Radial EBUS Bronchoscopy

Dr. Manoj Kumar Goel offers Radial Endobronchial Ultrasound (EBUS), an advanced diagnostic technique used for detecting and sampling lesions located in the peripheral regions of the lungs. Unlike conventional EBUS, radial EBUS uses a small rotating ultrasound probe to provide a 360-degree image, allowing for accurate localization of small or difficult-to-reach lung nodules. The use of Radial Probe EBUS is to visualise and facilitate biopsy of the peripheral pulmonary lesions. A bronchoscope is negotiated into the distal-most airway as close to the lesion as possible. The radial probe is then passed through the working channel of the bronchoscope using a guide-sheath. The radial probe rotates 360 degrees to scan the lung circumferentially to localise the peripheral lung lesion. The radial probe is then removed from the bronchoscope. Various accessories are then passed to biopsy the lung lesion localised by the Radial EBUS. The video demonstrates REBUS-guided cryobiopsy of a small peripheral nodule measuring 14 mm in the RB2aiβ sub-sub segment of the right upper lobe.

At the forefront of pulmonary diagnostics, Dr. Manoj Kumar Goel employs radial EBUS bronchoscopy to investigate and diagnose early-stage lung cancer, tuberculosis, infections, and other peripheral pulmonary lesions. With over two decades of experience and international training, Dr. Goel ensures a high diagnostic yield while minimizing patient discomfort.

The procedure is performed under local anesthesia or mild sedation and is guided with real-time ultrasound imaging, sometimes combined with fluoroscopy. Once the lesion is located, a biopsy is performed using specialized tools passed through the working channel of the bronchoscope. This precision-guided method reduces the need for more invasive procedures like CT-guided biopsies or surgical intervention.

Patients undergoing radial EBUS under Dr. Goel's care benefit from his patient-centric approach, accurate diagnostics, and personalized follow-up plans. With state-of-the-art technology and a compassionate team, every procedure is executed with the utmost precision and care.