Our Summary

This study looked at a method called rapid on-site evaluation (ROSE) used during a specific type of lung biopsy (rpEBUS-TBLB) for patients with certain lung conditions. The researchers wanted to see how useful ROSE was in these cases. They found that ROSE was quite accurate in diagnosing these lung conditions, and when it was used, the biopsy procedure was quicker and fewer samples were needed. There were also no serious complications reported. This suggests that using ROSE with this type of lung biopsy is a safe and effective way to diagnose these lung conditions.

FAQs

  1. What is the method called rapid on-site evaluation (ROSE)?
  2. What are the benefits of using ROSE during a lung biopsy?
  3. Was the use of ROSE in lung biopsy found to be safe and effective?

Doctor’s Tip

One helpful tip a doctor might tell a patient about lung biopsy is to ask about the possibility of utilizing rapid on-site evaluation (ROSE) during the procedure. ROSE can help ensure a quicker and more accurate diagnosis, with potentially fewer samples needed and reduced risk of complications. It is important to discuss all options with your healthcare provider to ensure the best possible outcome.

Suitable For

Patients typically recommended for lung biopsy include those with suspicious nodules or masses in the lungs, suspected lung cancer, interstitial lung disease, pulmonary infections, pulmonary fibrosis, sarcoidosis, or other lung diseases that require a tissue sample for accurate diagnosis. Additionally, patients who do not respond to initial treatment or have inconclusive imaging results may also be recommended for a lung biopsy to determine the underlying cause of their symptoms.

Timeline

Before lung biopsy:

  • Patient may undergo imaging tests such as chest X-rays or CT scans to identify the location of the abnormality in the lung.
  • Patient may undergo blood tests to check for any underlying conditions that could affect the biopsy procedure.
  • Patient may be asked to stop taking certain medications, such as blood thinners, before the biopsy.
  • Patient may meet with the healthcare team to discuss the biopsy procedure, potential risks, and what to expect during and after the procedure.

After lung biopsy:

  • Patient will be monitored closely for any signs of complications, such as bleeding or infection.
  • Patient may experience some discomfort or pain at the biopsy site, which can be managed with pain medications prescribed by the healthcare team.
  • Patient may be advised to avoid certain activities, such as heavy lifting, for a period of time after the biopsy.
  • Patient may need to follow up with their healthcare team for further tests or treatment based on the results of the biopsy.
  • Patient may receive the biopsy results, which will help guide further treatment decisions.

What to Ask Your Doctor

  1. Can you explain the specific type of lung biopsy (rpEBUS-TBLB) that will be performed?
  2. What is the purpose of performing this lung biopsy?
  3. How will the rapid on-site evaluation (ROSE) be used during the biopsy procedure?
  4. What are the potential risks or complications associated with this type of lung biopsy?
  5. How accurate is ROSE in diagnosing the specific lung conditions being evaluated?
  6. Will I need any special preparation before the biopsy procedure?
  7. How long will the biopsy procedure take?
  8. How many tissue samples will be collected during the biopsy?
  9. What happens after the biopsy procedure? Will I need any follow-up appointments or tests?
  10. Are there any specific instructions or restrictions I should follow after the biopsy?

Reference

Authors: Xu C, Wang Y, Wang W, Yuan Q, Hu HD, Li L. Journal: J Int Med Res. 2021 Mar;49(3):300060521999535. doi: 10.1177/0300060521999535. PMID: 33719656