Electromagnetic Navigation Bronchoscopy

Electromagnetic navigation bronchoscopy (ENB) has been in continuous evolution since its introduction in 2004. The basic components of this global positioning system-like technology include a magnetic field generator, a sensor and computer integration, and a computed tomography scan used as a three-dimensional map. Its value has been documented for individuals with small peripheral pulmonary nodules and clearly represents a significant improvement over standard non-guided bronchoscopy. Variances and worldwide practice have shown how ENB fits into regional work flows and opens several important questions about the values of adjunct technology such as fluoroscopy, peripheral ultrasound, biopsy technique, and anesthesia technique, etc. This chapter reviews the literature on ENB and discusses the evolution as well as the technical aspects of the procedure. Also described is the ideal patient population based on the literature and our own expertise.

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