A New Intraoperative Gamma Camera for the Sentinel Lymph Node Procedure in Breast Cancer

Aim: This study aimed at evaluating the performance of an intraoperative gamma camera, named CarolIReS, to detect axillary drainage and to assess the removal of sentinel lymph nodes (SLN) in breast surgery. Patients and Methods: SLN biopsy was performed on 25 patients and the CarolIReS camera was us...

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Bibliographic Details
Published in:Anticancer research 2008-09, Vol.28 (5B), p.2859-2864
Main Authors: MATHELIN, Carole, SALVADOR, Samuel, BEKAERT, Virgile, CROCE, Sabrina, ANDRIAMISANDRATSOA, Norosoa, LIEGEOIS, Philippe, PRADOS, Eric, GUYONNET, Jean-Louis, GRUCKER, Daniel, BRASSE, David
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Biological and medical sciences
Breast Neoplasms - diagnostic imaging
Breast Neoplasms - pathology
Breast Neoplasms - surgery
Carcinoma, Ductal, Breast - diagnostic imaging
Carcinoma, Ductal, Breast - pathology
Carcinoma, Ductal, Breast - surgery
Carcinoma, Intraductal, Noninfiltrating - diagnostic imaging
Carcinoma, Intraductal, Noninfiltrating - pathology
Carcinoma, Intraductal, Noninfiltrating - surgery
Female
Gamma Cameras
Gynecology. Andrology. Obstetrics
Humans
Intraoperative Period
Lymph Node Excision - methods
Lymph Nodes - diagnostic imaging
Lymph Nodes - pathology
Lymph Nodes - surgery
Lymphatic Metastasis
Mammary gland diseases
Medical sciences
Middle Aged
Radionuclide Imaging
Sentinel Lymph Node Biopsy - instrumentation
Sentinel Lymph Node Biopsy - methods
Technetium
Tumors
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Summary:Aim: This study aimed at evaluating the performance of an intraoperative gamma camera, named CarolIReS, to detect axillary drainage and to assess the removal of sentinel lymph nodes (SLN) in breast surgery. Patients and Methods: SLN biopsy was performed on 25 patients and the CarolIReS camera was used preoperatively to localize SLNs. During surgery, individual removal of SLNs was performed using a gamma probe and their activity was measured with a gamma ray counter. At the end of surgery, the CarolIReS camera was used again to check the quality of surgery which was followed by surgical excision for remaining SLNs. Results: The detection efficiency of the CarolIReS camera was 2.2 cps/kBq for 99m Tc activity in SLNs. In one case, it allowed the detection of a residual SLN with a low activity (0.5 kBq) which was massively metastatic. Conclusion: Intraoperative cameras could be used to improve the efficiency of the SLN procedure.
ISSN:0250-7005
1791-7530