Fusion of ultrasound and 3D single-photon-emission computed tomography/computed tomography to identify sentinel lymph nodes in vulvar cancer: feasibility study.
Aged
Aged, 80 and over
Carcinoma
Feasibility Studies
Female
Humans
Imaging, Three-Dimensional
/ methods
Middle Aged
Pilot Projects
Prospective Studies
Sentinel Lymph Node
/ diagnostic imaging
Sentinel Lymph Node Biopsy
/ methods
Single Photon Emission Computed Tomography Computed Tomography
/ methods
Ultrasonography
/ instrumentation
Vulvar Neoplasms
/ pathology
SPECT/CT
fusion
sentinel lymph node
ultrasonography
vulvar cancer
Journal
Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology
ISSN: 1469-0705
Titre abrégé: Ultrasound Obstet Gynecol
Pays: England
ID NLM: 9108340
Informations de publication
Date de publication:
Oct 2019
Oct 2019
Historique:
received:
13
04
2019
accepted:
23
05
2019
pubmed:
4
6
2019
medline:
17
3
2020
entrez:
2
6
2019
Statut:
ppublish
Résumé
To evaluate the feasibility of fusion of ultrasound imaging and three-dimensional (3D) single-photon-emission computed tomography/computed tomography (SPECT/CT) in detecting sentinel lymph nodes in women with vulvar cancer. This was a prospective pilot single-center study. Patients with vulvar cancer who were candidates for sentinel lymph-node biopsy were enrolled between December 2018 and February 2019. Fusion imaging virtual navigation using 3D SPECT/CT and ultrasound was performed to investigate the tumor-draining lymph node. All clinical, imaging, surgical and histological information was collected prospectively and entered into a dedicated Excel file. Feasibility and success of fusion imaging virtual navigation and time needed to perform the three steps of fusion imaging were evaluated. Ten lymph-node sites were evaluated in five consecutive women with a histological diagnosis of vulvar cancer. Fusion imaging virtual navigation was feasible and completed successfully for all (10/10) draining sites. Median overall time to perform fusion imaging was 32 (range, 25-40) min and the time decreased from the first to the last examination. The present study demonstrated that fusion imaging virtual navigation using 3D SPECT/CT and ultrasound is feasible and able to detect sentinel lymph nodes in women with vulvar carcinoma. Fusion imaging using ultrasound for detection of sentinel lymph nodes opens up multiple diagnostic and therapeutic opportunities in gynecological oncology. Copyright © 2019 ISUOG. Published by John Wiley & Sons Ltd.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
545-551Informations de copyright
Copyright © 2019 ISUOG. Published by John Wiley & Sons Ltd.
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