Comparison of 3 Different Systems for Non-wire Localization of
Lesions in Breast Cancer Surgery

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.

Basic information

Original name

Comparison of 3 Different Systems for Non-wire Localization of Lesions in Breast Cancer Surgery

Authors

GABRIELOVÁ, Lucie (203 Czech Republic, belonging to the institution), Iveta SELINGEROVÁ (203 Czech Republic, guarantor, belonging to the institution), Jan ZATECKY (203 Czech Republic), Ondřej ZAPLETAL (203 Czech Republic, belonging to the institution), Petr BURKOŇ (203 Czech Republic, belonging to the institution), Miloš HOLÁNEK (203 Czech Republic, belonging to the institution) and Oldřich COUFAL (203 Czech Republic, belonging to the institution)

Edition

Clinical Breast Cancer, Dallas, Elsevier, 2023, 1526-8209

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30204 Oncology

Country of publisher

United States of America

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

URL

Impact factor

Impact factor: 3.100 in 2022

RIV identification code

RIV/00216224:14110/23:00133340

Organization unit

Faculty of Medicine

DOI

http://dx.doi.org/10.1016/j.clbc.2023.05.006

UT WoS

001055066900001

Keywords in English

Lesion localization; Radioactive seed localization; Magnetically guided localization; Radar localization

Abstract

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.

Citovat

GABRIELOVÁ, Lucie, Iveta SELINGEROVÁ, Jan ZATECKY, Ondřej ZAPLETAL, Petr BURKOŇ, Miloš HOLÁNEK and Oldřich COUFAL. Comparison of 3 Different Systems for Non-wire Localization of Lesions in Breast Cancer Surgery. Clinical Breast Cancer. Dallas: Elsevier, 2023, vol. 23, No 6, p. "E323"-"E330", 8 pp. ISSN 1526-8209. Available from: https://dx.doi.org/10.1016/j.clbc.2023.05.006.

@article{2368021,
   author = {Gabrielová, Lucie and Selingerová, Iveta and Zatecky, Jan and Zapletal, Ondřej and Burkoň, Petr and Holánek, Miloš and Coufal, Oldřich},
   article_location = {Dallas},
   article_number = {6},
   doi = {http://dx.doi.org/10.1016/j.clbc.2023.05.006},
   keywords = {Lesion localization; Radioactive seed localization; Magnetically guided localization; Radar localization},
   language = {eng},
   issn = {1526-8209},
   journal = {Clinical Breast Cancer},
   title = {Comparison of 3 Different Systems for Non-wire Localization of Lesions in Breast Cancer Surgery},
   url = {https://www.sciencedirect.com/science/article/pii/S1526820923001118},
   volume = {23},
   year = {2023}
}

TY  - JOUR
ID  - 2368021
AU  - Gabrielová, Lucie - Selingerová, Iveta - Zatecky, Jan - Zapletal, Ondřej - Burkoň, Petr - Holánek, Miloš - Coufal, Oldřich
PY  - 2023
TI  - Comparison of 3 Different Systems for Non-wire Localization of Lesions in Breast Cancer Surgery
JF  - Clinical Breast Cancer
VL  - 23
IS  - 6
SP  - "E323"-"E330"
EP  - "E323"-"E330"
PB  - Elsevier
SN  - 15268209
KW  - Lesion localization
KW  - Radioactive seed localization
KW  - Magnetically guided localization
KW  - Radar localization
UR  - https://www.sciencedirect.com/science/article/pii/S1526820923001118
N2  - 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.
ER  -

GABRIELOVÁ, Lucie, Iveta SELINGEROVÁ, Jan ZATECKY, Ondřej ZAPLETAL, Petr BURKOŇ, Miloš HOLÁNEK and Oldřich COUFAL. Comparison of 3 Different Systems for Non-wire Localization of Lesions in Breast Cancer Surgery. \textit{Clinical Breast Cancer}. Dallas: Elsevier, 2023, vol.~23, No~6, p.~''E323''-''E330'', 8 pp. ISSN~1526-8209. Available from: https://dx.doi.org/10.1016/j.clbc.2023.05.006.

Detailed Information on Publication Record