Intrabronchial ultrasound: The most reliable technique for diagnosing lung cancer

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These techniques can be applied minimally invasively through an endoscope, for the diagnosis and treatment of a large number of respiratory pathological conditions.

The hospital Metropolitan General has a modern bronchoscopy laboratory, with state-of-the-art medical equipment used exclusively for invasive pulmonology operations.

The Central Endobronchial Ultrasound (CP-EBUS) is a valuable laboratory tool, a test that allows the pulmonologist to look more closely at the lungs and surrounding structures.
It is used to diagnose different types of respiratory diseases, including tumors, infections and other inflammatory diseases. This is a test similar to bronchoscopy.

It is performed with a flexible bronchoscope (tube) that passes first through the mouth, then into the trachea and finally into the lungs. It also has a video camera on the tip of the ultrasound head that allows the imaging and direct sampling of lymph nodes or lesions located centrally in the chest or around the lungs, outside the bronchi. It allows the detection of even small lesions and their separation from the adjacent vessels, so that a biopsy (with a special needle) can be performed under immediate supervision.

This is a very safe test as the samples are taken under direct monitoring, which in addition to safety also offers very high diagnostic rates.

This technique is very sensitive and specialized in the diagnosis of mediastinal lesions and as it does not usually require hospitalization or surgery, it now plays a central role in the diagnosis and staging of lung cancer before surgical resection, radiation or chemotherapy-immunotherapy.

The ability to obtain not only cytological but also biopsy material from mediastinal lymph nodes contributes significantly to the diagnosis of benign granulomatous or infectious diseases such as sarcoidosis and tuberculosis.

The Metropolitan General uses the latest technology endoscopic ultrasound system with the EVIS EUS EU-ME2 ultrasound processor and the BF-UC 190F ultrasound bronchoscope. This state-of-the-art EBUS, third generation has been developed to provide easy passage through the upper airway, optimal image (ultrasound and endoscopic), maximum control and flexibility for easier access to the required points to ensure the diagnosis and staging of even distant .

The laboratory can offer immediate, rapid evaluation of the cytological material (Rapid On Site Evaluation- ROSE) at the time of the examination for even greater diagnostic accuracy.

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