Computed tomography versus bronchoscopy

Should computed tomography and bronchoscopy be routine examinations for chronic cough?
In the cough guideline developed by the European Respiratory Society in 2020 (4), chest CT is not routinely recommended in patients with chronic cough who have normal findings on CXR and physical examination, but the level of evidence on this recommendation is very low..
What is CT bronchoscopy?
CT Virtual Bronchoscopy (Computed Tomography Bronchoscopy) is an imaging scan that provides the 3 Dimension internal view of the trachea and major bronchi.
It diagnoses lung diseases.
This scan shows abnormal changes in your lung, such as a tumor, scarring of lung tissue, collapse of one area of your lung, etc..
What is the best imaging of the lungs?
High-resolution CT may reveal more detail about lung disorders.
Helical CT can provide three-dimensional images.
Generally, CT scans are done after a person takes a deep breath (inhales).
Sometimes, CT images are obtained after people both inhale and exhale to better look at small airways..
What is the efficacy of bronchoscopy versus computerised tomography in initial identification of patients with hemoptysis?
In patients who underwent both CT and bronchoscopy, CT showed a significantly higher ability to detect the exact site of bleeding than bronchoscopy, both in early (130/252 (51.6%) VS. 73/190 (38.4%), p-value = 0.006) and delayed examinations (111/293 (37.9%) VS..
Where is a bronchoscopy performed?
Bronchoscopy is usually done in a procedure room in a clinic or in a hospital operating room.
The entire procedure, including prep and recovery time, typically takes about four hours.
Bronchoscopy itself usually lasts about 30 to 60 minutes..
Which is better CT scan or bronchoscopy?
CT was more efficient than bronchoscopy for identifying the cause of bleeding (77% vs 8%, respectively), whereas the methods were comparable for identifying the site of bleeding (70% vs 73%, respectively) (9)._{Jun 23, 2016}.
Why is CT better for lungs?
Lung CT screening provides more detailed information than conventional X-rays making it possible to diagnose & manage lung cancer earlier & more effectively..
In patients who underwent both CT and bronchoscopy, CT showed a significantly higher ability to detect the exact site of bleeding than bronchoscopy, both in early (130/252 (51.6%) VS. 73/190 (38.4%), p-value = 0.006) and delayed examinations (111/293 (37.9%) VS.
In the cough guideline developed by the European Respiratory Society in 2020 (4), chest CT is not routinely recommended in patients with chronic cough who have normal findings on CXR and physical examination, but the level of evidence on this recommendation is very low.
While you hold your breath the table will move through the ring while pictures are taken.
The pictures will be taken before, during and after the contrast media is injected into the IV.
It is important to lie still while the images are taken.
Young children may have trouble lying still during the CT scan.

CT was more efficient than bronchoscopy for identifying the cause of bleeding (77% vs 8%, respectively), whereas the methods were comparable for identifying the site of bleeding (70% vs 73%, respectively) (9).

In centres where CT scans are performed in about 60% of patients with proven or suspected lung cancer, it would appear to be cost effective to change to universal CT scanning before bronchoscopy since this significantly improves the diagnostic accuracy of bronchoscopy, allows about 7% of patients to avoid an

Undoubtedly, chest CT is more useful than CXR in diagnosing uncommon pulmonary conditions, such as mediastinal or hilar mass, lymphadenopathy, intraluminal lesions of the trachea and/or bronchia, early-stage interstitial lung disease, bronchiectasis, pericardial diseases and others. Paioli et al.

Electromagnetic navigation bronchoscopy (ENB) is a medical procedure utilizing electromagnetic technology designed to localize and guide endoscopic tools or catheters through the bronchial pathways of the lung.
Using a virtual, three-dimensional (3D) bronchial map from a recently computed tomography (CT) chest scan and disposable catheter set, physicians are able to navigate to a desired location within the lung to biopsy lesions, stage lymph nodes, insert markers to guide radiotherapy or guide brachytherapy catheters.

Computed tomography versus bronchoscopy

Should computed tomography and bronchoscopy be routine examinations for chronic cough?

What is CT bronchoscopy?

What is the best imaging of the lungs?

What is the efficacy of bronchoscopy versus computerised tomography in initial identification of patients with hemoptysis?

Where is a bronchoscopy performed?

Which is better CT scan or bronchoscopy?

Why is CT better for lungs?