Use of Van Gogh Reduces Time to Diagnosis for Lung Nodule Biopsy

Case Study
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November 26, 2025

This case study details how the Van Gogh imaging system enabled immediate intraoperative decision-making during a robotic bronchoscopy for a 79-year-old patient with a subtle lung nodule.Key Details:

  • Challenge: The procedure was scheduled when a pathologist was unavailable to verify tissue samples immediately. Typically, this would require stopping the procedure and waiting a week for results, potentially necessitating a second surgery.‍
  • Solution: Using the Van Gogh system, the surgeon verified tissue adequacy and identified high suspicion of malignancy within 40 seconds.‍
  • Outcome: The surgeon was able to proceed immediately with a curative resection (trisegmentectomy) in the same operative session. Final pathology confirmed a 0.8 cm invasive pulmonary adenocarcinoma with clear margins (Stage pT1aN0).‍
  • Patient Benefit: Saved the patient from a second surgery and 4-6 weeks of anxiety and additional procedures.
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