Respiratory Endoscopy

Transcription

1 Respiratory Endoscopy

2 Tomohiko Aso Kazuko Nasu Yasuaki Arai Editors Respiratory Endoscopy With contributions by Christine Chavez

3 Editors Department of Respiratory Medicine Japanese Red Cross Medical Center Tomohiko Aso Department of Radiological Techonology National Cancer Center Hospital Department of Respiratory Medicine Tokyo Saiseikai Central Hospital Kazuko Nasu Nursing Service Department National Cancer Center Hospital Yasuaki Arai Department of Diagnostic Radiology National Cancer Center Hospital Original Japanese edition published by Iryo Kagakusha, INC., Tokyo, 2015 This English translation is based on; Kokyuki Naishikyou Jissen Manual by 2015 ISBN ISBN (ebook) DOI / Library of Congress Control Number: Springer Science+Business Media Singapore 2017 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper This Springer imprint is published by Springer Nature The registered company is Springer Nature Singapore Pte Ltd. The registered company address is: 152 Beach Road, #22-06/08 Gateway East, Singapore , Singapore

4 Preface Respiratory endoscopy is an essential tool in cases of both malignant diseases, such as lung cancer, and non-malignant diseases, such as interstitial pneumonia. In 1966, flexible bronchoscopy was developed and first introduced at the National Cancer Center, Japan, by Dr. Shigeto Ikeda. Fifty years later, the basic procedure has dramatically evolved to include a myriad of techniques for both diagnosis and treatment. In Japan, the current clinical practice of respiratory endoscopy, such as transbronchial biopsy for peripheral lung lesions, frequently employs X-ray fluoroscopy guidance. In this book, we describe in detail the applications of respiratory endoscopy procedures combined with X-ray fluoroscopy. At our institution, improvements in the techniques have been possible through close collaboration with radiologic technologists, who work with us in ensuring procedural quality and safety, including radiation exposure management. The topics in this book are descriptions of the actual work that we do, with emphasis on respiratory endoscopy, a field that is deep-rooted in this hospital. All authors are current or former doctors, nurses, and radiologic technologists who were engaged in practice at the National Cancer Center, Japan. We thank all the contributing authors who shared their expertise in this book. In recent years, medical care has realized the value of a team approach, with contributions from all healthcare workers. In this book, we discuss the components of a concerted effort among doctors, nurses, and radiologic technicians in delivering quality service, particularly for a minimally invasive procedure such as respiratory endoscopy. After all, developing an efficient and safe medical system cannot be v

5 vi Preface accomplished single-handedly, even by the most skilled individual. Lastly, we hope that this book will help aspiring respiratory endoscopists in learning and, potentially, further improving this craft. Pasig, Philippines May 2016 Tomohiko Aso Kazuko Nasu Yasuaki Arai Christine Chavez

6 Contents Part I Edition for Radiological Technicians 1 The Role of X-Ray Fluoroscopy in Bronchoscopy... 3 Yuichi Nagai and Yuzuru Kouno 2 Development of X-Ray Fluoroscopy Devices... 9 Mayumi Kitagawa and Yuzuru Kouno 3 Characteristics of X-ray Fluoroscopy Yuichi Nagai and Yuzuru Kouno 4 Image Processing in X-Ray Fluoroscopy and Digital Tomography Jun Torii and Yuzuru Kouno 5 Quality Control in X-Ray Fluoroscopy and Digital Tomography Takumi Iwase and Yuzuru Kouno 6 Computed Tomography Imaging to Bronchoscopic Navigation Hirobumi Nagasawa and Yuzuru Kouno Part II Edition for Doctors 7 Fluorographic and Radiographic Conditions in Bronchoscopy Using X-Ray Fluoroscopy Yuichi Nagai,, and Yuzuru Kouno 8 Identification of the Involved Bronchus to Peripheral Pulmonary Lesions on Computed Tomography Takaaki Tsuchida 9 Anesthesia for Bronchoscopy Masahiro Katsurada and vii

7 viii Contents 10 Processing Samples Takaaki Tsuchida and 11 Rapid On-Site Cytology Evaluation Takaaki Tsuchida and 12 Type and Selection of Flexible Bronchoscope Latest in Bronchoscopy (High-Vision Scope with Rotation Function) Basic Flexible Bronchoscopy Tomography-Guided Transbronchial Biopsy for Peripheral Pulmonary Lesions Radial Endobronchial Ultrasound Findings Radial EBUS Findings for Ground Glass Opacity: Comparison of Radiologic and Pathologic Findings Endobronchial Ultrasound with a Guide Sheath for Peripheral Pulmonary Lesions Yuji Matsumoto and 19 Transbronchial Needle Aspiration Through a Guide Sheath for Peripheral Pulmonary Lesions Moto Takai and 20 Virtual Bronchoscopic Navigation for Peripheral Pulmonary Lesions Yuji Matsumoto and 21 Virtual Bronchoscopic Simulation by CT Workstation Yuji Matsumoto,, and Yasuyuki Mizumori 22 The Dose and Risk Factors for Radiation Exposure from X-Ray Fluoroscopy During EBUS-GS for Peripheral Pulmonary Lesions Masahiro Katsurada and 23 Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration Hibiki Udagawa and

8 Contents ix 24 Endobronchial Ultrasound Elastography Flex-Rigid Pleuroscopy Under Local Anesthesia Yukio Watanabe and 26 Stent Placement Under X-Ray Fluoroscopy Therapeutic Bronchoscopy for Central Airway Obstruction (Balloon, Argon Plasma Coagulation, High Frequency) Yukio Watanabe and 28 Endoscopic Bronchial Occlusion with Silicone Spigots Yasuyuki Mizumori and 29 Photodynamic Therapy for Lung Cancer Takaaki Tsuchida and Part III Edition for Nurses 30 Actual Nursing in Respiratory Endoscopy Akiko Kobayashi, Sugako Hirata, Mayumi Ohga, Akemi Sakatsume, Kaori Shimada, and Junko Kaneko