A Prospective, Single Arm, Multi-site, Clinical Evaluation of a Nonradioactive Surgical Guidance Technology for the Location of Nonpalpable Breast Lesions during Excision

Cox, Charles E.; Russell, Stephen R.; Prowler, Vanessa; Carter, Ebonie; Beard, Abby; Mehindru, A; Blumencranz, Peter W.; Allen, Kathleen G.; Portillo, Michael; Whitworth, Pat W.; Funk, Kristi; Barone, Julie; Norton, Denise; Schroeder, Jerome; Lin, Erin; Combs, Freddie J.; Schnabel, Freya; Toth, Hildegard K.; Lee, Jiyon; Anglin, Beth; Nguyen, Minh; Canavan, L; Laidley, Alison L.; Warden, Mary Jane; Prati, R; King, Jeff; Shivers, Steven C.

doi:10.1245/s10434-016-5405-y

Cited by 87 publications

(63 citation statements)

References 14 publications

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“…This was followed by a report in October 2016 by Mango et al, 12 confirming successful localization with SAVI SCOUT in a smaller group of 15 patients. Cox et al 13 later performed a prospective multisite study with 153 successful localizations. This study included feedback from surgeons, radiologists, and patients (via surveys) as well as data on the technical success of localization/excision and surgical margin status.…”

Section: Savi Scoutmentioning

confidence: 99%

“…7,8,14 The multisite study surveyed the participating surgeons, radiologists, and patients for feedback on the procedure. 13 After each case, the surgeons and radiologists rated localization using SAVI SCOUT as it compared with traditional WL. Both localization and removal were rated the same or better than WL.…”

Section: Savi Scoutmentioning

confidence: 99%

“…Eighteen of the 36 participating study physicians (14 radiologists, 4 surgeons) rated the SAVI SCOUT better than WL for patient comfort, anxiety, and overall experience. 13 The SAVI SCOUT does have some limitations, most notably, the potential to disable the reflector with direct contact by electrocautery. The reflector has been modified with the addition of an electrostatic discharge diode to minimize the risk of reflector inactivation; however, it does not eliminate the possibility.…”

Section: Savi Scoutmentioning

confidence: 99%

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Localization for Breast Surgery: The Next Generation

Jeffries¹,

Dossett²,

Jorns³

2017

Archives of Pathology &Amp; Laboratory Medicine

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Context.— Preoperative localization of nonpalpable breast lesions using image-guided wire placement has been a standard of breast imaging, diagnosis, and treatment since its development in the 1970s. With this technique, coordinated, same-day wire placement by the radiologist and surgery are required, which can lead to significant inefficiencies in workflow. Other disadvantages of wire localization (WL) include limitations in surgical incision and dissection route and protruding wires that can be both bothersome for the patient and have risk of displacement. Objective.— To outline several recently developed techniques that could replace traditional WL and eliminate its disadvantages. The first developed was radioactive seed localization (RSL) using I-125, a technique adopted by many institutions during the last few years. The challenge to this method, however, is the strict nuclear regulatory requirements, which can be a significant burden and limitation. The disadvantages of WL and RSL have provided incentive for the development of other types of preoperative localization procedures. Two of these are recently US Food and Drug Administration–cleared, nonradioactive, non-wire location technologies emerging as alternatives to WL and RSL; SAVI SCOUT (Cianna Medical Inc, Aliso Viejo, California), which uses infrared light and a microimpulse radar reflector, and Magseed (Endomagnetics Inc, Austin, Texas), which uses a magnetic seed for localization. Data Sources.— We review the published literature on non-wire location technologies for breast tissue resection. Conclusions.— Non-wire location techniques are beneficial, allowing image-guided placement before the day of surgery and resulting in improved workflows. These techniques also eliminate bothersome protruding wires, risk of dislodging, and allow the incision site to be independent from the localization site.

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Section: Savi Scoutmentioning

confidence: 99%

Section: Savi Scoutmentioning

confidence: 99%

Section: Savi Scoutmentioning

confidence: 99%

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Localization for Breast Surgery: The Next Generation

Jeffries¹,

Dossett²,

Jorns³

2017

Archives of Pathology &Amp; Laboratory Medicine

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“…Utilizing this new technique of TAD to combine sentinel lymph node dissection with seed localized removal of clipped metastatic lymph nodes, the false negative rate for staging the axilla is below 5%, and provides an acceptable standard for staging of the axilla among node-positive patients receiving neoadjuvant chemotherapy (63). Alternate methods of localizing clipped metastatic axillary nodes include hook wires and electromagnetic wave markers (62, 65). Based on this early work, the National Comprehensive Cancer Network (NCCN) guidelines changed in 2015 to reflect this new procedure as a potential safe way to limit axillary surgery even among women who initially present with node positive breast cancer (66).…”

Section: Surgical Considerations For the Breast Cancer Patientmentioning

confidence: 99%

Paradigm Shifts in Breast Care Delivery: Impact of Imaging in a Multidisciplinary Environment

Krishnamurthy

Bevers

Kuerer

et al. 2017

American Journal of Roentgenology

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The practice of breast imaging in a collaborative multidisciplinary environment adds significant value to outcomes in women’s healthcare. In this article, we describe multidisciplinary considerations in breast cancer screening and early detection, the impact of imaging and histopathologic findings in the diagnostic evaluation and management of breast abnormalities, and the contribution of imaging to surgical and radiation therapy planning for the breast cancer patient.

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“…However, this technique continues to have numerous disadvantages, including vasovagal reaction, bleeding and patient discomfort . As its initial use, many new techniques have been developed, including techniques that utilize radioactive seeds, radio‐guided occult lesion localization, dye injection, hydrogel‐encapsulated clips and SAVI SCOUT . Between 2015 and 2016, our clinical group has implemented the superficial mark guided localization (SGL) technique for the treatment of non‐palpable breast microcalcifications.…”

Section: Introductionmentioning

confidence: 99%

Comparison of the value of superficial mark guided localization and hook‐wire guided localization techniques for non‐palpable breast microcalcifications: A retrospective clinical research

Qiu

Qian

et al. 2019

J of Obstet and Gynaecol

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Aim The present study compares the effect and accuracy of the superficial mark guided localization (SGL) and hook‐wire guided localization (WGL) techniques for non‐palpable breast microcalcifications. Methods This retrospective study was conducted to compare SGL and WGL techniques. These techniques were performed on 51 patients with non‐palpable breast microcalcifications from January 2015 to May 2016. Results Among these 51 patients, 25 (49.01%) patients were subjected to WGL and 26 patients (50.99%) were subjected to SGL. The SGL technique had a higher rate of malignant cancer detection (WGL = 12.0% and SGL = 23.0%). Furthermore, no significant differences were found with regard to average age, the rate of a second excision and the diameter of the excised tissue. Moreover, no complications were observed in the SGL group, while four (16.0%) patients in the WGL group experienced problems. Conclusion The SGL technique is as accurate as the WGL technique. Furthermore, the procedure has advantages of being less expensive and causing less complications.

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A Prospective, Single Arm, Multi-site, Clinical Evaluation of a Nonradioactive Surgical Guidance Technology for the Location of Nonpalpable Breast Lesions during Excision

Abstract: SCOUT(®) provides a reliable and effective alternative method for the localization and surgical excision of nonpalpable breast lesions using no wires or radioactive materials, with excellent patient, radiologist, and surgeon acceptance.

Cited by 87 publications

References 14 publications

Localization for Breast Surgery: The Next Generation

Localization for Breast Surgery: The Next Generation

Paradigm Shifts in Breast Care Delivery: Impact of Imaging in a Multidisciplinary Environment

Comparison of the value of superficial mark guided localization and hook‐wire guided localization techniques for non‐palpable breast microcalcifications: A retrospective clinical research

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