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mCBCT in Combination With ENB for the Diagnosis of PPNs

Recruiting
Conditions
Peripheral Pulmonary Nodules
Lung Cancer
Interventions
Device: Electromagnetic Navigation Bronchoscopy (superDimension™ Navigation System) and Mobile Cone-Beam CT (Cios Spin)
Registration Number
NCT05518669
Lead Sponsor
Shanghai Chest Hospital
Brief Summary

This study aims to evaluate the clinical value of mobile cone-beam CT (mCBCT) in combination with electromagnetic navigation bronchoscopy for the diagnosis of peripheral pulmonary nodules, and to explore the value of mCBCT in improving the diagnostic yield by calculating the improvement in diagnostic yield of patients before and after mCBCT adjustments.

Detailed Description

This study is a prospective, single-arm, single-center observational clinical trial to evaluate the diagnostic value of mobile cone-beam CT (mCBCT) in combination with electromagnetic navigation bronchoscopy for the diagnosis of peripheral pulmonary nodules. The investigators will adjust the position of electromagnetic navigation bronchoscopy base on the intraoperative 3D imaging findings of mCBCT. The value of mCBCT in improving diagnostic yield is explored by comparing the diagnostic yield Post-mCBCT with that of Pre-mCBCT. The Pre-mCBCT diagnostic yield is the proportion of patients diagnosed by electromagnetic navigation bronchoscopy and with no need for adjustment after mCBCT spin confirmed "tool-in-lesion" during the procedure in all enrolled subjects. The Post-mCBCT diagnostic yield is the proportion of diagnosed patients with and without adjustment after mCBCT spin during the procedure in all enrolled subjects.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
109
Inclusion Criteria
  • Subject with age of 18 years and older
  • Chest CT imaging shows the presence of peripheral pulmonary nodules (defined as those lesions that are surrounded by pulmonary parenchyma and located below the segmental bronchus) suspicion of malignancy that need to be confirmed by pathology
  • Pulmonary nodules of > 8mm and ≤30 mm in largest dimension
  • Patients without contraindications of bronchoscopy
  • Patients have good medical adherence and signed informed consent
Exclusion Criteria
  • Severe cardiopulmonary dysfunction and other indications that can't receive bronchoscopy
  • Presence of concomitant endobronchial lesion during the bronchoscopy procedure
  • Pre-operative mCBCT spin scan showed no visible lesions

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Peripheral Pulmonary NodulesElectromagnetic Navigation Bronchoscopy (superDimension™ Navigation System) and Mobile Cone-Beam CT (Cios Spin)Patients with peripheral pulmonary nodules on chest computed tomography suspicion of malignancy who are scheduled to reach the target lesion for diagnosis by mobile cone-beam CT combined with electromagnetic navigation bronchoscopy.
Primary Outcome Measures
NameTimeMethod
Diagnostic yield improvement ratioUp to at least 6 months

Diagnostic yield improvement ratio, defined as Post-mCBCT diagnostic yield minus Pre-mCBCT diagnostic yield.

The Pre-mCBCT diagnostic yield, defined as the proportion of patients diagnosed by electromagnetic navigation bronchoscopy and without any adjustment after first time mCBCT spin during the procedure in all enrolled subjects.

The Post-mCBCT diagnostic yield, defined as the proportion of diagnosed patients including those with and without adjustment after mCBCT spin in all enrolled subjects.

Diagnostic yield was defined as all instances in which the results of bronchoscopy matched the final diagnoses.

Secondary Outcome Measures
NameTimeMethod
Adjustment timeIntra-procedure

The adjustment time during the procedure, defined as the time between the first mCBCT spin scanning to final spin scanning.

Pre-mCBCT navigational yieldIntra-procedure

The proportion of patients who was confirmed tool-in-lesion by the first time mCBCT spin and no need for further adjustment in all enrolled subjects.

Fluoroscopy timeIntra-procedure

The fluoroscopy time during the procedure.

Post-mCBCT navigational yieldIntra-procedure

The proportion of patients who was confirmed tool-in-lesion with and without adjustment by mCBCT in all enrolled subjects.

Total operation timeIntra-procedure

The total operation time was defined as the time from bronchoscope insertion to withdrawal of the glottis.

Factors affecting diagnostic yieldUp to at least 6 months

The factors affecting diagnostic yield includes the nodule nature, nodule size, nodule location, bronchus sign on CT, etc.

Total radiation doseIntra-procedure

Radiation dose from procedure, measured by the dose area product (DAP), defined as the product of dose and beam area (Gy cm\^2).

Complication rateUp to 1 month

The complications refer to the proportion of serious adverse events related to the procedure during or within 1 month after the operation.

Trial Locations

Locations (1)

Shanghai Chest Hospital

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Shanghai, Shanghai, China

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