INDIANAPOLIS – Lung cancer is the deadliest form of cancer in the United States.
Early, accurate diagnosis and treatment is crucial to successful treatment.
diagnosis has been difficult, however, with the use of highly invasive
procedures. Until now, that is. A new procedure available at Franciscan St.
Francis Health can help physicians diagnose and prepare to treat lung diseases,
including lung cancer, quickly and safely without surgery.
i-Logic™ navigational system, created by superDimension, and enables physicians
to access all areas of the lung, extending the range of a traditional
bronchoscope. The new system uses technology similar to a GPS to reach lung
lesions through a minimally invasive procedure.
“This is a
minimally invasive alternative for patients who have a lesion on their lung
that is hard to reach or who cannot tolerate a more invasive and aggressive
procedure,” said Faisal Khan, M.D., a pulmonologist with the Center for Respiratory
and Sleep Medicine, who practices at Franciscan St. Francis.
Khan is one
of the ﬁrst in Indianapolis
to use the i-Logic system at Franciscan St. Francis, including Aaron Burns,
M.D.; Sandeep Kukreja, M.D.; Imad Shawa, M.D.; and Michael Snyder, M.D.
procedure also can be combined with Endobronchial Ultrasound (EBUS) to enhance
accuracy and allow for staging of lymph nodes in the same procedure. This
approach leads to quicker diagnosis and staging of lung cancer, and early
initiation of treatment.
a patient with a spot on their lung had the options of major surgery to remove
a section of the lung, traditional bronchoscopy (which doesn’t reach lesions
deep in the lung), needle biopsy, or a “watch-and-wait” approach to see if the
lesion is cancerous and grows. The i-Logic system can be used with patients
suffering from poor lung function, or who have had cancer surgery, chemotherapy
or radiation therapy.
A physician locates a lesion
deep in the lung through X-ray or other imaging. That information is
loaded into planning software that creates a 3-D roadmap of the patient’s
After the patient is asleep, a
bronchoscope is placed into the airways and lung. Next, the i-Logic
catheters containing electromagnetic sensors guide the physician to the
Once at the lesion, the
catheter is removed and the remaining tools can biopsy the target area and
collect tissues samples for testing and diagnosis.
After the procedure is
complete, the patient is observed until they are alert enough to go home.
may last between 30 minutes to two hours.
system also can place markers around a mass so that physicians can pinpoint the
locations for radiation treatments or surgically remove it.