Pre-operative localization of impalpable breast lesions using iodine 125 seeds: Placement accuracy and multidisciplinary challenges

Frost, Rosanna; Reed, Anita J; Dessauvagie, Benjamin F.; Taylor, Donna

doi:10.1016/j.clinimag.2020.12.008

Cited by 3 publications

(4 citation statements)

References 15 publications

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“…The patient must be aware that once the seed has been inserted, she will undergo surgery to have the seed removed. Therefore, sufficient, clear, verbal, written information, and a thorough pre-operative evaluation must be provided to highlight any cause, medical or psychological, that could lead to the surgery cancellation once the seed has been placed [ 32 ].…”

Section: Resultsmentioning

confidence: 99%

“…After the suitability for surgery with RSL is confirmed, an informed consent signed by the patient is requested. Furthermore, during the procedure, other data are recorded in the patient’s chart, such as lesion type (nodule, microcalcifications, previously biopsied lesions), localization method (mammography, ultrasound), seed activity and type, insertion and removal dates, radiologist and surgeon, surgical procedure duration, specimen volume, surgical specimen radiographic documentation; and the pathologist’s report [ 1 32 ].…”

Section: Resultsmentioning

confidence: 99%

“…Before RSL implantation, the radiologist must ensure that the patient’s prescription and consent are in place. Before the seed is inserted, the patient must confirm the date of the surgery to ensure they can and will return [ 32 ]. Allergy review, skin preparation, lesion site identification, and then a local anesthetic administration should be performed [ 28 ].…”

Section: Resultsmentioning

confidence: 99%

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Radioactive Seed Localization for Conservative Surgery of Nonpalpable Breast Cancer: Recommendations for Technology Implantation Program

Ferreira

Souza²,

Rostelato³

2022

International Journal of Surgery Protocols

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Background: The radioactive seed localization (RSL) is used in impalpable breast cancer conservative surgery to assist the surgeon in accurately locating and excising the lesion site. This study aims to present recommendations about the RSL program implementation in health institutions that perform breast cancer conservative surgery with intraoperative localization. Methods: An extensive literature review was performed. It comprehends: the committee responsible for implementation of the program actions; description of the necessary multidisciplinary team; the radiological safety committee role; the facility licensing; professionals training; material and instrumentation associated with the technique; and seed tracking system. Results: 13 topics are presented. The Program Implementation Committee must be formed by leaders from each department. The committee assumes responsibility for evaluating the necessary processes and presenting the schedule for program implementation. Since the procedure is classified as a nuclear medicine procedure it requires licensing . The Professional Team Formation, Education, and Training is a priority and simulation exercises are necessary. The Materials and Instrumentation Associated with the Technique must be well-know by the team and they should practice using radiation detectors. The seed must be always tracked, from moment they are received to discard. An Inventory for Tracking Seeds is provided. The Radiological Safety Aspects such as the ALARA principle are presented. A full description for the Radiological Procedure for Placing the seeds, the surgical removal and the Specimen Handling in Pathology focusing on how to locate the seed and retrieve them. After removed, the seeds can be placed in storage to wait for full radioactive decay or be returned to the manufacturer. Conclusions: The procedure has the advantage to increase to 2 months the time between insertion of the seed and the surgical removal. Regular multidisciplinary team meetings during program development are important to create a realistic timeline, having briefing meetings after the first 1-5 RSL cases and having annual or biannual follow-up meetings to discuss any issues or incidents. Abstract Graphic Image Created by Macrovector, obtained in Freepik at https://br.freepik.com/fotos-vetores-gratis/oncologia . Highlights This study present recommendations for RSL program implementation in hospitals Was performed by an extensive descriptive and qualitative literature review Topics 1: Implementation Committee, Professional Team Training, Instrumentation ...

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Radioactive Seed Localization for Conservative Surgery of Nonpalpable Breast Cancer: Recommendations for Technology Implantation Program

Ferreira

Souza²,

Rostelato³

2022

International Journal of Surgery Protocols

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“…However, one of the main challenges is the requirement for close multidisciplinary collaboration between the nuclear medicine and surgical departments, as well as the need for specific equipment and training of new staff due to the radioactive nature of the materials involved ( 60 , 61 ). Furthermore, surgical flexibility could be considered a disadvantage for ROLL since it is necessary to inject the tracer hours or even days before the surgery.…”

Section: Localization Methods For Non-palpable Breast Lesionsmentioning

confidence: 99%

Evolution of localization methods for non-palpable breast lesions: a literature review from a translational medicine perspective

Cheung,

Co,

Lui

et al. 2024

Transl Breast Cancer Res

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Background and Objective With an increasing number of non-palpable breast lesions detected due to improved screening, accurate localization of these lesions for surgery is crucial. This literature review explores the evolution of localization methods for non-palpable breast lesions, highlighting the translational journey from concept to clinical practice. Methods A comprehensive search of PubMed, Embase, and Scopus databases until September 2023 was conducted. Key Content and Findings Multiple methods have been developed throughout the past few decades. (I) Wire-guided localization (WGL) introduced in 1966, has become a reliable method for localization. Its simplicity and cost-effectiveness are its key advantages, but challenges include logistical constraints, patient discomfort, and potential wire migration. (II) Intraoperative ultrasound localization (IOUS) has shown promise in ensuring complete lesion removal with higher negative margin rates. However, its utility is limited to lesions visible on ultrasound (US) imaging. (III) Breast biopsy marker localization: the use of markers has improved the precision of localization without the need for wire. However, marker visibility remains a challenge despite improvements in their design. (IV) Radioactive techniques: radio-guided occult lesion localization (ROLL) and radioactive seed localization (RSL) offer flexibility in scheduling and improved patient comfort. However, they require close multidisciplinary collaboration and specific equipment due to radioactive concerns. (V) Other wireless non-radioactive techniques: wireless non-radioactive techniques have been developed in recent three decades to provide flexible and patient-friendly alternatives. It includes magnetic seed localization, radar techniques, and radiofrequency techniques. Their usage has been gaining popularity due to their safety profile and allowance of more flexible scheduling. However, their high cost and need for additional training remain a barrier to a wider adoption. Conclusions The evolution of breast lesion localization methods has progressed to more patient-friendly techniques, each with its unique advantages and limitations. Future research on patient-reported outcomes, cosmetic outcomes, breast biopsy markers and integration of augmented reality with breast lesion localization are needed.

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Las creencias que justifican la desigualdad moderan la relación entre el estatus socioeconómico y el apoyo a la redistribución

García-Sánchez

Galvão²

2022

revintsociol

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Este artículo examina la interacción entre el estatus socioeconómico y las creencias que justifican la desigualdad en lo relativo al apoyo a la redistribución. Utilizando datos de una encuesta de São Paulo (Brasil) (N=928), encontramos que el apoyo a la redistribución estuvo negativamente asociado con el estatus socioeconómico subjetivo; pero estuvo positivamente relacionada con el estatus socioeconómico objetivo. Además, las creencias que justifican la desigualdad moderaron esta relación. Por un lado, el efecto negativo del estatus subjetivo sobre el apoyo a la redistribución fue más fuerte para las personas que apoyan las creencias que justifican la desigualdad. Por otro lado, el efecto positivo entre el estatus objetivo y el apoyo a la redistribución solo ocurrió para las personas que rechazaron estas creencias. Los resultados sugieren que el efecto del estatus socioeconómico sobre el apoyo a la redistribución depende del grado de apoyo a las creencias ideológicas que justifican la desigualdad.

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Pre-operative localization of impalpable breast lesions using iodine 125 seeds: Placement accuracy and multidisciplinary challenges

Cited by 3 publications

References 15 publications

Radioactive Seed Localization for Conservative Surgery of Nonpalpable Breast Cancer: Recommendations for Technology Implantation Program

Radioactive Seed Localization for Conservative Surgery of Nonpalpable Breast Cancer: Recommendations for Technology Implantation Program

Evolution of localization methods for non-palpable breast lesions: a literature review from a translational medicine perspective

Las creencias que justifican la desigualdad moderan la relación entre el estatus socioeconómico y el apoyo a la redistribución

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