Curr Health Sci J, vol. 42, no. 1, 2016

Feasibility Study of a Novel Navigation System for Biopsy of Peripheral Lesions in the Lungs

[Original Paper]

L.G. GRUIONU(1), A. SAFTOIU(2), T. POPA(3), C. CIOBARCA(3), C.T. STREBA(4), A.M. IONCICA(4), G. GRUIONU(5)


(1)Medinsys Craiova, Romania; Faculty of Mechanics, University of Craiova, Romania;
(2)Research Center of Gastroenterology and Hepatology Craiova, University of Medicine and Pharmacy of Craiova, Romania; Endoscopy Department, Copenhagen University Hospital Herlev, Denmark;
(3)Medinsys Craiova, Romania;
(4)Pulmonology Department, Emergency County Clinical Hospital Craiova, Romania;
(5)Medinsys Craiova, Romania; Departament of Surgery, Harvard Medical School and Massachusetts General Hospital, USA


Abstract:

A novel system for electromagnetic navigation in bronchoscopy (ENB) to improve peripheral lesion targeting and diagnostic is currently under development, and preliminary tests on a complex phantom are presented in this paper. The system named Transbite is proving to be easy to use, accurate and useful for experienced and beginner users, with precision around 5-9 mm in reaching targets in sub-segmental bronchi where a conventional video-bronchoscope cannot extent. Transbite system consists of a planning and orientation software, a navigation and biopsy forceps, an active marker that is placed on patient chest and an electromagnetic tracking system from the market connected to a computer containing the software. Transbite can be used with any bronchoscopy system, has a short set-up procedure and learning curve.


Keywords:
bronchoscopy, fusion imaging, computer tomography (CT), magnetic resonance (MR), electromagnetic tracking (EMT)



Corresponding:
Lucian Gruionu, University of Craiova, Faculty of Mechanics, Calea Bucuresti No. 107, Craiova 200512, Romania; e-mail: lgruionu@yahoo.com


DOI 10.12865/CHSJ.42.01.11 - Download PDF