Robotic and navigational bronchoscopy
A robot-guided flexible scope that reaches small lung nodules through the airways to biopsy them without a needle through the chest wall.
Intuitive Ion and Johnson & Johnson Monarch platforms combine electromagnetic or shape-sensing navigation with cone-beam CT to sample peripheral nodules found by screening. Diagnostic yield ~80-90% with low pneumothorax rates; increasingly paired with same-session ablation trials.
How it works
Robotically articulated ultrathin catheter navigated along a CT-derived airway map to the nodule; radial EBUS or cone-beam CT confirms position.
- Reaches peripheral nodules safely
- Enables molecular testing on small lesions
- Cost
- Yield depends on bronchus sign and operator
Latest papers
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