Lesion Size (diameter): 9 mm
Lesion Location: Right Middle Lobe
Bronchus Sign: Yes
Visible on Fluoro: No
REBUS Verification: Concentric Rebus Confirmation
Time to First Biopsy: 13 minutes
Full Procedure Time: 30 minutes
ROSE: No ROSE on-site
Definitive Diagnosis: Adenocarcinoma
A 67-year-old woman, non-smoker. CT completed due to unexplained weight loss.
In Planning, the pre-operative CT was uploaded and the lesion and lesion boundaries were marked. The Body Vision System proposed different pathway options to reach the lesion and Dr. Abramovich chose the appropriate one.
Dr. Abramovich viewed and verified the virtual pathway via Body Vision's virtual bronchoscopy.
Using only a conventional C-arm, Body Vision produced a tomographic reconstruction of the lesion in 3D, thus enabling Dr. Ambramovich to see the real-time, accurate lesion location and overcome any concerns with CT-to-body divergence.
Here, Dr. Abramovich was able to confirm the tool was inside the lesion using Body Vision's real-time, CABT technology.
Dr. Abramovich successfully takes a biopsy sample from within the lesion using forceps.
Small nodules should be diagnosed even if the patient does not have risk factors. The Body Vision system is capable of assisting a definitive diagnosis by creating a reliable augmented fluoroscopy image and providing real-time, CABT tool-in-lesion confirmation in nodules as small as only a few millimeters.
About Dr. Amir Abramovich
Director, Interventional Pulmonology
Carmel Medical Center