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)
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
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
Figure: documentation of removed activity in the axilla. No further sentinel nodes marked with Tc-99m are visible.