Skip to main content
SpringerLink
Log in

Thoracic Fiducial Placement via Flexible Bronchoscopy

  • Chapter
Treating Tumors that Move with Respiration

11.1 Abstract

CyberKnife® (Accuray Incorporated, Sunnyvale, CA) Frameless Image-Guided Radiosurgery [1, 2] with the Synchrony® Motion Tracking Module (Accuray Incorporated) [3, 4] is now available for the treatment of thoracic malignancies. Gold fiducial markers are required for the treatment planning and tracking of the tumor during each treatment. Fiducials have traditionally been placed percutaneously under CT-guidance. This chapter describes our center’s experience placing fiducials using flexible bronchoscopy with a transbronchial aspiration needle (TBNA).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
eBook
USD 16.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Adler JR, Jr., Murphy MJ, Chang SD, et al. Image-guided robotic radiosurgery. Neurosurgery 1999;44:1299–1306; discussion 1306–1297.

    Article  PubMed  Google Scholar 

  2. Kuo JS, Yu C, Petrovich Z, et al. The CyberKnife stereotactic radiosurgery system: description, installation, and an initial evaluation of use and functionality. Neurosurgery 2003;53:1235–1239; discussion 1239.

    Article  PubMed  Google Scholar 

  3. Coste-Manière È, Olender, D., Kilby, W., Schulz, R.A. Robotic Whole Body Stereotactic Radiosurgery: Clinical Advantages of the CyberKnife Integrated System. Medical Robotics and Computer Assisted Surgery 2005;1:28–39.

    Article  Google Scholar 

  4. Schweikard A, Shiomi H, Adler J. Respiration tracking in radiosurgery. Med Phys 2004;31:2738–2741.

    Article  PubMed  Google Scholar 

  5. Reichner CA, Collins, B. T., Gagnon, G.J., Malik, S., Jamis-Dow, C., Anderson, E.D. Comparison of Fiducial Placement for Cyberknife Stereotactic Radiosurgery using CT-Guidance or Flexible Bronchoscopy. Chest 2005;128:162–163S.

    Article  Google Scholar 

  6. Wang K-P, Mehta, A., Turner, Jr. J.F. Transbronchial Needle Aspiration for Cytology and Histology Specimens. In: Flexible Bronchoscopy: Malden: Blackwell Publishing; 2004. pp. 117–137.

    Google Scholar 

  7. Dasgupta A, Mehta AC. Transbronchial needle aspiration. An underused diagnostic technique. Clin Chest Med 1999;20:39–51.

    Article  PubMed  CAS  Google Scholar 

  8. Harrow EM, Oldenburg FA, Jr., Lingenfelter MS, et al. Transbronchial needle aspiration in clinical practice. A five-year experience. Chest 1989;96:1268–1272.

    PubMed  CAS  Google Scholar 

  9. Reichner CA, Collins, B.T., Gagnon G.J., Malik, S., Jamis-Dow, C., Anderson, E.D. The Placement of Gold Fiducials for CyberKnife Stereotactic Radiosurgery Using a Modified Transbronchial Needle Aspiration Technique. Journal of Bronchology 2005;12:193–195.

    Article  Google Scholar 

  10. Ankem MK, DeCarvalho VS, Harangozo AM, et al. Implications of radioactive seed migration to the lungs after prostate brachytherapy. Urology 2002;59:555–559.

    Article  PubMed  Google Scholar 

  11. Nag S, Vivekanandam S, Martinez-Monge R. Pulmonary embolization of permanently implanted radioactive palladium-103 seeds for carcinoma of the prostate. Int J Radiat Oncol Biol Phys 1997;39:667–670.

    Article  PubMed  CAS  Google Scholar 

  12. Harada T, Shirato H, Ogura S, et al. Real-time tumor-tracking radiation therapy for lung carcinoma by the aid of insertion of a gold marker using bronchofiberscopy. Cancer 2002;95:1720–1727.

    Article  PubMed  Google Scholar 

  13. Imura M, Yamazaki K, Shirato H, et al. Insertion and fixation of fiducial markers for setup and tracking of lung tumors in radiotherapy. Int J Radiat Oncol Biol Phys 2005;63:1442–1447.

    Article  PubMed  Google Scholar 

  14. Morice A, Jimenez, L., Eapen, G.A., Nelson, C., Stevens, C.W., Starkschall, G. Bronchoscopic implantation of gold fiducials for estimating lung tumor motion during gated radiation therapy. Chest 2005;128:163S.

    Google Scholar 

  15. Schwarz Y, Greif J, Becker HD, et al. Real-time electromagnetic navigation bronchoscopy to peripheral lung lesions using overlaid CT images: the first human study. Chest 2006;129:988–994.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Pulmonary Critical Care & Sleep Medicine, Georgetown University Hospital, 3800 Reservoir Road, NW, Washington, DC, 20007, USA

    Eric D. Anderson MD, FCCP (Assistant Professor of Medicine) & Cristina A. Reichner MD, FCCP (Assistant Professor of Medicine)

  2. Department of Radiation Medicine, Georgetown University Hospital, 3800 Reservoir Road, NW, Washington, DC, 20007, USA

    Brian T. Collins MD (Assistant Professor) & Sean P. Collins MD, PhD (Assistant Professor)

  3. Department of Radiation Medicine, Georgetown University Medical Center, 3800 Reservoir Road, NW LL Bles Building, Washington, DC, 20007, USA

    Gregory J. Gagnon MD (Associate Professor and CyberKnife Program Director Interim Chairman)

  4. Department of Respiratory Care, 3800 Reservoir Road, NW, Washington, DC, 20007, USA

    Timothy Mahoney RRT (Special Procedures Therapist)

  5. Division of Interventional Radiology, Georgetown University Hospital, 3800 Reservoir Road, NW, Washington, DC, 20007, USA

    Filip Banovac MD (Clinical Director of Imaging Sciences & Information Systems Center Assistant Professor of Radiology)

  6. Department of Radiology, 3800 Reservoir Road, NW, Washington, DC, 20007, USA

    Carlos Jamis-Dow MD (Assistant Professor Chief of Cardiothoracic Imaging)

  7. Division of Hematology/Oncology, Georgetown University Hospital P Lombardi, 3800 Reservoir Road, NW, Washington, DC, 20007-2197, USA

    Shakun Malik MD (Associate Professor of Medicine)

Authors
  1. Eric D. Anderson MD, FCCP
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Brian T. Collins MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Gregory J. Gagnon MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Sean P. Collins MD, PhD
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Timothy Mahoney RRT
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Filip Banovac MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Carlos Jamis-Dow MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Shakun Malik MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. Cristina A. Reichner MD, FCCP
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Research, Education and Clinical Excellence, Baylor University Medical Center, 1201 Barnett Tower 3600 Gaston Avenue, Dallas, TX, 75246, USA

    Harold C. Urschel Jr. MD (Chair of Cardiovascular and Thoracic Surgical) (Chair of Cardiovascular and Thoracic Surgical)

  2. Arizona Oncology Services at St. Joseph’s Hospital & Medical Center Department of Radiation Oncology CyberKnife Center Barrow Neurological Institute, Gamma Knife Center, 350 West Thomas Road, Phoenix, Arizona, 85013, USA

    John J. Kresl MD, PhD

  3. The Heart, Lung and Esophageal Surgery Institute, University of Pittsburgh Medical Center, PUH, C-800, 200 Lothrop Street, Pittsburgh, PA, 15213, USA

    James D. Luketich MD (Sampson Family Endowed Professor of Surgery Chief) (Sampson Family Endowed Professor of Surgery Chief)

  4. Department of Radiation Oncology, University of Texas Southwestern Medical Center, 5801 Forest Park Road, Dallas, TX, 75390, USA

    Lech Papiez PhD (Associate Professor) & Robert D. Timmerman MD (Professor and Vice-Chairman Effie Marie Cain Distinguished Chair in Cancer Therapy Research) (Associate Professor) &  (Professor and Vice-Chairman Effie Marie Cain Distinguished Chair in Cancer Therapy Research)

Rights and permissions

Reprints and permissions

Copyright information

© 2007 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Anderson, E.D. et al. (2007). Thoracic Fiducial Placement via Flexible Bronchoscopy. In: Urschel, H.C., Kresl, J.J., Luketich, J.D., Papiez, L., Timmerman, R.D., Schulz, R.A. (eds) Treating Tumors that Move with Respiration. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-69886-9_11

Download citation

  • DOI: https://doi.org/10.1007/978-3-540-69886-9_11

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-69885-2

  • Online ISBN: 978-3-540-69886-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation