title: Improvements to bronchoscopic brushing with a manual mapping method: A three-year experience of 1143 cases.
abstract: Conventional bronchoscopy with brushing alone for diagnosing peripheral pulmonary lesions (PPLs) is of low sensitivity. A manual mapping method was introduced and evaluated in this study, which could be routinely applied with bronchoscopic brushing to improve the sensitivity for malignant PPLs.
  
  
  
  This mapping method involves the bronchoscopist drawing the route with a series of bronchial opening sketches and marking the leading bronchus at every bifurcation point based on thin-section computed tomography. This map is then used to guide bronchoscope insertion for brushing. A cross-sectional study on the evaluation of this method for the diagnosis of malignant PPLs was conducted on patients from July 2010 to June 2013.
  
  
  
  The sensitivity for malignant PPLs of conventional brushing, conventional brushing with mapping on a portion of patients, and conventional brushing with mapping method increased from 17.0% to 25.8% to 31.5% (P < 0.001), respectively. For lesion sizes over 3 cm, the rate of these three groups increased from 25.1% to 38.6% to 50.9% (P < 0.001), respectively. The sensitivity of this mapping method for malignant PPLs was statistically associated with lesion size, lesion character, relationship between the lesion and the leading bronchus, linear distance between the targeted bronchus and the opening of the lobe bronchus, and accessibility (P < 0.001, P = 0.039, P < 0.001, P = 0.031, and P = 0.020, respectively).
  
  
  
  The manual mapping method greatly increased the bronchoscopic brushing sensitivity for malignant PPLs compared to the conventional brushing method. During routine clinical work, it is economical and convenient for guiding bronchoscope insertion.
authors.affiliation: Department of Endoscopy Cancer Hospital and Institute, Chinese Academy of Medical Sciences and Peking Union Medical College Beijing China.
authors.forename: Lei
authors.initials: L
authors.lastname: Zhang
authors.affiliation: Department of Endoscopy Cancer Hospital and Institute, Chinese Academy of Medical Sciences and Peking Union Medical College Beijing China; State Key Laboratory of Molecular Oncology, Department of Etiology and Carcinogenesis Cancer Hospital and Institute, Chinese Academy of Medical Sciences and Peking Union Medical College Beijing China.
authors.forename: Run
authors.initials: R
authors.lastname: Tong
authors.affiliation: Department of Diagnostic imaging Cancer Hospital and Institute, Chinese Academy of Medical Sciences and Peking Union Medical College Beijing China.
authors.forename: Jianwei
authors.initials: J
authors.lastname: Wang
authors.affiliation: Department of Diagnostic imaging Cancer Hospital and Institute, Chinese Academy of Medical Sciences and Peking Union Medical College Beijing China.
authors.forename: Meng
authors.initials: M
authors.lastname: Li
authors.affiliation: Department of Endoscopy Cancer Hospital and Institute, Chinese Academy of Medical Sciences and Peking Union Medical College Beijing China.
authors.forename: Shun
authors.initials: S
authors.lastname: He
authors.affiliation: State Key Laboratory of Molecular Oncology, Department of Etiology and Carcinogenesis Cancer Hospital and Institute, Chinese Academy of Medical Sciences and Peking Union Medical College Beijing China.
authors.forename: Shujun
authors.initials: S
authors.lastname: Cheng
authors.affiliation: Department of Endoscopy Cancer Hospital and Institute, Chinese Academy of Medical Sciences and Peking Union Medical College Beijing China.
authors.forename: Guiqi
authors.initials: G
authors.lastname: Wang
keywords: Bronchoscopic brushing; guiding bronchoscopy; lung cancer; peripheral pulmonary lesions
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