Digitale intraoperative Präparateradiographie bei diagnostischen Exzisionen nicht palpabler Läsionen der Brust

Abstract

Digital intraoperative specimen radiography considerably reduces the time of surgery depending on the local conditions and is highly accurate in locating a suspicious area within the tissue.

Full Field Digital Mammography (FFDM) versus CMOS Technology versus Tomosynthesis (DBT) - Which System Increases the Quality of Intraoperative Imaging?

“…Ein großer Fortschritt war sicher, dass über die Nutzung konventioneller, analoger Mammografieeinrichtungen die digitalen Speicherfolien zum Einsatz kamen. Dieses Verfahren beruht auf CCD-Chips und der damit verbundenen Möglichkeiten der Nutzung des PACS -hat aber zu den aktuell vorhandenen volldigitalen Systemen eine deutlich schlechtere DQE (Detector Quantum Efficiency) [14][15][16][17][18][19][20][21][22]. In den letzten 10-15 Jahren gab es nun Entwicklungen von Röntgeneinrichtungen ausschließlich zur Erstellung von Präparateradiogrammen, welche an unterschiedlichen Orten benutzt werden konnten (z.…”

“…B. OP, Röntgenabteilung, Pathologie). Hierbei gab es ebenfalls eine Innovation von konventionellen, über Speicherfolien zu volldigitalen Systemen [14][15][16][17][18][19][20][21][22] bis hin zur CMOS-Technologie [23] und dem Einsatz der Tomosynthese [24]. Durch die Neuentwicklung der digitalen Brusttomosynthese (DBT) [25][26][27][28][29][30][31][32] besteht nun auch die Möglichkeit der Erstellung intraoperativer Präparateradiogramme [24].…”

“…The use of digital film combined with conventional analogue mammography already represents a big step forward. The procedure uses CCD chips and thus offers the possibility of using PACS, but its DQE (detector quantum efficiency) is much poorer compared to that of more recent fully digital systems [14][15][16][17][18][19][20][21][22]. In the last 10-15 years, developments in radiology have focussed mainly on the creation of specimen radiograms which can be viewed at many different locations (e.g.…”

Full Field Digital Mammography (FFDM) versus CMOS Technology, Specimen Radiography System (SRS) and Tomosynthesis (DBT) - Which System Can Optimise Surgical Therapy?

“…The use of digital imaging plates in combination with conventional analog mammography systems represents a big step forward. These systems use CCD chips with their potential to transfer images to PACS, but the DQE (Detector Quantum Efficiency) is poorer compared to other full digital systems currently in use [14][15][16][17][18][19][20][21][22]. Over the past 10-15 years imaging systems used exclusively for specimen radiographs have been developed which can be used in different locations (operating room, radiology department, pathology department).…”

“…Over the past 10-15 years imaging systems used exclusively for specimen radiographs have been developed which can be used in different locations (operating room, radiology department, pathology department). Innovations in this field have included the move from conventional systems via the use of imaging plates and full digital systems [14][15][16][17][18][19][20][21][22] to CMOS technology [23] and tomosynthesis [24]. With the recent use of digital breast tomosynthesis (DBT) [25][26][27][28][29][30][31][32] to complement digital mammography specimen radiography can now be done intraoperatively.…”