Radioactive seed localization is a safe and effective tool for breast cancer surgery: an evaluation of over 25,000 cases.

IF 1.4 4区 环境科学与生态学 Q4 ENVIRONMENTAL SCIENCES Journal of Radiological Protection Pub Date : 2024-02-26 DOI:10.1088/1361-6498/ad246a
D Miodownik, D Bierman, C Thornton, T Moo, K Feigin, A Damato, T Le, M Williamson, K Prasad, B Chu, L Dauer, N Saphier, P Zanzonico, M Morrow, M Bellamy
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Abstract

Radioactive seed localization (RSL) provides a precise and efficient method for removing non-palpable breast lesions. It has proven to be a valuable addition to breast surgery, improving perioperative logistics and patient satisfaction. This retrospective review examines the lessons learned from a high-volume cancer center's RSL program after 10 years of practice and over 25 000 cases. We provide an updated model for assessing the patient's radiation dose from RSL seed implantation and demonstrate the safety of RSL to staff members. Additionally, we emphasize the importance of various aspects of presurgical evaluation, surgical techniques, post-surgical management, and regulatory compliance for a successful RSL program. Notably, the program has reduced radiation exposure for patients and medical staff.

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放射性粒子定位是一种安全有效的乳腺癌手术工具:对超过 25000 个病例的评估。
放射性粒子定位(RSL)为切除无法触及的乳腺病灶提供了一种精确而有效的方法。事实证明,它是乳腺手术的重要补充,改善了围手术期的后勤工作,提高了患者满意度。这篇回顾性综述研究了一个大容量癌症中心的 RSL 项目在经过 10 年的实践和超过 25,000 例病例后所获得的经验教训。我们提供了一个最新模型,用于评估 RSL 种子植入对患者造成的辐射剂量,并向工作人员展示了 RSL 的安全性。此外,我们还强调了术前评估、手术技术、术后管理和法规遵从等各方面对于成功实施 RSL 计划的重要性。值得注意的是,该计划减少了患者和医务人员的辐射暴露。
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来源期刊
Journal of Radiological Protection
Journal of Radiological Protection 环境科学-公共卫生、环境卫生与职业卫生
CiteScore
2.60
自引率
26.70%
发文量
137
审稿时长
18-36 weeks
期刊介绍: Journal of Radiological Protection publishes articles on all aspects of radiological protection, including non-ionising as well as ionising radiations. Fields of interest range from research, development and theory to operational matters, education and training. The very wide spectrum of its topics includes: dosimetry, instrument development, specialized measuring techniques, epidemiology, biological effects (in vivo and in vitro) and risk and environmental impact assessments. The journal encourages publication of data and code as well as results.
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