SLNB Head and Neck

Which information could support finding all lymph nodes with minimal morbidity?
The search for Sentinel Lymph Nodes in the head & neck region (sentinel lymph node biopsy, SLNB) is based on your profound orientation, 3-D capabilities, and the interpretation of gamma probe readings while moving over the operation site. 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. 3-D imaging is in direct correlation with the anatomy, enabling guidance of surgical instruments for a direct approach to Sentinel Lymph Nodes. After dissection of the sentinel lymph node the system can provide a secondary scan which delivers a quality assurance documenting the complete removal of radioactive structures. You can perform less invasive surgery using intra-operative 3-D sentinel lymph node imaging, planning, and control during the procedure.

3-D Head and Neck imaging in the operation room before intervention:

Full 3-D image acquisition ensures precise identification and localization Direct correlation with anatomy enables orientation and referencing
Figure: 3-D imaging of sentinel nodes in the neck in a melanoma in the head. Possibility of precise planning with intra-operative 3-D imaging and visualization for a minimally invasive incision and direct removal of the sentinel node.

Navigation to the sentinel nodes during intervention:

Orientation, localization and identification in 3-D ensure safety during procedure Depth measurement enables direct and minimally invasive access
Figure: depth measurement provides valuable information for minimally invasive removal of the sentinel node through a direct access path without large trauma of surrounding tissue

Control of complete resection of all sentinel nodes

3-D scan provides confirmation of complete removal of radioactive sentinel nodes Documentation enables transparent and reliable follow up treatments
Figure: documentation of the complete removal of sentinel nodes in the head & neck area. No further damage of the surrounding tissue due to searching for remaining radioactivity.