title: Evolution of transbronchial needle aspiration technique.
abstract: Transbronchial needle aspiration (TBNA) is an established technique to collect cell and tissue specimens from lesions outside the airway wall, generally guided by flexible bronchoscope under the direct visualization of the puncture site. TBNA has been utilized for 30 years, and now there is renewed interest in utilizing it in conjunction with endobronchial ultrasound. Although the basic operational principles have remained the same, conventional TBNA (cTBNA) and endobronchial ultrasound-guided TBNA (EBUS-TBNA) have been greatly improved over the years with the increased application in clinic and the advance of new technology. In this article we briefly discussed the evolution of TBNA technique and its future.
authors.affiliation: 1 Department of Respiratory Medicine, Shandong Provincial Hospital Affiliated to Shandong University, Jinan 250014, China ; 2 Department of Respiratory Medicine, Shanghai General Hospital, Shanghai Jiao Tong University, Shanghai 200080, China ; 3 Division of Pulmonary and Critical Care Medicine, Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310009, China ; 4 Interventional Pulmonology, Division of Pulmonary Medicine and Critical Care, Johns Hopkins University, School of Medicine, Baltimore, MD 21287, USA ; 5 Department of Respiratory and Critical Care Medicine, Changhai Hospital, Second Military Medical University, Shanghai 200433, China.
authors.forename: Qing-Hua
authors.initials: QH
authors.lastname: Liu
authors.affiliation: 1 Department of Respiratory Medicine, Shandong Provincial Hospital Affiliated to Shandong University, Jinan 250014, China ; 2 Department of Respiratory Medicine, Shanghai General Hospital, Shanghai Jiao Tong University, Shanghai 200080, China ; 3 Division of Pulmonary and Critical Care Medicine, Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310009, China ; 4 Interventional Pulmonology, Division of Pulmonary Medicine and Critical Care, Johns Hopkins University, School of Medicine, Baltimore, MD 21287, USA ; 5 Department of Respiratory and Critical Care Medicine, Changhai Hospital, Second Military Medical University, Shanghai 200433, China.
authors.forename: Su-Qin
authors.initials: SQ
authors.lastname: Ben
authors.affiliation: 1 Department of Respiratory Medicine, Shandong Provincial Hospital Affiliated to Shandong University, Jinan 250014, China ; 2 Department of Respiratory Medicine, Shanghai General Hospital, Shanghai Jiao Tong University, Shanghai 200080, China ; 3 Division of Pulmonary and Critical Care Medicine, Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310009, China ; 4 Interventional Pulmonology, Division of Pulmonary Medicine and Critical Care, Johns Hopkins University, School of Medicine, Baltimore, MD 21287, USA ; 5 Department of Respiratory and Critical Care Medicine, Changhai Hospital, Second Military Medical University, Shanghai 200433, China.
authors.forename: Yang
authors.initials: Y
authors.lastname: Xia
authors.affiliation: 1 Department of Respiratory Medicine, Shandong Provincial Hospital Affiliated to Shandong University, Jinan 250014, China ; 2 Department of Respiratory Medicine, Shanghai General Hospital, Shanghai Jiao Tong University, Shanghai 200080, China ; 3 Division of Pulmonary and Critical Care Medicine, Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310009, China ; 4 Interventional Pulmonology, Division of Pulmonary Medicine and Critical Care, Johns Hopkins University, School of Medicine, Baltimore, MD 21287, USA ; 5 Department of Respiratory and Critical Care Medicine, Changhai Hospital, Second Military Medical University, Shanghai 200433, China.
authors.forename: Ko-Pen
authors.initials: KP
authors.lastname: Wang
authors.affiliation: 1 Department of Respiratory Medicine, Shandong Provincial Hospital Affiliated to Shandong University, Jinan 250014, China ; 2 Department of Respiratory Medicine, Shanghai General Hospital, Shanghai Jiao Tong University, Shanghai 200080, China ; 3 Division of Pulmonary and Critical Care Medicine, Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310009, China ; 4 Interventional Pulmonology, Division of Pulmonary Medicine and Critical Care, Johns Hopkins University, School of Medicine, Baltimore, MD 21287, USA ; 5 Department of Respiratory and Critical Care Medicine, Changhai Hospital, Second Military Medical University, Shanghai 200433, China.
authors.forename: Hai-Dong
authors.initials: HD
authors.lastname: Huang
keywords: Transbronchial needle aspiration (TBNA); endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA)