J 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.