ROLL and SNOLL Breast

How can non palpable regions be safely localized and resected?
The resection of non palpable lesion using ROLL (radio-guided occult lesion localization) and its combination with SLNB (SNOLL) are challenging tasks which are based on your profound orientation, 3-D capabilities, and the interpretation of gamma probe readings while moving over the operation situs. The declipseSPECT solution enhances your gamma probe detection capabilities and enables for the first time worldwide intraoperative 3-D imaging, 3-D high resolution image viewing and depth measurements for soft tissue targets. The 3-D imaging is in direct correlation with the anatomy, enabling guidance of surgical instruments for a direct approach to the radioactive marked seeds. After dissection of the tumor mass, the system provides a scan of the area to visualize during surgery the 3-D distribution of radioactivity in the tumor mass. SurgicEye solutions support your vision of minimal invasive and residual free tumor resection by imaging the structures in all three dimensions over time.

3-D Breast Imaging in the operation room before intervention:

Full 3-D image acquisition enables precise identification and localization Direct correlation with anatomy provides orientation and referencing Overview of activity distribution ensures detection/identification of the labeled tumors, and the case of SNOLL, the injection site, and sentinel nodes, even if they are covering each other (it eliminates shadowing effects)
Figure: 3-D image of the radioactivity distribution in palpable primary tumor for sentinel node marking and in a non palpable lesion for radio-guided occult lesion localization

Navigation to the non-palpable tumors during intervention:

Orientation, localization and identification in 3-D ensure safety during procedure Depth measurement provides direct and minimally invasive access
Figure: image overlay for correlation of the 3-D image with the anatomy of the patient.

Control of clean border resection of all non-palpable tumors:

3-D scan provides confirmation of complete removal of radioactively marked tumors Enables specimen examination after resection and boundary control through direct visual evaluation Documentation enables transparent and reliable follow up treatments
Figure: control of the specimen to confirm the seed location within it and for direct estimation of tumor borders before waiting for the pathology results