Overview of Interventional Pulmonology for Radiology Professionals

Targeted CE per ARRT’s Discipline, Category, and Subcategory classification:
[Note: Discipline-specific Targeted CE credits may be less than the total Category A credits approved for this course.]

Computed Tomography: 1.00
Procedures: 1.00
Neck and Chest: 1.00

Nuclear Medicine Technology: 0.25
Procedures: 0.25
Other Imaging Procedures: 0.25

Radiography: 0.25
Procedures: 0.25
Thorax and Abdomen Procedures: 0.25

Registered Radiologist Assistant: 1.50
Procedures: 1.50
Thoracic Section: 1.50

Radiation Therapy: 0.25
Procedures: 0.25
Treatments: 0.25

Vascular-Interventional Radiography: 1.50
Procedures: 1.50
Nonvascular Procedures: 1.50

Outline

1. Introduction
2. Training and Certification
3. Types of Bronchoscope
   1. Rigid Bronchoscope
   2. Flexible Bronchoscope
4. Diagnostic Bronchoscopy
   1. Endobronchial US
   2. Peripheral Bronchoscopy
5. Therapeutic Bronchoscopy
   1. Mechanical Debulking
   2. Ablative Procedures
      1. Electrocautery
      2. Laser Therapy
      3. Argon Plasma Coagulation
      4. Cryotherapy
      5. Photodynamic Therapy
      6. Endobronchial Brachytherapy
   3. Stent Placement
   4. Balloon Bronchoplasty
   5. Bronchoscopic Lung Volume Reduction
   6. Bronchial Thermoplasty
   7. Fiducial Marker Placement
   8. Percutaneous Tracheostomy
6. Pleural Interventions
7. Other Evolving Techniques
   1. Robotic-Assisted Bronchoscopy
   2. Bronchoscopic Transparenchymal Nodule Access
   3. Transbronchial Cryobiopsy
   4. Ablation of Early-Stage Cancers
   5. Endobronchial Intratumoral Chemotherapy
8. Conclusion

Objectives

Upon completion of this course, students will:

1. be familiar with AABIP certification
2. be familiar with utilization of rigid bronchoscopy
3. be familiar with the development of the flexible bronchoscope
4. recognize the main component of the flexible bronchoscope
5. be familiar with BLRV
6. be familiar with the use of hyperpolarized 129Xe MRI in BT
7. be familiar with the application of PET to during talc pleurodesis
8. be familiar with radial-probe EBUS
9. be familiar with clinical application of convex-probe EBUS
10. understand the advantages of an ultra-thin bronchoscope
11. identify the matrix used for chest CCT for ENB guidance
12. be familiar with ENB for detecting cancer
13. be familiar with depicting lesions with cone-beam CT and fluoroscopic tomosynthesis
14. recognize the clinical signs of CAO
15. identify the flexible bronchoscope on coronal CT images
16. identify the tools for mechanical debulking
17. be familiar with the major indication of electrocautery
18. be familiar with photodynamic therapy as a treatment modality
19. be familiar with the risks associated with electrocautery
20. identify the most commonly used ablation therapy laser
21. be familiar with argon plasma coagulation
22. be familiar with cryotherapy
23. be familiar with photodynamic therapy
24. be familiar with endobronchial brachytherapy
25. be familiar with the use of CT features of CAO
26. identify the main type of stents identified in this article
27. recognize the main complication associated with the use of stents
28. be familiar with imaging characteristics of silicone stents
29. be familiar with the factors determining success for balloon bronchoplasty
30. be familiar with BLVR
31. be familiar with more invasive alternatives for BLVR
32. identify patients that are not candidates for BLVR
33. recognize the measurements for CT analysis for pre-BLVR assessment
34. be familiar with quantitative CT imaging on BLVR
35. recognize the use of SPECT/CT for assessing lung perfusion
36. be familiar with the Chartis System
37. be familiar with the most frequent adverse effect of BLVR
38. be familiar with bronchial thermoplasty
39. know which imaging modality uses hyperpolarized 129Xe in guiding therapy to specific airways
40. be familiar with the marker used in SBRT
41. be familiar with the diagnostic efficiency of medical thoracoscopy
42. be familiar with BTPNA
43. be familiar with transbronchial cryobiopsy