| Literature DB >> 28295903 |
Melissa A Mallory1, Yasuaki Sagara1, Fatih Aydogan1, Stephen DeSantis2, Jagadeesan Jayender3, Diana Caragacianu1, Eva Gombos3, Kirby G Vosburgh3, Ferenc A Jolesz3, Mehra Golshan1.
Abstract
We assessed the feasibility of supine intraoperative MRI (iMRI) during breast-conserving surgery (BCS), enrolling 15 patients in our phase I trial between 2012 and 2014. Patients received diagnostic prone MRI, BCS, pre-excisional supine iMRI, and postexcisional supine iMRI. Feasibility was assessed based on safety, sterility, duration, and image-quality. Twelve patients completed the study; mean duration = 114 minutes; all images were adequate; no complications, safety, or sterility issues were encountered. Substantial tumor-associated changes occurred (mean displacement = 67.7 mm, prone-supine metric, n = 7). We have demonstrated iMRI feasibility for BCS and have identified potential limitations of prone breast MRI that may impact surgical planning.Entities:
Keywords: zzm321990MRIzzm321990; breast-conserving surgery; image-guided therapy; margins; surgical planning
Mesh:
Year: 2017 PMID: 28295903 PMCID: PMC5592119 DOI: 10.1111/tbj.12796
Source DB: PubMed Journal: Breast J ISSN: 1075-122X Impact factor: 2.431