Chinese expert consensus on shape-sensing robotic-assisted bronchoscopy (ssRAB) in the management of peripheral pulmonary lesions

作者：Fangfang Xie, Expert Group on Technology of Shape-sensing Robotic-assisted Bronchoscopy, Chunxi Zhang, Chun Guang Li, Dan Liu, Quncheng Zhang, Chuanyong Mu, Gang Hou, Manxiang Li, Chunli Tang, Fei Xu, Hong Chen, Zhongbo Chen, Ye Gu, Zhenbiao Guan, Cheng Ji, Haitao Li, Wei Li, Li Xuan, Yishi Li, Hairong Lian, Jiangrong Liao, Zuying Luo, Hai‐Feng Ou‐Yang, Yongchun Shen, Yiwei Shi, Nansheng Wan, Tao Wang, Hong Wang, Huaqi Wang, Juan Wang, Jingxiang Wu, Xuemei Wu, Yang Xia, Kui Xiao, Wujian Xu, Huizhen Yang, Junyong Yang, Taosheng Ye, Xian-Wei Ye, Pengfei Yu, Nan Zhang, Peng Zhāng, Qi Zhao, Xiaoxuan Zheng, Jun Zou, Enguo Chen, Hao Zhang, Jiayuan Sun · 发表于：Translational Lung Cancer Research · 年份：2025 · DOI：10.21037/tlcr-2025-400 · 被引用次数：4 · 研究领域：Lung Cancer Diagnosis and Treatment、Advanced Radiotherapy Techniques、Soft Robotics and Applications

Background: Shape-sensing robotic-assisted bronchoscopy (ssRAB) is a new bronchoscopy technology that utilizes optic fibers to provide accurate position information and robotic-control to deliver improved maneuverability. This technology has been used in the United States since 2019 and investigated in China since 2021. In order to provide a standard practice and make the best use of this technology for managing peripheral pulmonary lesions (PPLs), experts developed the consensus. Methods: This consensus was developed using Delphi method. A panel comprising nine experts formulated eight consensus statements after a thorough review of clinical evidence and practical experience. During the second phase, a questionnaire was distributed to collect feedback on these statements from an external panel of 39 physicians. The percentage of responses and the percentage of agreement on each statement were calculated. The consensus was defined as achieved with an agreement percentage threshold of 80% or above. Results: The eight consensus statements formulated in phase 1 included recommendations for path planning, anesthesia, the use of radial endobronchial ultrasound (EBUS), the use of fluoroscopy and/or cone-beam computed tomography (CBCT) with ssRAB, solving computed tomography (CT)-to-body divergence, the use of sampling tools with ssRAB, cloud biopsy, and the use of rapid on-site evaluation (ROSE) with ssRAB. All panel physicians completed the questionnaire in phase 2. All the statem...