Abstract:
OBJECTIVE:To assess the radiation dose received by the radiologist when performing wire localisation for axillary radio-isotope sentinel node imaging-guided biopsy in patients with impalpable breast cancers treated with breast-preserving excision. When wire placement follows radio-isotope sentinel node imaging (RSNI) the radiologist is exposed to a radiation risk that has never been previously assessed. METHODS:Radiation doses to radiologists performing ultrasound-guided localisation following nuclear medicine sentinel node imaging were measured for procedures on the day of surgery (20 MBq) and also on the day before surgery (40 MBq). These measurements were compared with theoretically calculated doses. RESULTS:Twelve patients showed comparable results between measurements and estimated doses. The mean measured dose was 1.8 muSv (estimated 1.8 muSv) for same-day and 4.8 muSv (estimated 3.4 muSv) for next-day surgery cases. At worst, radiologists who perform 36 wire localisations per year immediately following RSNI receive a radiation dose of 0.17 mSv. CONCLUSIONS:This study highlights the need to inform radiologists of the relative risk when performing pre-surgical localisation after RSNI. This risk should be justified locally in accordance with the total dose received by the localising radiologist. Particular consideration should be given to pregnant staff and the possibility of performing wire localisations before radio-isotope injection.
journal_name
Eur Radioljournal_title
European radiologyauthors
Meades RT,Svensson WE,Frank JW,Gada V,Ralleigh G,Satchithananda K,Barrett N,Nijran KSdoi
10.1007/s00330-009-1594-0subject
Has Abstractpub_date
2010-03-01 00:00:00pages
529-32issue
3eissn
0938-7994issn
1432-1084journal_volume
20pub_type
杂志文章abstract::Axillary management in patients with breast cancer has become much less invasive with the introduction of sentinel lymph node biopsy (SLNB). However, over 70 % of SLNBs are negative, questioning the generic use of this invasive procedure. Emerging evidence indicates that breast cancer patients with a low axillary burd...
journal_title:European radiology
pub_type: 杂志文章,评审
doi:10.1007/s00330-013-3009-5
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journal_title:European radiology
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journal_title:European radiology
pub_type: 社论
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journal_title:European radiology
pub_type: 杂志文章
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journal_title:European radiology
pub_type: 杂志文章
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journal_title:European radiology
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journal_title:European radiology
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pub_type: 杂志文章
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journal_title:European radiology
pub_type: 杂志文章
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pub_type: 杂志文章,多中心研究
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pub_type: 杂志文章,评审
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更新日期:2011-10-01 00:00:00
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pub_type: 杂志文章
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更新日期:2020-04-01 00:00:00
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journal_title:European radiology
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更新日期:2021-02-01 00:00:00
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journal_title:European radiology
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更新日期:1998-01-01 00:00:00
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更新日期:2006-04-01 00:00:00