SLNB Melanoma

Where are the sentinel lymph nodes expected?
The search for the sentinel nodes in melanoma patients (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 the guidance of surgical instruments for a direct approach to sentinel nodes. After dissection of the sentinel lymph node the system provides a quality assurance and a tool for documentation of the complete removal of radioactive structures. Your protocol with 3-D imaging of lymph nodes in the operating room provides minimal invasiveness and direct access.

3-D Melanoma imaging in the operation room before intervention:

Full 3-D image acquisition ensures precise identification and localization also for sentinel nodes close to the injection site, as well as in remote areas (e.g. axilla, groin, abdominal wall, neck) Direct correlation with anatomy enables orientation, referencing, and planning of minimally invasive interventions
Figure: Two sentinel node conglomerates visible in its anatomical context in 3-D augmented on the real-time video image

Navigation to the sentinel nodes during intervention:

Orientation, localization and identification in 3-D ensures safety during procedure Depth measurement provides direct and minimally invasive access
Figure: Dissection of sentinel nodes using the video overlay and navigation view

Control of complete resection of all sentinel nodes:

3-D scan enables confirmation of complete removal of radioactive sentinel nodes Documentation provides transparent and reliable follow up treatments
Figure: Documentation shows that there are no remaining sentinel nodes with radioactivity in the axilla