This video illustrates the combination of cone beam CT with robotic bronchoscopy. A fixed cone beam CT by Philips Azurion Lung Suite was combined with Ion Robotic bronchoscopy by Intuitive.
This robust combination is needed for challenging cases, especially with lung nodules less than 10 millimeters and with previous anatomy distortion after radiation therapy, previous surgery, or position in an area with no bronchus sign.
The video shows the change in the practice we implemented with the fixed cone beam CT Philips Azurion Lung Suite. We start the case with a spin and analysis of the lung nodule segmentation and pathway planning as a baseline guide with fluoroscopy augmentation before navigation with robotic bronchoscopy. Using this technique by overlapping the pre-procedure CT scan planning from robotic bronchoscopy with the planned airway pathway created with the first spin of the cone beam CT provided a very high accuracy navigation success with the anatomically distorted airway.
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