Perspectives using probe-based confocal laser endomicroscopy of the respiratory tract

QUESTIONS UNDER STUDY/PRINCIPLES: Although probe-based confocal laser endomicroscopy (pCLE) is on the edge of entering daily practice in gastroenterological endoscopy, findings in the field of respiratory medicine are only rarely reported, keeping pCLE during flexible bronchoscopy as a mere pr...

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Main Authors: Jonas Yserbyt, Christophe Dooms, Vincent Ninane, Marc Decramer, Geert Verleden
Format: Article
Language:English
Published: SMW supporting association (Trägerverein Swiss Medical Weekly SMW) 2013-03-01
Series:Swiss Medical Weekly
Online Access:https://www.smw.ch/index.php/smw/article/view/1666
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author Jonas Yserbyt
Christophe Dooms
Vincent Ninane
Marc Decramer
Geert Verleden
author_facet Jonas Yserbyt
Christophe Dooms
Vincent Ninane
Marc Decramer
Geert Verleden
author_sort Jonas Yserbyt
collection DOAJ
description QUESTIONS UNDER STUDY/PRINCIPLES: Although probe-based confocal laser endomicroscopy (pCLE) is on the edge of entering daily practice in gastroenterological endoscopy, findings in the field of respiratory medicine are only rarely reported, keeping pCLE during flexible bronchoscopy as a mere preclinical research tool. Since the endomicroscopic aspects of normal bronchial and alveolar tissue have recently been described, we want to take part in the development of a pCLE glossary, describing the pCLE features of pulmonary pathologies. METHODS: We recruited among patients referred for diagnostic bronchoscopy for pCLE imaging. Images from the central airways were obtained in every patient and alveoloscopy was performed in at least five sub-segments per patient. RESULTS: Using pCLE imaging, we were able to discriminate normal from abnormal endomicroscopical patterns in four respiratory conditions. These findings were matched with classical histopathology. CONCLUSION: Reflecting on our own experience using pCLE imaging, we summarise the present state of knowledge, discuss five clinical cases and discuss current limitations and the future promise of this novel imaging tool.   The study has been registered with www.clinicaltrials.gov (number http://www.clinicaltrials.gov/ct2/show/NCT01204970?term=NCT01204970&rank=1 )
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spelling doaj.art-f0ba5e32f9d94289a2bc65e21835ed642024-11-02T21:08:02ZengSMW supporting association (Trägerverein Swiss Medical Weekly SMW)Swiss Medical Weekly1424-39972013-03-01143131410.4414/smw.2013.13764Perspectives using probe-based confocal laser endomicroscopy of the respiratory tractJonas YserbytChristophe DoomsVincent NinaneMarc DecramerGeert Verleden QUESTIONS UNDER STUDY/PRINCIPLES: Although probe-based confocal laser endomicroscopy (pCLE) is on the edge of entering daily practice in gastroenterological endoscopy, findings in the field of respiratory medicine are only rarely reported, keeping pCLE during flexible bronchoscopy as a mere preclinical research tool. Since the endomicroscopic aspects of normal bronchial and alveolar tissue have recently been described, we want to take part in the development of a pCLE glossary, describing the pCLE features of pulmonary pathologies. METHODS: We recruited among patients referred for diagnostic bronchoscopy for pCLE imaging. Images from the central airways were obtained in every patient and alveoloscopy was performed in at least five sub-segments per patient. RESULTS: Using pCLE imaging, we were able to discriminate normal from abnormal endomicroscopical patterns in four respiratory conditions. These findings were matched with classical histopathology. CONCLUSION: Reflecting on our own experience using pCLE imaging, we summarise the present state of knowledge, discuss five clinical cases and discuss current limitations and the future promise of this novel imaging tool.   The study has been registered with www.clinicaltrials.gov (number http://www.clinicaltrials.gov/ct2/show/NCT01204970?term=NCT01204970&rank=1 ) https://www.smw.ch/index.php/smw/article/view/1666
spellingShingle Jonas Yserbyt
Christophe Dooms
Vincent Ninane
Marc Decramer
Geert Verleden
Perspectives using probe-based confocal laser endomicroscopy of the respiratory tract
Swiss Medical Weekly
title Perspectives using probe-based confocal laser endomicroscopy of the respiratory tract
title_full Perspectives using probe-based confocal laser endomicroscopy of the respiratory tract
title_fullStr Perspectives using probe-based confocal laser endomicroscopy of the respiratory tract
title_full_unstemmed Perspectives using probe-based confocal laser endomicroscopy of the respiratory tract
title_short Perspectives using probe-based confocal laser endomicroscopy of the respiratory tract
title_sort perspectives using probe based confocal laser endomicroscopy of the respiratory tract
url https://www.smw.ch/index.php/smw/article/view/1666
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AT marcdecramer perspectivesusingprobebasedconfocallaserendomicroscopyoftherespiratorytract
AT geertverleden perspectivesusingprobebasedconfocallaserendomicroscopyoftherespiratorytract