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A systematic review and meta-analysis evaluated radial endobronchial ultrasound for diagnosing peripheral pulmonary lesions that are not easily reached with conventional bronchoscopy. The pooled evidence showed a useful diagnostic yield across a large number of lesions, with a relatively low complication rate. Performance varied according to lesion characteristics and procedural factors, reinforcing that radial EBUS is a technique whose yield depends on careful localization, lesion selection, and operator skill. Clinically, the study supports radial EBUS as an important option in the expanding diagnostic toolkit for pulmonary nodules and peripheral lesions, particularly when a minimally invasive approach is preferred. It can help clinicians obtain tissue while potentially avoiding complications associated with transthoracic or surgical procedures. For HCPs, the key is to think of radial EBUS as part of a pathway rather than as a stand-alone technology: CT review, lesion accessibility, navigation strategy, pathology coordination, and backup plans all matter. The findings map directly onto the conference workshop on linear and radial EBUS and reinforce the broader interventional-pulmonology theme of choosing the right bronchoscopic tool for the clinical problem.
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A systematic review and meta-analysis evaluated radial endobronchial ultrasound for diagnosing peripheral pulmonary lesions that are not easily reached with conventional bronchoscopy. The pooled evidence showed a useful diagnostic yield across a large number of lesions, with a relatively low complication rate. Performance varied according to lesion characteristics and procedural factors, reinforcing that radial EBUS is a technique whose yield depends on careful localization, lesion selection, and operator skill. Clinically, the study supports radial EBUS as an important option in the expanding diagnostic toolkit for pulmonary nodules and peripheral lesions, particularly when a minimally invasive approach is preferred. It can help clinicians obtain tissue while potentially avoiding complications associated with transthoracic or surgical procedures. For HCPs, the key is to think of radial EBUS as part of a pathway rather than as a stand-alone technology: CT review, lesion accessibility, navigation strategy, pathology coordination, and backup plans all matter. The findings map directly onto the conference workshop on linear and radial EBUS and reinforce the broader interventional-pulmonology theme of choosing the right bronchoscopic tool for the clinical problem.
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