The effect of introducing an in-theatre intra-operative specimen radiography (IOSR) system on the management of palpable breast cancer within a single unit

Layfield, David; May, Donna Jo; Cutress, R.I.; Richardson, C.; Agrawal, Avi; Wise, M.; Yiangou, C.

doi:10.1016/j.breast.2011.10.010

Cited by 32 publications

(15 citation statements)

References 20 publications

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“…12 If performed routinely, CS are associated with lower reoperation rates. 13 With IDSM, CS margins are more frequently carried out 14 and clear. 15 The accurate assessment of lesion margins reduces the need for a re-excision, saves the patient further associated stress and leads to healthcare cost savings.…”

Section: Discussionmentioning

confidence: 99%

Comparison of the time taken for localised breast surgery pre‐ and post‐introduction of intra‐operative digital specimen mammography

Nascimento

Bourke

2017

J Med Imag Rad Onc

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Section: Discussionmentioning

confidence: 99%

Comparison of the time taken for localised breast surgery pre‐ and post‐introduction of intra‐operative digital specimen mammography

Nascimento

Bourke

2017

J Med Imag Rad Onc

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“…Such monitors are usually of a higher resolution than standard monitors used for viewing CT images. Equipment or facilities to enable immediate intraoperative specimen radiography [67]. Equipment for sentinel lymph node localisation.…”

Section: Breast Conservation With Oncoplastic Techniquesmentioning

confidence: 99%

Oncoplastic breast surgery: A guide to good practice

Gilmour¹,

Cutress²,

Gandhi³

et al. 2021

European Journal of Surgical Oncology

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Oncoplastic Breast Surgery has become standard of care in the management of Breast Cancer patients. These guidelines written by an Expert Advisory Group; convened by the Association of Breast Surgery (ABS) and the British Association of Plastic, Reconstructive and Aesthetic Surgeons (BAPRAS), are designed to provide all members of the breast cancer multidisciplinary team (MDT) with guidance on the best breast surgical oncoplastic and reconstructive practice at each stage of a patient's journey, based on current evidence. It is hoped they will also be of benefit to the wide range of professionals and service commissioners who are involved in this area of clinical practice.

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“…Technologies allowing intra-operative margin assessment offer further potential to reduce re-excision rates beyond routine specimen radiology 47 . Intra-operative margin assessment techniques including imprint cytology and frozen section have not become routine practice due to resource limitations 48 .…”

Section: Intra-operative Margin Assessmentmentioning

confidence: 99%

Opportunities and priorities for breast surgical research

Cutress

McIntosh

Potter

et al. 2018

The Lancet Oncology

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Background: The Breast Cancer Campaign Gap analysis (2013) established breast cancer research priorities without specific focus on surgical research nor the role of surgeons. The majority of breast cancer patients encounter a surgeon at diagnosis or during treatment, thus surgical involvement in design and delivery of high-quality research to improve patient care is critical. This review aims to identify opportunities and priorities for breast surgical research to complement the previous gap analysis. Methods: Research-active breast surgeons met and identified topic areas for breast surgical research which mapped to the patient pathway. These included diagnosis, neoadjuvant treatment, surgery, adjuvant therapy and special groups (e.g. risk-reducing surgery). Section leads were identified based on research interests with invited input from experts in specific areas, supported by consultation with the Association of Breast Surgery (ABS) membership and Independent Cancer Patients' Voice (ICPV). The document was iteratively modified until participants were satisfied that key priorities for surgical research were clear. Results: Key research gaps were identified for each topic area including: (1) issues surrounding overdiagnosis and treatment; (2) optimising selection for neoadjuvant therapies and subsequent surgery; (3) reducing re-operation rates for breast conserving surgery; (4) generating evidence for the clinical and cost-effectiveness of breast reconstruction and mechanisms for evaluating novel interventions; (5) determining optimal axillary management, especially post-neoadjuvant treatment; (6) defining and standardising indications for risk-reducing surgery. Strategies for resolving these knowledge gaps are proposed. Conclusions: Surgeons are ideally placed for a central role in breast cancer research and should foster a culture of engagement and participation in research to benefit patients and the NHS. Development of infrastructure and surgical research capacity together with appropriate allocation of research funding will be needed to successfully address the key clinical and translational research gaps highlighted in this analysis within the next two decades.

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The effect of introducing an in-theatre intra-operative specimen radiography (IOSR) system on the management of palpable breast cancer within a single unit

Cited by 32 publications

References 20 publications

Comparison of the time taken for localised breast surgery pre‐ and post‐introduction of intra‐operative digital specimen mammography

Comparison of the time taken for localised breast surgery pre‐ and post‐introduction of intra‐operative digital specimen mammography

Oncoplastic breast surgery: A guide to good practice

Opportunities and priorities for breast surgical research

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