The role of interventional pulmonology in management of pulmonary nodules during lung cancer screening

The implementation of lung cancer screening with low-dose computed tomography has significantly increased the detection of pulmonary nodules, most of which are peripherally located and difficult to access. Effectively addressing these findings remains a clinical challenge, particularly in balancing diagnostic accuracy with procedural risk. Advances in interventional pulmonology have enabled minimally invasive approaches that may support both diagnosis and treatment, especially in selected patients with peripherally located nodules or limited surgical options. However, evidence on their effectiveness, accessibility and integration into screening workflows remains variable. In this review, we discuss the current role of interventional pulmonology in the context of lung cancer screening, outlining its potential benefits, limitations, and areas requiring further research to define its place within multidisciplinary care.

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Publication Details

Journal
Breathe
Published
2025-10-01
DOI
https://doi.org/10.1183/20734735.0256-2024
Citations
2
Primary Topic
Lung Cancer Diagnosis and Treatment
Type
article
Field-Weighted Citation Impact
3.04
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article

The role of interventional pulmonology in management of pulmonary nodules during lung cancer screening

Georgia Hardavella, Mariana Serino, Maria Joana Catarata, Gianluca Marchi et al.
2 citations
Breathe
Lung Cancer Diagnosis and Treatment
3.04
article

The role of interventional pulmonology in management of pulmonary nodules during lung cancer screening

Georgia Hardavella, Mariana Serino, Maria Joana Catarata, Gianluca Marchi, Faustina Funke, Evangelia Koukaki, Saskia van Heumen, Marjolein A. Heuvelmans, Armin Frille, Carla Carvalho
article en
2 citations

Abstract

The implementation of lung cancer screening with low-dose computed tomography has significantly increased the detection of pulmonary nodules, most of which are peripherally located and difficult to access. Effectively addressing these findings remains a clinical challenge, particularly in balancing diagnostic accuracy with procedural risk. Advances in interventional pulmonology have enabled minimally invasive approaches that may support both diagnosis and treatment, especially in selected patients with peripherally located nodules or limited surgical options. However, evidence on their effectiveness, accessibility and integration into screening workflows remains variable. In this review, we discuss the current role of interventional pulmonology in the context of lung cancer screening, outlining its potential benefits, limitations, and areas requiring further research to define its place within multidisciplinary care.

BreatheVol. 21(4)
University of Pisa (IT), Chest Diseases Hospital (KW), Essen University Hospital (DE), University Hospital Leipzig (DE), Hospital Braga (PT), Amsterdam University Medical Centers (NL), i3S - Instituto de Investigação e Inovação em Saúde, Universidade do Porto (PT), Clinical Academic Center of Braga (PT), West German Heart and Vascular Center Essen (DE), Azienda Ospedaliera Universitaria Pisana (IT), Sotiria General Hospital (GR), Leipzig University (DE)
Openalex Percentile: Top 7%
Lung Cancer Diagnosis and Treatment
3.04
DOIOpen Access PDFOpenAlex
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