Robotic Lung Biopsy

Robotic Lung Biopsy

When nodules or small, unusual areas in the lungs are found on imaging, determining whether they are benign or cancerous often requires a tissue biopsy. Traditional biopsy approaches may be limited when nodules are small or located deep within the lung.

In these situations, Saint Vincent Hospital offers ION™ robotic-assisted bronchoscopy, a minimally invasive option that helps physicians reach hard-to-access areas of the lung and collect tissue samples with greater precision.

What Is a Robotic Lung Biopsy?

A robotic lung biopsy uses robotic-assisted bronchoscopy to collect tissue from the lung. During the procedure, a physician guides an ultra-thin catheter through the airways to reach the target area and obtain a tissue sample.

With the ION system, the catheter can lock into place once it reaches the target, providing added stability and helping physicians access lung areas that may be difficult to reach with traditional bronchoscopy.

How ION Robotic Bronchoscopy Works

ION uses shape-sensing robotic technology to navigate the lung’s airways. Before the procedure, a high-resolution CT scan is used to create a three-dimensional map of the patient’s airway anatomy. This allows physicians to plan a pathway to the lung nodule.

During the procedure:

  • The robotic catheter is guided through the airways using the planned pathway
  • Shape-sensing technology continuously tracks the catheter’s position and shape
  • The system provides feedback on location, direction and distance to the target lesion Imaging tools such as radial endobronchial ultrasound, fluoroscopy or cone-beam CT may be used to confirm precise positioning
  • Biopsy tools are advanced through the catheter to collect tissue samples

Benefits for Patients

Robotic-assisted bronchoscopy is primarily used for diagnosis, helping guide next steps in care planning. It offers several potential benefits for patients who need lung biopsy, including:

  • Improved access to hard-to-reach lung nodules
  • Lower complication rates compared with traditional percutaneous lung biopsies
  • Reduced risk of pneumothorax compared with CT-guided lung biopsy
  • Ability to sample multiple lung nodules during one procedure
  • Minimally invasive approach performed through the airways, without chest wall puncture

What To Expect

Before the procedure, your physician will discuss potential risks and benefits based on your individual situation. Your care team will provide detailed instructions before your procedure, including guidance during a pre-operative assessment call.

Recovery experiences vary. Many patients may be discharged the same day. Your healthcare team will provide individualized discharge instructions, including guidance on returning to daily activities.

Part of Comprehensive Cancer Care

At Saint Vincent Hospital in Worcester, MA, robotic bronchoscopy is one way we support patients as part of our broader cancer care approach. Our care teams work closely together to guide each step with clarity, compassion and attention to your needs. If you have questions or would like to learn more, our team is here to help.

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