3D vascular mapping of breast using contrast enhanced mri: association of unilateral increased vascularity with ipsilateral breast cancer

Örgüç, Şebnem; Başara, Işıl; Coşkun, Teoman; Pekindil, Gökhan

doi:10.4261/1305-3825.dir.5280-11.2

Cited by 5 publications

(5 citation statements)

References 21 publications

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“…Color Doppler flow was less likely to show in small breast cancer masses compared to large masses in this study, which may be because cells gain nutrients simply by diffusion from surrounding tissues instead of blood vessels in a small breast cancer mass (27) . A study showed that new capillaries rarely develop in breast cancer with volume less than 2 cubic millimeters (28) .…”

Section: Discussioncontrasting

confidence: 57%

Tumor size impacts the performance of ultrasound BI-RADS classification in breast cancer patients

Guo

Dong²,

Jiang³

et al. 2022

Int J Radiat Res

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Background: This study aimed to evaluate the relationship of tumor size and ultrasound (US) Breast Imaging Reporting and Data System (BI-RADS), and further analyze if tumor size can impact the evaluation for US features in patients with breast cancer. Materials and Methods: In this retrospective study, preoperative US features and postoperative pathological results were collected from 498 patients with breast cancer. The association of BI-RADS classification with tumor size was analyzed, and the US features related to tumor size were determined. Results: A significant association was found between tumor size and BI-RADS category, and tumor with small size was classified into the low BI-RADS category (p < 0.05). Some US features including shape, growth orientation, microcalcification and color Doppler flow imaging (CDFI) were influenced by tumor size (p<0.001). Conclusion: Tumor size can influence the diagnosis performance for US BI-RADS category in patients with breast cancer.

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Section: Discussioncontrasting

confidence: 57%

Tumor size impacts the performance of ultrasound BI-RADS classification in breast cancer patients

Guo

Dong²,

Jiang³

et al. 2022

Int J Radiat Res

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“…[19][20][21][22] Thus, the mapping of the mammary arteriovenous system would be significantly different from the lymphatic system and would not produce superimposable images. [23][24][25] Finally, the presence of ICG on each lymph node taken at the end of the manipulation confirms the diffusion of the dye in the breast lymphatic network.…”

Section: Discussionmentioning

confidence: 53%

“…We assumed that the images obtained corresponded to the lymphatic network and not to the arteriovenous system because of previous anatomical studies showing that the latter does not overlap with the lymphatic network 19–22 . Thus, the mapping of the mammary arteriovenous system would be significantly different from the lymphatic system and would not produce superimposable images 23–25 . Finally, the presence of ICG on each lymph node taken at the end of the manipulation confirms the diffusion of the dye in the breast lymphatic network.…”

Section: Discussionmentioning

confidence: 96%

Anatomic Study of the Integrity of the Breast Lymphatic Network With Indocyanine Green in Breast Implant Surgery Through the Axillary Approach

Claudic

Perruisseau-Carrier

et al. 2023

Ann Plast Surg

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Introduction:The performance of a prosthetic breast augmentation through the axilla always makes the surgeon fear the possibility of damage to the breast lymphatic network. Indocyanine green is a fluorescent marker allowing the analysis of the lymphatic system. This anatomical work aims at demonstrating, thanks to the use of indocyanine green, whether the realization of a prosthetic breast augmentation by axillary way leads to lesions of the breast lymphatic network and also seeks to show the feasibility of detecting the axillary sentinel node after axillary breast augmentation. Material and Method: This is an anatomical study. After injection of indocyanine green in the periareolar area, a prosthetic breast augmentation was performed through the axilla. At the end of the procedure, a change in the distribution of indocyanine green in the skin or its abnormal presence was sought: at the level of the skin incision, the prosthetic space, or in contact with the prosthesis itself. The presence of green in these situations was synonymous with a lesion of the lymphatic network. In the opposite case, we considered that the lymphatic system was respected. After sampling, an axillary lymph node we also looked for the presence of indocyanine green at its contact. Results: We performed 22 breast injections. The lymphatic network could be demonstrated in 15 of them. Among these 15 injections, 12 (80%) were in favor of a preservation of the lymphatic network, whereas 3 (20%) evoked a lesion of the lymphatic network. In all subjects (100%), an axillary lymph node was found with the presence of indocyanine green within it. Conclusion: Our study is in favor of a preservation of the lymphatic network during a prosthetic breast augmentation by axillary way. Furthermore, with the collection of an axillary lymph node containing the dye from each subject, this work demonstrates the feasibility of axillary sentinel node detection with indocyanine green after axillary breast augmentation. Further work on live subjects and on a larger number of subjects would be necessary to confirm these results.

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“…We assumed that the images obtained corresponded to the lymphatic network and not to the arteriovenous system because of previous anatomical studies showing that the latter does not overlap with the lymphatic network [21][22][23][24]. Thus, the mapping of the mammary arteriovenous system would be signi cantly different from the lymphatic system and would not produce superimposable images [25][26][27].…”

Section: Discussionmentioning

confidence: 99%

Mapping of the superficial lymphatic network of the breast using indocyanine green injection: an anatomical study

Claudic

Perruisseau-Carrier

DEMARTELEIRE

et al. 2022

Preprint

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Purpose Indocyanine green (ICG) is a fluorophore that allows exploration of the arterial and lymphatic network. The superficial lymphatic network of the breast is particularly vulnerable in breast augmentation surgery. The intraoperative use of ICG could help the plastic surgeon during breast augmentation surgery. The aim of this work is to demonstrate the feasibility of mapping the superficial breast lymphatic network using ICG. Methods This is an anatomical study. A peri-areolar injection of indocyanine green was performed on cadaveric subjects. At the end, a mapping of their spatial distribution was carried out according to four quadrants, delimited by two perpendicular lines passing by the areola. Results We performed 60 breast injections. The lymphatic network could be identified in 53 of them. A total of 80 vessels were found in the superior-external quadrant, 17 in the superior-internal quadrant, 28 in the inferior-external quadrant and 0 in the inferior-internal quadrant. Conclusion This work shows that indocyanine green allows the identification of the superficial lymphatic network of the breast. Its use could represent an intraoperative assistance in breast augmentation surgery. This work also confirms the existing anatomical notions with a predominance of the axillary drainage route.

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3D vascular mapping of breast using contrast enhanced mri: association of unilateral increased vascularity with ipsilateral breast cancer

Cited by 5 publications

References 21 publications

Tumor size impacts the performance of ultrasound BI-RADS classification in breast cancer patients

Tumor size impacts the performance of ultrasound BI-RADS classification in breast cancer patients

Anatomic Study of the Integrity of the Breast Lymphatic Network With Indocyanine Green in Breast Implant Surgery Through the Axillary Approach

Mapping of the superficial lymphatic network of the breast using indocyanine green injection: an anatomical study

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