Efficacy of high-energy collimator for sentinel node lymphoscintigraphy of early breast cancer patients
Identifieur interne : 004348 ( Main/Exploration ); précédent : 004347; suivant : 004349Efficacy of high-energy collimator for sentinel node lymphoscintigraphy of early breast cancer patients
Auteurs : Kamran Aryana [Iran] ; Mohaddeseh Gholizadeh [Iran] ; Mehdi Momennezhad [Iran] ; Maryam Naji [Iran] ; Mohsen Aliakbarian [Iran] ; Mohammad Naser Forghani [Iran] ; Ramin Sadeghi [Iran]Source :
- Radiology and Oncology [ 1318-2099 ] ; 2012.
Abstract
Lymphoscintigraphy is an important part of sentinel node mapping in breast cancer patients. Sometimes star shaped artefacts due to septal penetration can be problematic during imaging. In the current study, we evaluated the possibility of high energy (HE) collimators use for lymphoscintigraphy.
Twenty patients with early breast carcinoma were included. Thirty minutes after radiotracer injection (99mTc-antimony sulphide colloid), anterior and lateral images were acquired using a dual head gamma camera equipped with a parallel hole low energy high resolution (LEHR) collimator on one head and HE collimator on another head. All images were reviewed by two nuclear medicine specialists regarding detectability and number of axillary sentinel nodes and presence of star artefact.
All images taken by LEHR collimators showed star artefact of the injection site. No image taken by HE collimator showed this effect. In two patients the sentinel node was visible only by HE collimator. Tumour location in both of these patients was in the upper lateral quadrant and both had history of excisional biopsy. In two patients additional sentinel node was visible adjacent to the first one only on the LEHR images.
HE collimators can be used for sentinel lymph node mapping and lymphoscintigraphy of the breast cancer patients. This collimator can almost eliminate star-shaped artefacts due to septal penetration which can be advantageous in some cases. However, to separate two adjacent sentinel nodes from each other LEHR collimators perform better.
Url:
DOI: 10.2478/v10019-012-0013-3
PubMed: 22933983
PubMed Central: 3423765
Affiliations:
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Center, Faculty of Medicine, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea> Nuclear Medicine Research Center, Faculty of Medicine, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad</wicri:regionArea><wicri:noRegion>Mashhad</wicri:noRegion></affiliation></author><author><name sortKey="Gholizadeh, Mohaddeseh" sort="Gholizadeh, Mohaddeseh" uniqKey="Gholizadeh M" first="Mohaddeseh" last="Gholizadeh">Mohaddeseh Gholizadeh</name><affiliation wicri:level="1"><nlm:aff id="af1-rado-46-01-75"> Nuclear Medicine Research Center, Faculty of Medicine, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea> Nuclear Medicine Research Center, Faculty of Medicine, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad</wicri:regionArea><wicri:noRegion>Mashhad</wicri:noRegion></affiliation></author><author><name sortKey="Momennezhad, Mehdi" sort="Momennezhad, Mehdi" uniqKey="Momennezhad M" first="Mehdi" last="Momennezhad">Mehdi Momennezhad</name><affiliation wicri:level="1"><nlm:aff id="af1-rado-46-01-75"> Nuclear Medicine Research Center, Faculty of Medicine, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea> Nuclear Medicine Research Center, Faculty of Medicine, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad</wicri:regionArea><wicri:noRegion>Mashhad</wicri:noRegion></affiliation></author><author><name sortKey="Naji, Maryam" sort="Naji, Maryam" uniqKey="Naji M" first="Maryam" last="Naji">Maryam Naji</name><affiliation wicri:level="1"><nlm:aff id="af1-rado-46-01-75"> Nuclear Medicine Research Center, Faculty of Medicine, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea> Nuclear Medicine Research Center, Faculty of Medicine, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad</wicri:regionArea><wicri:noRegion>Mashhad</wicri:noRegion></affiliation></author><author><name sortKey="Aliakbarian, Mohsen" sort="Aliakbarian, Mohsen" uniqKey="Aliakbarian M" first="Mohsen" last="Aliakbarian">Mohsen Aliakbarian</name><affiliation wicri:level="1"><nlm:aff id="af2-rado-46-01-75"> Surgical Oncology Research Center, Faculty of Medicine, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea> Surgical Oncology Research Center, Faculty of Medicine, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad</wicri:regionArea><wicri:noRegion>Mashhad</wicri:noRegion></affiliation></author><author><name sortKey="Forghani, Mohammad Naser" sort="Forghani, Mohammad Naser" uniqKey="Forghani M" first="Mohammad Naser" last="Forghani">Mohammad Naser Forghani</name><affiliation wicri:level="1"><nlm:aff id="af3-rado-46-01-75"> Cancer Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea> Cancer Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad</wicri:regionArea><wicri:noRegion>Mashhad</wicri:noRegion></affiliation></author><author><name sortKey="Sadeghi, Ramin" sort="Sadeghi, Ramin" uniqKey="Sadeghi R" first="Ramin" last="Sadeghi">Ramin Sadeghi</name><affiliation wicri:level="1"><nlm:aff id="af1-rado-46-01-75"> Nuclear Medicine Research Center, Faculty of Medicine, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea> Nuclear Medicine Research Center, Faculty of Medicine, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad</wicri:regionArea><wicri:noRegion>Mashhad</wicri:noRegion></affiliation></author></analytic><series><title level="j">Radiology and Oncology</title><idno type="ISSN">1318-2099</idno><idno type="eISSN">1581-3207</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Introduction</title><p>Lymphoscintigraphy is an important part of sentinel node mapping in breast cancer patients. Sometimes star shaped artefacts due to septal penetration can be problematic during imaging. In the current study, we evaluated the possibility of high energy (HE) collimators use for lymphoscintigraphy.</p></sec><sec><title>Patients and methods</title><p>Twenty patients with early breast carcinoma were included. Thirty minutes after radiotracer injection (99mTc-antimony sulphide colloid), anterior and lateral images were acquired using a dual head gamma camera equipped with a parallel hole low energy high resolution (LEHR) collimator on one head and HE collimator on another head. All images were reviewed by two nuclear medicine specialists regarding detectability and number of axillary sentinel nodes and presence of star artefact.</p></sec><sec><title>Results</title><p>All images taken by LEHR collimators showed star artefact of the injection site. No image taken by HE collimator showed this effect. In two patients the sentinel node was visible only by HE collimator. Tumour location in both of these patients was in the upper lateral quadrant and both had history of excisional biopsy. In two patients additional sentinel node was visible adjacent to the first one only on the LEHR images.</p></sec><sec><title>Conclusions</title><p>HE collimators can be used for sentinel lymph node mapping and lymphoscintigraphy of the breast cancer patients. This collimator can almost eliminate star-shaped artefacts due to septal penetration which can be advantageous in some cases. However, to separate two adjacent sentinel nodes from each other LEHR collimators perform better.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Eftekhari, M" uniqKey="Eftekhari M">M Eftekhari</name></author><author><name sortKey="Beiki, D" uniqKey="Beiki D">D Beiki</name></author><author><name sortKey="Fallahi, B" uniqKey="Fallahi B">B Fallahi</name></author><author><name sortKey="Arabi, M" uniqKey="Arabi M">M Arabi</name></author><author><name sortKey="Memari, F" uniqKey="Memari F">F Memari</name></author><author><name sortKey="Gholamrezanezhad, A" uniqKey="Gholamrezanezhad A">A Gholamrezanezhad</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rucigaj, Tp" uniqKey="Rucigaj T">TP Rucigaj</name></author><author><name sortKey="Leskovec, Nk" uniqKey="Leskovec N">NK Leskovec</name></author><author><name sortKey="Zunter, Vt" uniqKey="Zunter V">VT 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last="Forghani">Mohammad Naser Forghani</name><name sortKey="Gholizadeh, Mohaddeseh" sort="Gholizadeh, Mohaddeseh" uniqKey="Gholizadeh M" first="Mohaddeseh" last="Gholizadeh">Mohaddeseh Gholizadeh</name><name sortKey="Momennezhad, Mehdi" sort="Momennezhad, Mehdi" uniqKey="Momennezhad M" first="Mehdi" last="Momennezhad">Mehdi Momennezhad</name><name sortKey="Naji, Maryam" sort="Naji, Maryam" uniqKey="Naji M" first="Maryam" last="Naji">Maryam Naji</name><name sortKey="Sadeghi, Ramin" sort="Sadeghi, Ramin" uniqKey="Sadeghi R" first="Ramin" last="Sadeghi">Ramin Sadeghi</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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