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Human Health Campus
Human Health Campus
Human Health Campus

Breast cancer. Lymphoscintigraphy SPECT/CT. [18F]FDG-PET.

Teaching Case

Case presentation:

  • Female.
  • 79 y.o.
  • Lump in upper outer quadrant of left breast.

Teaching points:

  • The use of PET-guided surgery is expanding.
  •  The most recent probes detect intra-operatively either the high-energy annihilation γ rays (with adequate shielding and collimation), or directly the β+ particles (with a beta probe).
  •  Since β+ particles have a very short range of penetration in tissues, beta-probe counting is only possible in direct contact with tissues (not affected by background γ radiation).
  • The use of either a high-energy gamma probe or a beta probe in radioguided surgery for assessing postresection [18F]FDG-avid residual disease yields in principle similar results.
  •  Considering that the radiopharmaceutical used for mapping sentinel lymph nodes is 99mTc-Nanocoll, the intra-operative probe used must detect lowenergy γ rays as well.

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