Real-time ultrasound virtual navigation in 3D PET/CT volumes for superficial lymph-node evaluation: innovative fusion examination.
Adult
Aged
Aged, 80 and over
Breast Neoplasms
/ diagnostic imaging
Computer Systems
Feasibility Studies
Female
Fluorodeoxyglucose F18
Humans
Lymph Nodes
/ diagnostic imaging
Lymphatic Metastasis
/ diagnostic imaging
Middle Aged
Multimodal Imaging
/ methods
Pilot Projects
Positron Emission Tomography Computed Tomography
/ methods
Radiopharmaceuticals
Reproducibility of Results
Ultrasonography
/ methods
PET/CT
breast cancer
fusion imaging
gynecological cancer
lymph node
ultrasonography
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:
Nov 2021
Nov 2021
Historique:
revised:
11
01
2021
received:
11
08
2020
accepted:
05
02
2021
pubmed:
16
2
2021
medline:
28
12
2021
entrez:
15
2
2021
Statut:
ppublish
Résumé
To evaluate the feasibility and clinical application of fusion imaging with virtual navigation, combining This was a pilot study of breast- and gynecological-cancer patients with abnormal uptake of In the 30 selected patients, fusion imaging was assessed at 30 lymph-node sites (22 inguinal and eight axillary nodes). In the first phase (Group A), the fusion technique was shown to be feasible in all 10 lymph-node sites evaluated. In the second phase, fusion imaging was completed successfully in nine of 10 cases in Group B and in all 10 cases in Group C. In all groups, fusion imaging was able to identify the target lymph node, guiding the examiner to perform a core-needle aspiration biopsy or to inject radiotracer for selective surgical nodal excision, according to the radio-guided occult lesion localization technique. Fusion imaging with virtual navigation, combining PET/CT and real-time ultrasound imaging, is technically feasible and able to detect target lymph nodes even when PET/CT and ultrasound findings are inconsistent. Fusion imaging can also be used to guide the performance of core-needle aspiration biopsy, avoiding further surgical diagnostic procedures, or the injection of radiotracer for selective surgical nodal excision, enabling more sparing, selective surgery. This innovative technique could open up multiple diagnostic and therapeutic opportunities in breast and gynecological oncology. © 2021 International Society of Ultrasound in Obstetrics and Gynecology.
Substances chimiques
Radiopharmaceuticals
0
Fluorodeoxyglucose F18
0Z5B2CJX4D
Types de publication
Evaluation Study
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
766-772Informations de copyright
© 2021 International Society of Ultrasound in Obstetrics and Gynecology.
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