Transbronchial cryobiopsy in diffuse parenchymal lung disease /

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Bibliographic Details
Imprint:Cham, Switzerland : Springer, [2019]
Description:1 online resource
Subject:Lungs -- Diseases.
HEALTH & FITNESS -- Diseases -- General.
MEDICAL -- Clinical Medicine.
MEDICAL -- Diseases.
MEDICAL -- Evidence-Based Medicine.
MEDICAL -- Internal Medicine.
Lungs -- Diseases.
Electronic books.
Format: E-Resource Book
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Other authors / contributors:Poletti, Venerino, editor.
Digital file characteristics:text file PDF
Notes:Includes bibliographical references.
Vendor-supplied metadata.
Summary:This book presents both theoretical and practical aspects of transbronchial cryobiopsy, a new diagnostic technique for the detection of diffuse parenchymal lung disease that is attracting great interest in the scientific community. In the context of a multidisciplinary discussion, comprising radiologic-pathologic correlations, the authors examine the technical and safety issues - such as equipment, endoscopic setting, anesthesiologic approaches and bleeding control - on one hand, and the diagnostic yield and clinical meaning on the other. The volume offers several case studies - including idiopathic pulmonary fibrosis, granulomatous disorders, interstitial pneumonias, rare lung disseminated tumors- that illustrate the high diagnostic yield and safety of this innovative technique. The book appeals to a wide readership, including residents, pulmonologists with expertise in diffuse parenchymal lung diseases, interventional pulmonologists, thoracic radiologists, pathologists, anesthesiologists, internists and rheumatologists.
Other form:Print version: Transbronchial cryobiopsy in diffuse parenchymal lung disease. Cham, Switzerland : Springer, [2019] 3030148904 9783030148904
Standard no.:10.1007/978-3-030-14
Table of Contents:
  • Intro; Preface; Contents; Part I: Introduction to Diffuse Parenchymal Lung Disease; 1: Diffuse Parenchymal Lung Disease: A Clinical Overview; 1.1 Introduction; 1.2 Pathophysiology of DPLD; 1.3 Clinical History; 1.4 Physical Examination; 1.5 Laboratory Testing; 1.6 Pulmonary Function Tests; 1.7 Chest Imaging; 1.8 The Invasive Diagnostic Procedures; References; 2: Radiologic-Pathologic Correlations in Diffuse Parenchymal Lung Diseases; 2.1 Introduction; 2.2 UIP Pattern in Idiopathic Pulmonary Fibrosis; 2.3 Early IPF: UIP Pattern and Ancillary Findings; 2.3.1 Ground Glass
  • 2.3.2 Minimal Reticular Changes and ILA2.3.3 Bony Metaplasia; 2.3.4 Fatty Metaplasia; 2.3.5 PPFE and UIP Pattern; 2.4 Non-idiopathic UIP Patterns; 2.4.1 UIP and Connective Tissue Diseases; 2.4.2 Chronic Hypersensitivity Pneumonitis with UIP-Like Pattern; 2.5 Nonspecific Interstitial Pneumonia; 2.5.1 Idiopathic NSIP; 2.5.2 NSIP in Connective Tissue Diseases; 2.6 Organizing Pneumonia; 2.7 Smoking-Related Interstitial Lung Diseases; 2.8 Summary; References; 3: Multidisciplinary Discussion in Diffuse Parenchymal Lung Disease; 3.1 Introduction
  • 3.2 The Past: The Role of Histology and Radiology3.3 The MDT; 3.4 Composition of MDT; 3.5 MDT Diagnosis Is Influenced by Components; 3.6 Final Scope of MTD; 3.6.1 Comparison Between Cryobiopsy and Surgical Biopsy in MDT Discussion; 3.7 Conclusion; References; Part II: Transbronchial Cryobiopsy; 4: Cryobiopsy: Physics; 4.1 Introduction: Cold Temperatures in Lung Diseases; 4.2 Physic Principle of TBLC; 4.3 "Joule-Thomson" Effect in TBLC; 4.3.1 Cryogenic Gases; 4.3.2 Tissue Cryosensitivity; 4.3.3 Probes; 4.3.4 Activation of the Probe; 4.3.5 Thawing Phase
  • 4.4 The "Joule-Thomson" Effect on Living Tissues: Mechanism of Tissue DamageReferences; 5: Technique and Equipment in Transbronchial Cryobiopsy; 5.1 Introduction; 5.2 A Summary of What TBLC Needs to Be Carried Out; 5.3 Sedation/Anaesthesia; 5.4 Airway Management; 5.5 Patient Ventilation; 5.6 Bronchial Blockers; 5.7 Fluoroscopic Guidance; 5.8 Cryogenic Gases; 5.9 Cryoprobes; 5.10 Where to Take a TBLC and How Many Samples Should Be Taken; 5.11 How to Manage the TBLC Samples; 5.12 Learning Curve
  • 5.13 What Happens After the Biopsy: Writing the Report, Post-procedural Monitoring and Management of ComplicationsReferences; 6: Complications of Transbronchial Cryobiopsy; References; 7: Histology for Transbronchial Lung Cryobiopsy Samples; 7.1 Introduction; 7.1.1 Processing of Cryobiopsy Specimens; 7.1.2 Normal Structure of the Lobules and Acini in TBLC Specimens; 7.1.3 Pathological Diagnosis of UIP Based on the Pulmonary Architecture; UIP Diagnosed in SLB Specimens; UIP Diagnosed in TBLC Specimens; 7.2 Conclusion; References