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American Journal of Roentgenology, Vol 170, 1361-1364, Copyright © 1998 by American Roentgen Ray Society

ARTICLES

Virtual bronchoscopy for directing transbronchial needle aspiration of hilar and mediastinal lymph nodes: a pilot study

HP McAdams, PC Goodman and P Kussin
Department of Radiology, Duke University Medical Center, Durham, NC 27710, USA.

OBJECTIVE: We conducted a preliminary investigation of virtual bronchoscopy as a guide for transbronchial needle aspiration of hilar or mediastinal lymph nodes to assess the usefulness of this technique. CONCLUSION: Virtual bronchoscopic images derived from routine helical CT scans were useful for directing transbronchial needle aspiration in a clinical setting. In addition, virtual bronchoscopy may have been responsible for improving the yield of transbronchial needle aspirations done by our bronchoscopists when 22-gauge needles were used.
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