News Center

Friday, April 20, 2012

Non-surgical system aids in pinpointing, treating lung cancer

INDIANAPOLIS – Lung cancer is the deadliest form of cancer in the United States. Early, accurate diagnosis and treatment is crucial to successful treatment.

Early 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.

It’s called 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.

The i-Logic 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.

Typically, 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.

Here’s how i-Logic works:

  • 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 lungs.
  • 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 target lesion.
  • 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.

 The procedure may last between 30 minutes to two hours.

The i-Logic system also can place markers around a mass so that physicians can pinpoint the locations for radiation treatments or surgically remove it.

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More information about Franciscan St. Francis Health cancer services is available at

The i-Logic™ navigational system, created by superDimension, and enables physicians to access all areas of the lung,