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Radio-guided localization of clinically occult breast lesions (ROLL): a DGH experience
Clinical Radiology
|July 26, 2005
Summary
Radio-guided localization (ROLL) is a practical and safe method for localizing breast lesions, offering significant patient benefits over wire-guided localization (WGL). This technique is cost-effective and improves cosmetic outcomes.
Area of Science:
- Radiology
- Oncology
- Surgical Oncology
Background:
- Wire-guided localization (WGL) is a standard technique for localizing non-palpable breast lesions.
- There is a need for efficient and patient-friendly localization methods within breast screening services.
Purpose of the Study:
- To evaluate the efficacy and benefits of radio-guided localization (ROLL) in a district general hospital's breast screening program.
- To compare ROLL with the established WGL technique.
Main Methods:
- A prospective study involving 70 women undergoing ROLL using ultrasound and stereotaxis.
- Technetium-labelled colloidal albumen was injected into impalpable breast lesions.
- Localization was performed using a gamma probe, and results were compared with 70 prior WGL cases.
Main Results:
- Successful localization of all 140 breast lesions (70 ROLL, 70 WGL).
- ROLL demonstrated significant advantages for patient care compared to WGL.
Conclusions:
- Radio-guided localization (ROLL) is a practical and reliable technique for breast lesion localization.
- ROLL can be implemented without occupying valuable gamma camera time and is cost-effective.
- The technique offers improved cosmetic outcomes and utilizes a safe, minimal amount of radioactivity.