Game Changers: Endobronchial ultrasound-guided transbronchial needle aspiration

Kathy Cullen, Timothy Warke

Research output: Contribution to journalComment/debatepeer-review


Accurate staging of lung cancer is vital in planning treatment and informing prognosis. Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is now available in several centres in Northern Ireland.

In selected cases, hilar and mediastinal lymph nodes can be sampled in a minimally invasive way under ultrasound guidance, improving diagnostic yield and avoiding the need for a mediastinoscopy. The target node or mass is localised using a combination of an endobronchial image, real-time ultrasound image of structures beyond the airway lumen and doppler flow to help avoid vascular structures. Complication rates are low and the procedure is well-tolerated.

In a direct comparison with mediastinoscopy, EBUS-TBNA demonstrated significantly greater sensitivity1. We are looking forward to the initial feedback from the local consultants who are using this exciting new diagnostic tool.
Original languageEnglish
Pages (from-to)69
Number of pages1
JournalThe Ulster Medical Journal
Issue number1
Publication statusPublished - 01 Jan 2014


  • EBUS
  • lung cancer
  • staging
  • bronchoscopy


Dive into the research topics of 'Game Changers: Endobronchial ultrasound-guided transbronchial needle aspiration'. Together they form a unique fingerprint.

Cite this