For more information, please contact Imaging Services/Special Procedures, Titus Regional Medical Center, 903.577.6127.

Lung Care

Special Procedures/Diagnostic Options

Bronchial Washings: obtain pooled or targeted saline washes of lung fields

Bronchial Lavage: targeted samples of alveolar regions collected in a manner to reduce tracheobronchial contaminants

Brushings: protected brushes for microbiological or cytological samples are placed in the targeted airway

Biopsies: both endobronchial and fluoroscopic-guided transbronchial biopsies are routinely performed

Fine Needle Aspirates (FNA): allows for lymph node samples or direct aspiration of mass cells

These samples are performed with a pathologist present to examine the specimen for an initial and more immediate diagnosis.

Endobronchial Ultrasound (EBUS): utilizes ultrasound in the airway to visualize lesions for sampling. This allows for specific biopsies without injury to benign structures.

Electromagnetic Navigational Bronchoscopy (ENB): utilizes 3D CT scan to obtain lavages, brushings, FNA’s and biopsies in areas that would normally be inaccessible with traditional bronchoscopy techniques.

Bronchography: allows visualization of the tracheobronchial tree by injecting contrast medium under fluoroscopic assistance.