Electromagnetic Navigational Bronchoscopy – A Novel Technique for Better Diagnosis of Peripheral Pulmonary Lesions

Lung cancer remains the most prevalent and fatal malignancy in Hong Kong, with rising incidences due to enhanced diagnostic practices, including the increased utilization of computed tomography (CT). This study examines the implementation of electromagnetic navigational bronchoscopy (ENB) in the Department of Respiratory Medicine at Kowloon Hospital, aimed at improving the diagnostic accuracy for peripheral pulmonary lesions deemed inaccessible by conventional methods. From March 1, 2023, to March 1, 2024, 11 ENB procedures were conducted, yielding a diagnostic sensitivity of 33%. The demographic data, lesion characteristics, and complication rates were analyzed, revealing a promising safety profile with no major complications reported. These findings suggest that ENB enhances diagnostic capabilities and reduces patient exposure to additional invasive procedures, thereby optimizing clinical management of lung cancer in a resource-limited setting.