Transitioning From the Traditional Wire Localization to the Wireless Technology for Surgical Guidance at Lumpectomies: Part A. Radioseed Localization.

Eren D Yeh, Leah H Portnow

Journal: Seminars in ultrasound, CT, and MR 2023;44(1):8-11

PMID: 36792276

Full Text on Elsevier Science View on PubMed

Abstract

Iodine-125 (I-125) labelled radioactive seeds were the first published wireless pre-operative image-guided breast localization technique. Radioseeds offer benefit to radiologists as a relatively intuitive procedure with precise mammographic or sonographic-guided localization and improved patient experience. Localization and surgical dates can be uncoupled, which facilitates efficient scheduling for radiologists and surgeons. Surgeons can better tailor their surgery with intra-operative localization using a special probe to detect the emitted gamma energy. Due to radioactivity, implementation of a radioseed program requires compliance with the National Regulatory Commission and therefore multidisciplinary involvement. Seeds have a high placement success rate, and comparable surgical success and re-excision rate to wires.

Address: Brigham and Women's Hospital, Department of Radiology, Breast Imaging Section, Harvard Medical School, Boston, MA.; Brigham and Women's Hospital, Department of Radiology, Breast Imaging Section, Harvard Medical School, Instructor of Radiology, Boston, MA. Electronic address: [email protected].

DOI: 10.1053/j.sult.2022.10.003

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MeSH Terms: Humans, Female, Mastectomy, Segmental, Iodine Radioisotopes, Wireless Technology, Breast, Breast Neoplasms