Image-Guided Localization Techniques for Surgical Excision of Non-Palpable Breast Lesions: An Overview of Current Literature and Our Experience with Preoperative Skin Tattoo.
Gianluca FranceschiniElena Jane MasonCristina GrippoSabatino D'ArchiAnna D'AngeloLorenzo ScardinaMartin Alejandro SanchezMarco ContiCharlotte Marguerite Lucille TrombadoriDaniela Andreina TerribileAlba Di LeoneBeatrice CarnassalePaolo BelliRiccardo ManfrediRiccardo MasettiPublished in: Journal of personalized medicine (2021)
Breast conserving surgery has become the standard of care and is more commonly performed than mastectomy for early stage breast cancer, with recent studies showing equivalent survival and lower morbidity. Accurate preoperative lesion localization is mandatory to obtain adequate oncological and cosmetic results. Image guidance assures the precision requested for this purpose. This review provides a summary of all techniques currently available, ranging from the classic wire positioning to the newer magnetic seed localization. We describe the procedures and equipment necessary for each method, outlining the advantages and disadvantages, with a focus on the cost-effective preoperative skin tattoo technique performed at our centre. Breast surgeons and radiologists have to consider ongoing technological developments in order to assess the best localization method for each individual patient and clinical setting.
Keyphrases
- early stage
- patients undergoing
- healthcare
- minimally invasive
- quality improvement
- systematic review
- soft tissue
- palliative care
- artificial intelligence
- high resolution
- case report
- prostate cancer
- deep learning
- rectal cancer
- squamous cell carcinoma
- machine learning
- robot assisted
- pain management
- surgical site infection
- molecularly imprinted
- health insurance
- coronary artery disease
- chronic pain
- atrial fibrillation
- breast reconstruction
- simultaneous determination
- tandem mass spectrometry
- affordable care act
- case control