- Applies his own development: a bronchoscopy navigational system that increases the effectiveness of peripheral lung lesion detection by 35%.
- Provides treatment for lung diseases including asthma and COPD in children and adults. For effective treatment, works closely with allergologists, oncologists, and immunologists.
- Provides treatment for inflammatory airway diseases.
Diseases Treated by the Physician:
- Chronic cough
- Chronic obstructive pulmonary disease (COPD)
- Lung cancer
- Respiratory tract infections
Head of Pulmonology Institute and Pulmonology Department at the Ichilov-Sourasky Medical Center
Director of the clinical biology course, New England College and Clark University (USA)
Private practice at the Top Ichilov Clinic
Senior physician of Pulmonology Department, Ichilov-Sourasky Medical Center
Lecturer in internal medicine, Tel Aviv University
Research assistant of Pulmonology Department at the Cincinnati University Children’s Medical Center (Ohio, USA)
Director of the respiratory medicine course for postgraduate students, Tel Aviv University
Aeromedical pulmonologist, Israel Aerospace Medicine Institute at the Sheba Medical Center, Tel HaShomer
Coordinator of the joint Israel-American education program in “Introduction into respiratory medicine”, Tel Aviv University
Physician of the Allergy and Asthma Outpatient Department at the Barzilai Medical Center (Ashkelon)
Clinical sub-internship, Institute of Pulmonology and Allergology at the Ichilov-Sourasky Medical Center (Tel Aviv)
Faculty of Medicine at the University of Buenos Aires (Argentina)
Israel Association of Public Health Physicians (since 1981)
Israeli Pediatric Association (since 1981)
Israel Society of Pulmonology (since 1988, as the secretary: 1999-2003)
American Academy of Allergy, Asthma and Immunology (since 1988)
Israeli Association of Pediatric Pulmonology (since 1994)
American Thoracic Society (since 1995)
American, European and World Associations for Bronchology (since 2002)
American College of Chest Physicians (since 2008)
“An interventional pulmonologist has experience and uses multiple techniques. For instance, they may perform an endobronchial ultrasound and take lymph node samples from the chest without surgery. Small ultrasound probes penetrate even deeper; they help perform a biopsy of the lung and detect a cancerous or benign lesion.
A small radial probe helps guide the biopsy. This device increases the diagnostic significance of the endobronchial ultrasound.
We offer several interventional pulmonology techniques. One of them is called a linear probe endobronchial ultrasound. A linear probe is a special type of bronchoscope. The doctor inserts it into the airways to assess the nearby lymph nodes. If required, the doctor may also take lymph node samples. The accuracy of lung cancer detection in these cases exceeds 95%.
The linear probe also helps diagnose benign lung conditions including sarcoidosis and lymph node infections. This procedure successfully eliminates the need in open surgery to take lymph node samples.
The second interventional pulmonology technique that we use is called a radial probe endobronchial ultrasound. The radial probe is very small; it penetrates deep into the lungs and helps understand whether the biopsy is being carried out in the right area. The use of a radial probe significantly increases the effectiveness of the study.
We also offer electromagnetic navigation bronchoscopy. The navigation bronchoscopy is based on the same principle as the GPS system. We perform computed tomography and mark the areas for sampling. We map the entire way up to the lesion – and see every area designated for biopsy.
During the procedure, the patient lies on the table. An electromagnetic field is created around them. We compare the marked CT images with the patient’s real anatomy. Afterwards, the system develops a route to the lesion. It also directs our tool. Small areas are known to be indiscernible. However, a small GPS system leads us directly to the lesion. Having reached the area, we place the catheter there and take as many samples as needed.
The accuracy of the conventional bronchoscopy in detection of small and deep lung nodules is about 20%. Thanks to the use of electromagnetic navigation bronchoscopy and the radial probe, this parameter now exceeds 80%.”
Was included into the rating of the best Israeli physicians in 2021 according to the Forbes magazine
Publications in Foreign Medical Journals:
Complete list (97):
Author’s Name: Dmitry Finkelstein