2023
Comparison of 3 Different Systems for Non-wire Localization of Lesions in Breast Cancer Surgery
GABRIELOVÁ, Lucie, Iveta SELINGEROVÁ, Jan ZATECKY, Ondřej ZAPLETAL, Petr BURKOŇ et. al.Základní údaje
Originální název
Comparison of 3 Different Systems for Non-wire Localization of Lesions in Breast Cancer Surgery
Autoři
GABRIELOVÁ, Lucie (203 Česká republika, domácí), Iveta SELINGEROVÁ (203 Česká republika, garant, domácí), Jan ZATECKY (203 Česká republika), Ondřej ZAPLETAL (203 Česká republika, domácí), Petr BURKOŇ (203 Česká republika, domácí), Miloš HOLÁNEK (203 Česká republika, domácí) a Oldřich COUFAL (203 Česká republika, domácí)
Vydání
Clinical Breast Cancer, Dallas, Elsevier, 2023, 1526-8209
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
30204 Oncology
Stát vydavatele
Spojené státy
Utajení
není předmětem státního či obchodního tajemství
Odkazy
Impakt faktor
Impact factor: 3.100 v roce 2022
Kód RIV
RIV/00216224:14110/23:00133340
Organizační jednotka
Lékařská fakulta
UT WoS
001055066900001
Klíčová slova anglicky
Lesion localization; Radioactive seed localization; Magnetically guided localization; Radar localization
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 23. 2. 2024 11:55, Mgr. Tereza Miškechová
Anotace
V originále
This study aimed to reveal the pros and cons of different localization systems for detecting tumor lesions in the breast. Three types of localization techniques were compared from different perspectives using various prospectively planned, primarily ex vivo, simulated measurement experiments. The empirical findings show apparent differences among localization systems and small nuances not yet observed in clinical practice. Purpose: Localizing breast lesions by marking tumors and their detection using probes during surgery is a common part of clinical practice. Various nonwire localization systems were intended to be compared from different perspectives. Methods: Various measurement experiments were performed. Localization techniques, including radioactive seed (RSLS), magnetically guided (MGLS), or radar (SLS), were compared in signal propagation in water and tissue environments, signal interference by surgical instruments, and the practical experience of surgeons. Individual experiments were thoroughly prospectively planned. Results: The RSLS signal was detectable at the largest evaluated distance, ie, 60 mm. The SLS and MGLS signal detection was shorter, up to 25 mm to 45 mm and 30 mm, respectively. The signal intensity and the maximum detection distance in water differed slightly depending on the localization marker orientation to the probe, especially for SLS and MGLS. Signal propagation in the tissue was noted to a depth of 60 mm for RSLS, 50 mm for SLS, and 20 mm for MGLS. Except for the expected signal interferences by approaching surgical instruments from any direction for MGLS, the signal interruption for RSLS and SLS was observed only by inserting instruments directly between the localization marker and probe. Moreover, the SLS signal interference by instrument touch was noted. Based on surgeons' results, individual systems did not differ significantly for most measurement condition settings. Conclusion: Apparent differences noted among localization systems can help experts choose an appropriate system for a specific situation or reveal small nuances that have not yet been observed in clinical practice.