“…However, the recent meta-analysis of 19 studies by Sadeghi et al revealed a pooled detection rate of 90% using current techniques, suggesting that there is still room for improvement. 16 Since the reliability of SN biopsy depends on successful preoperative, intraoperative and postoperative identification of all tumor positive SNs, it may be hypothesized that refining the intraoperative procedure using a combination of new technologies is likely to contribute to a higher detection rate and a lower false-negative rate in the future. However, further validation of surgical navigation technology in larger, randomized trials is required to substantiate this assumption.…”