Radio‐guided surgery: advantages of a new portable γ‐camera (Sentinella^®) for intraoperative real time imaging and detection of sentinel lymph nodes in cutaneous malignancies

Abstract

The portable γ-camera is an innovative imaging technique, reliable and providing additional information in the detection of SLN. Therefore SLNE with intraoperative γ-camera use is an attractive option to improve the detection of SLN in cutaneous malignancies and could help to reduce false negative SLN results.

EANM practice guidelines for lymphoscintigraphy and sentinel lymph node biopsy in melanoma

“…However, in recent years, portable gamma cameras have been developed and have been introduced to the operating room. These enable fast and reliable detection and localization of SLNs [147,148]. Additionally, a 3D system has been developed [98,149] that allows the surgeon to visualize the SLN in real-time using 3D navigation.…”

Role of intraoperative sentinel node imaging in head and neck cancer

“…Aside from fhSPECT navigation, there are other possibilities for intraoperative sentinel node imaging such as portable gamma cameras [21][22][23][24] and fusion ultrasound/…”

Melanoma & Nuclear Medicine: New Insights & Advances

“…This device is able to discriminate between two different energy peaks and display them separately on the screen, allowing the use of external pointers such as 153 Gd, 133 Ba or 125 I. Systems such as Sentinella S102 (Oncovision-GEM Imaging, Valencia, Spain), LumaGEM ® (Gamma Medica Ideas, CA, USA) and eZ-SCOPE (Anzai Medical, Tokio, Japan) are all particularly usable in problematic cases detected during presurgical assessment or even when the lymphoscintigraphy is not available [93,94]. In the operation room, the portable gamma camera's detector arm can be placed above the previously marked skin locations, thanks to the help of a cross-shaped laser beam projected on the skin of the patient, simultaneously with display on the screen of the portable gamma camera.…”