest Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China [31]Department of Respiratory Centre, The Second Affiliated Hospital of Xiamen Medical College, Xiamen, China [32]Department of Respiratory and Critical Care Medicine, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China [33]Department of Respiratory Medicine, The Second Xiangya Hospital, Central South University, Changsha, China [34]Department of Respiratory and Critical Care Medicine, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, China [35]Department of Respiratory Medicine, Xinjiang Chest Hospital, Wulumuqi, China [36]Department of Tuberculosis, The Third People’s Hospital of Shenzhen, Shenzhen, China [37]Department of Pulmonary and Critical Care Medicine, Guizhou Provincial People’s Hospital, Guiyang, China [38]Department of Respiratory and Critical Care Medicine, Yantai Yuhuangding Hospital, Affiliated with the Medical College of Qingdao, Yantai, China [39]Department of Respiratory Medicine, Emergency General Hospital, Beijing, China [40]Pulmonary Intervention Department, Anhui Chest Hospital, Hefei, China [41]Department of Respiratory Medicine, Nanjing Drum Tower Hospital, Nanjing University Medical School, Nanjing, China [42]Department of Respiratory and Critical Care Medicine, Sichuan Provincial People’s Hospital, University of Electronic Science and Technology of China, Chengdu, China [43]Department of Pulmonary and Critical Care Medicine, Regional Medical Center for National Institute of Respiratory Disease, Sir Run Run Shaw Hospital of Zhejiang University, Hangzhou, China [44]Department of Thoracic Surgery, Affiliated Hospital of Xuzhou Medical University, Xuzhou, China
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关键词: Shape-sensing robotic-assisted bronchoscopy (RAB) peripheral pulmonary lesion (PPL) Delphi

摘要:
Shape-sensing robotic-assisted bronchoscopy (ssRAB) is a new bronchoscopy technology that utilizes optic fibers to provide accurate position information and robotic-control to deliver improved maneuverability. This technology has been used in the United States since 2019 and investigated in China since 2021. In order to provide a standard practice and make the best use of this technology for managing peripheral pulmonary lesions (PPLs), experts developed the consensus.This consensus was developed using Delphi method. A panel comprising nine experts formulated eight consensus statements after a thorough review of clinical evidence and practical experience. During the second phase, a questionnaire was distributed to collect feedback on these statements from an external panel of 39 physicians. The percentage of responses and the percentage of agreement on each statement were calculated. The consensus was defined as achieved with an agreement percentage threshold of 80% or above.The eight consensus statements formulated in phase 1 included recommendations for path planning, anesthesia, the use of radial endobronchial ultrasound (EBUS), the use of fluoroscopy and/or cone-beam computed tomography (CBCT) with ssRAB, solving computed tomography (CT)-to-body divergence, the use of sampling tools with ssRAB, cloud biopsy, and the use of rapid on-site evaluation (ROSE) with ssRAB. All panel physicians completed the questionnaire in phase 2. All the statements achieved positive consensus, with six receiving 100% agreement and two reaching 97.4% agreement.The document establishes a consensus on recommended practices for optimal utilization of ssRAB technology in the management of PPLs. The guidelines will be updated as new evidence emerges or additional ssRAB platforms are introduced into practice.Copyright © 2025 AME Publishing Company. All rights reserved.

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出版当年[2025]版:
大类 | 3 区 医学
小类 | 3 区 肿瘤学 3 区 呼吸系统
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 肿瘤学 3 区 呼吸系统
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出版当年[2024]版:
Q1 RESPIRATORY SYSTEM Q2 ONCOLOGY
最新[2024]版:
Q1 RESPIRATORY SYSTEM Q2 ONCOLOGY

影响因子: 最新[2024版] 最新五年平均 出版当年[2024版] 出版当年五年平均 出版前一年[2024版]

第一作者:
第一作者机构: [1]Department of Respiratory Endoscopy, Shanghai Chest Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China [2]Department of Respiratory and Critical Care Medicine, Shanghai Chest Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China [3]Shanghai Engineering Research Center of Respiratory Endoscopy, Shanghai, China
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通讯作者:
通讯机构: [1]Department of Respiratory Endoscopy, Shanghai Chest Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China [2]Department of Respiratory and Critical Care Medicine, Shanghai Chest Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China [3]Shanghai Engineering Research Center of Respiratory Endoscopy, Shanghai, China
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