| Radio-guided occult lesion localisation for breast lesions under computer-aided MRI guidance: the first experience and initial results. | |
| | |
MedLine Citation:
|
PMID: 22010030 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
Objective: The purpose of this study is to present an alternative technique for the pre-operative localisation of solely MRI-detected suspicious breast lesions using computer-assisted MRI-guided radio-guided occult lesion localisation (ROLL) technique. Methods: Between January 2009 and June 2010, 25 women with a total of 25 suspicious breast lesions that could be detected only by MRI, and for whom breast surgery was planned, underwent computer-assisted MRI-guided ROLL technique. A seven-channel biopsy breast array coil and computerised diagnostic workstation were used for the localisation procedure. Three-phased dynamic contrast enhanced axial images were taken. After investigating the localisation coordinates by the help of intervention software on workstation, an 18 G coaxial cannula was placed in the exact position determined. Following the verification of cannula position by additional axial scans, (99m)Tc-labelled macroalbumine aggregate and MRI-contrast material were injected. Post-procedure MRI scans were used to confirm the correct localisation. Results: All the procedures were technically successful. The mean lesion size was 10.8 mm (range: 4-25 mm). The mean total magnet and the mean localisation times were 28.6 min (range: 18-46 min) and 13.1 minutes (range: 8-20 min), respectively. Grid and pillar methods were used for localisation in 24 procedures and 1 procedure, respectively. On histopathological examination, 6 malignant, 10 high-risk and 9 benign lesions were identified. All patients tolerated the procedure well. There were no major complications. Conclusion: This is the first report documenting the application of MRI-guided ROLL. Based on our preliminary results, this technique is very efficient and seems to be a good alternative to wire localisation. |
| | |
Authors:
|
M H Yilmaz; F Kilic; G E Icten; F Aydogan; V Ozben; M Halac; D C Olgun; E Gazioglu; V Celik; C Uras; Z A Altug |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2011-10-18 |
Journal Detail:
|
Title: The British journal of radiology Volume: - ISSN: 1748-880X ISO Abbreviation: - Publication Date: 2011 Oct |
Date Detail:
|
Created Date: 2011-10-19 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0373125 Medline TA: Br J Radiol Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
|
Departments of Radiology, Istanbul University, Cerrahpasa Medical School, Istanbul, Turkey. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Quantitative evaluation of the echo intensity of the median nerve and flexor muscles of the forearm ...
Next Document: Patient experiences of MR colonography and colonoscopy: a qualitative study.