Evaluation of the Archimedes ™ System for Transparenchymatous Access to Pulmonary Nodules.

Inclusion Criteria: * Patients aged 18 to 75 years with a suspicious nodule of malignancy (primary lung tumor or metastasis of another solid tumor whose largest diameter is greater than or equal to 8 mm): * Not associated with endobronchial tumor visible during inspection of tracheobronchial tree with soft bronchoscope * Located in any part of the lung more than 10mm from the pleura * For which surgical management (atypical resection, lobectomy, bilobectomy or pneumonectomy) is planned after presentation of the file at a multidisciplinary consultation meeting on thoracic oncology of the Investigating Hospital Center * Patient able to understand the course of the study and giving informed consent * Affiliate or beneficiary of a social security scheme Exclusion Criteria: * Threatening cardiac arrhythmias defined by a rhythm disorder dating discovered less than a month ago * Myocardial infarction less than one month old * Hypercapnic respiratory decompensation less than one month old * coagulopathy * Thrombocytopenia with platelet count \<100,000 / mm3 * Antecedent (ATCD) of significant bleeding during previous bronchoscopy * ATCD of pulmonary arterial hypertension (PAH) or suspicion of PAH defined by a measurement of systolic pulmonary arterial pressure greater than 50 mmHg on echocardiography (this examination is not systematic but the suspicion of PAH on the thoracic CT scan leads to other cardiac echocardiographic examinations or right heart catheterization in case of inconclusive ultrasound) * ATCD of pneumonectomy * Giant bubble\> 5cm located near the nodule or the tunneling path * Inability to stop anticoagulant or antiplatelet therapy before the procedure (taking acetylsalicylic acid at any dose is allowed) * Pregnant or lactating woman * ATCD for thoracic radiotherapy on the nodule side * Patient under tutorship or curatorship