Lung cancer screening in Gainesville, Florida

At North Florida Regional Medical Center, we bring together all types of specialists in the diagnosis, treatment and management of lung conditions.

Our lung care team includes primary care providers, pulmonologists, radiologists, oncologists, thoracic surgeons and a dedicated lung screening navigator. Together, our providers offer advanced, quality care that is tailored to the needs of each patient.

Interventional pulmonology

Interventional pulmonology is a subspecialty within pulmonary medicine which is focused on the use of advanced diagnostic and therapeutic techniques for patients with lung cancer, airway disorders, and pleural diseases.

The main goals of interventional pulmonology are to diagnose early stage lung cancer, provide accurate staging of lung cancer, and improve the quality of life for patients with airway obstruction, pleural effusions (fluid collections around the lung), emphysema, and severe asthma by using minimally invasive techniques.

The North Florida Regional Medical Center Interventional Pulmonology Program offers the most state-of-the-art technologies and therapies. The program is headed by Dr. Michael Jantz. Dr. Jantz has been performing advanced diagnostic bronchoscopy and interventional pulmonology procedures for over 20 years. Before coming to North Florida Regional Medical Center, Dr. Jantz developed and was the director for the interventional pulmonology program at the University of Florida.

He has served on the board of directors for American Association of Bronchology and Interventional Pulmonology and the lung cancer guideline writing group for the American College of Chest Physicians. He is nationally and internationally recognized in the fields of interventional pulmonology and lung cancer.

The North Florida Regional Medical Center Interventional Pulmonology program works closely with thoracic surgery, radiation oncology, medical oncology, and radiology to provide comprehensive, multidisciplinary care.

Some of the procedures offered include:

  • Advanced diagnostic bronchoscopy
    • Endobronchial ultrasound (EBUS) — Used to biopsy lymph nodes and diagnose and stage lung cancer
    • Electromagnetic navigation bronchoscopy — uses a 3D map of the airways and sensor technology to guide bronchoscope and instruments to lung nodules
    • Robotic-assisted bronchoscopy — next generation technology to biopsy smaller and more difficult to biopsy nodules using 3D lung mapping, navigation, and sensor technology
  • Ablation and thermal therapies
    • Used to remove or reduce the size of tumors inside the airway and relieve symptoms
    • Argon plasma coagulation
    • Cryotherapy
    • Photodynamic therapy (PDT)
    • Bronchoscopic intratumoral chemotherapy injection
  • Stent placement
    • Wire mesh or silicone tube placed in a blocked or narrowed airway to open the airway and relieve symptoms
  • Balloon dilatation
    • Expansion of a balloon in the airway to open blockage caused by scar tissue (tracheal stenosis or bronchial stenosis)
  • Medical thoracoscopy/pleuroscopy
    • Insertion of a scope into the chest cavity through a small incision to diagnose or manage pleural effusions (collection of fluid around the lungs)
  • Pleurodesis
    • Instillation of an agent through a scope or chest tube to cause the lung to adhere to the chest wall and prevent fluid from building up and relieve symptoms
  • Tunneled pleural catheter placement
    • Placement of a long term catheter into a pleural effusion (fluid collection around the lung) from cancer that allows the patient to drain the fluid at home and relieve symptoms
  • Bronchoscopic lung volume reduction for severe emphysema
    • Placement of one-way valves in a portion of the lung to shrink the lung and prevent air-trapping similar to surgical lung volume reduction
    • Improves quality of life and ability to perform activities
  • Bronchial thermoplasty for severe asthma
    • Use of low energy radiofrequency waves to rid the airways of smooth muscle which prevents constriction of the airways due to asthma
    • Improves asthma control and exacerbations
  • Cryobiopsy for interstitial lung disease
    • Uses a probe to freeze and remove tissue samples from the lung with the bronchoscope
    • May prevent need for a surgical lung biopsy
  • Management of persistent air leaks
    • Use of one-way valves or glues placed through the bronchoscope to stop air leaks from the lungs