Electromagnetic Navigation Bronchoscopy (ENB) at Medical City Fort Worth

As part of its lung health program, Medical City Fort Worth offers a minimally invasive procedure called Electromagnetic Navigation Bronchoscopy™ (ENB™) that may aid with earlier diagnosis for patients with lung lesions. This enables those with cancer to get treated as soon as possible, and patients with benign conditions can potentially avoid unnecessary surgery.

Low-dose CT lung cancer screening

Early detection is a proven, successful strategy for fighting many forms of cancer. Medical City Fort Worth offers screening with low-dose computed tomography (CT) for people at high risk for lung cancer, the only recommended screening test for the disease.

Low-dose computed tomography (LDCT) scan screening has been shown to be successful in detecting lung cancer at an earlier stage when it can be more effectively treated.

Lung cancer screening is done using a low-dose spiral CT scan. This procedure uses low-dose radiation to make a series of very detailed pictures of areas inside the body. It uses an X-ray machine that scans the body in a spiral path. The pictures are made by a computer linked to the X-ray machine. This procedure is also called a low-done helical CT scan.

Important need for lung cancer screening

Lung cancer is the leading cause of cancer-related death in the United States. Three out of four people with lung cancer have incurable, locally advanced or metastatic disease at the time of diagnosis. The five-year survival rate is less than 5 percent when diagnosed with stage IV lung cancer. Detecting lung cancer at its earliest stage, and having it surgically removed, can increase your chances of survival.

Identifying high-risk patients

Many who are at risk for lung cancer don't show symptoms until the disease reaches advanced stages. People at high risk for lung cancer who benefit from annual screening with low-dose CT according to new guidelines published by the U.S. Preventive Services Task Force are:

  • Between 55 and 80 years old
  • Currently smoke or quit in the last 15 years
  • Smoked at least an estimated:
    • 1 pack a day for 30 years
    • OR

    • 2 packs a day for 15 years

In addition to the above characteristics, you are considered at high risk for lung cancer if you have one additional risk factor:

  • Documented high radon exposure
  • Occupational exposure to silica, cadmium, asbestos, arsenic, beryllium, chromium, nickel or diesel fumes
  • Are a survivor of lung cancer, lymphoma or head and neck cancer
  • Have a history of chronic obstructive pulmonary disease or pulmonary fibrosis
  • Have a family history of lung cancer

Why consider lung cancer screening?

The National Lung Screening Trial showed that LDCT CT screening could reduce cancer deaths from lung cancer by 20 percent. Low-dose CT scans were better than chest X-rays at finding early-stage lung cancer. Screening with LDCT also decreased the risk of dying from lung cancer in current and former heavy smokers.

The Centers for Medicare & Medicaid Services (CMS) has determined the evidence is sufficient to add a lung cancer screening counseling, a shared decision-making visit and, for appropriate beneficiaries, annual screening for lung cancer with LDCT. This is a preventive service benefit under the Medicare program when the criteria are met. Your provider can determine if you meet the eligibility to have the screening. If you do not have a personal physician, utilize our Physician Referral Service at (855) 807-5292 to find an Internal Medicine or Pulmonary physician.

When can I do the lung screening?

Discuss your smoking history and/or other risk factors with your physician to determine if you are an appropriate candidate for this procedure. You and your physician can determine when the best time would be to schedule the procedure.

Medical City Fort Worth offers this screening on the main hospital campus.