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ebus pass project ppt

Endo-bronchial ultrasound (EBUS) is a technique that uses ultrasound along with the broncho-scope to visualize the wall of the airways and the structures adjacent to it. The clinical application and diagnostic benefit of EBUS have been established in many studies. EBUS has been incorporated into standard practice in many centers because of its high informational diagnostic value and low risk. It may replace more invasive methods for staging lung cancer or to evaluate lymphadenopathy and mediastinal lesions in the future. [1, 2, 3, 4] EBUS and guided sampling are gaining popularity quickly.

There are two types of EBUS:

1. EBUS radial probe (RP-EBUS) and
2. EBUS convex probe (CP-EBUS).

The EBUS radial probe was commercially available in 1992, which increased TBNA performance of mediastinal lymph nodes. The first CP-EBUS (Echo camera) and "Aloka" ultrasonic probe was introduced in 1992. Another CP-EBUS device (Olympus XBF-UC40P) was introduced in 2002, but the Olympus BF-UC160F-OL8 is currently CP available -EBUS broncho-scope in the United States.

Physicians should be aware of the stations of the media-stinal lymph nodes and the sono-graphic anatomy of the airway wall. The endo-bronchial ultrasound image shows different layers of the bronchial wall with mucosa, submucosa, endochondrium, cartilage, perichondrium, connective tissue and adventitia. The mucosa, the endochondrium, the perichondrial layer, the adventitia are hyperechoic, while submucosa, cartilage and connective tissue appear hypoechoic.

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