Surgical Oncology


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SLNB Breast

How are complicated sentinel lymph nodes dissected?
The search for the sentinel nodes in breast cancer patients (sentinel lymph node biopsy, SLNB) is based on your profound 3-D capabilities and the interpretation of gamma probe readings while moving over the operation site. declipseSPECT 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 the 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 patient is in 3-D and deserves 3-D treatment.

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 of hidden sentinel nodes behind injection site (eliminates shadowing effects)
alt
Figure: injection site close to the nipple and two clearly visible axillary sentinels on the video image in their anatomical context

Navigation to the sentinel nodes during intervention:

  • Orientation, localization and identification in 3-D ensure safety during procedure
  • Depth measurement provides minimally invasive access
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Figure: activity distribution and depth measurement of sentinel nodes in 3D

Control of complete resection of all sentinel nodes:

  • Orientation, localization and identification in 3-D ensure safety during procedure
  • Documentation provides transparent and reliable follow up treatments
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Figure: documentation of removed activity in the axilla. No further sentinel nodes marked with Tc-99m are visible.
 
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