• Mohamed Fawzi Mohamed Awad Allah, Saad Rezk Abdulwahed Hussein, Abou Bakre Helal El-Asmar, Hamdy Mohamed Zoair, Ghanim Abdel-Latif Mohamed, Abdel-Monem El-Shabrawy Metwaly, Mohamed Ali Abboud, and Ibrahim M Shalan.
• Department of Radio-diagnosis, Al-Azhar University Hospital, Assiut, Egypt.
• J Comput Assist Tomogr. 2012 Jan 1; 36 (1): 94-9.

BackgroundVirtual bronchoscopy (VB) is a type of 3-dimensional reconstruction in which the observation point is placed within the airway to produce an endoscopiclike view.AimTo evaluate the diagnostic role of VB in the diagnosis of tracheobronchial lesions, as compared to fiberoptic bronchoscopy (FOB).SubjectsFifty patients with tracheobronchial lesions were enrolled (30 patients with bronchogenic carcinomas and 20 patients with tracheobronchial inflammatory lesions).MethodsThe patients were examined using VB and FOB. Virtual bronchoscopic studies were calculated and reconstructed from cross-sectional images obtained from spiral computed tomographic examination of the chest.ResultsVirtual bronchoscopy provided an excellent overview of the trachea, main stem, and lobar bronchi up to the fourth order. The data obtained by VB and FOB (signs of tumor infiltration including endobronchial mass, stenosis, obstruction, and external indentations) were comparable. However, FOB had the advantage of giving direct cues to color, vascularity, and motility. It also detected early tumor infiltration by picking up subtle mucosal changes. Alternatively, VB was superior in bypassing any obstruction and therefore provided an excellent view distal to the obstructive lesions or stenotic segments. Virtual bronchoscopy also defined the optimum pathway for passing instruments into lesions beyond the field of view.ConclusionsHere, we compared the diagnostic capacities of both VB and FOB. The interventional and therapeutic ramifications of our findings await further investigations.

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