Radioactive seed localization is a safe and effective tool for breast cancer surgery: an evaluation of over 25,000 cases Journal Article


Authors: Miodownik, D.; Bierman, D.; Thornton, C.; Moo, T.; Feigin, K.; Damato, A.; Le, T.; Williamson, M.; Prasad, K.; Chu, B.; Dauer, L.; Saphier, N.; Zanzonico, P.; Morrow, M.; Bellamy, M.
Article Title: Radioactive seed localization is a safe and effective tool for breast cancer surgery: an evaluation of over 25,000 cases
Abstract: Radioactive seed localization (RSL) provides a precise and efficient method for removing non-palpable breast lesions. It has proven to be a valuable addition to breast surgery, improving perioperative logistics and patient satisfaction. This retrospective review examines the lessons learned from a high-volume cancer center's RSL program after 10 years of practice and over 25 000 cases. We provide an updated model for assessing the patient's radiation dose from RSL seed implantation and demonstrate the safety of RSL to staff members. Additionally, we emphasize the importance of various aspects of presurgical evaluation, surgical techniques, post-surgical management, and regulatory compliance for a successful RSL program. Notably, the program has reduced radiation exposure for patients and medical staff. © 2024 Institute of Physics. All rights reserved.
Keywords: retrospective studies; tumor localization; breast cancer; breast; radiotherapy; diagnostic imaging; breast neoplasms; retrospective study; radiation exposure; radioactive iodine; iodine radioisotopes; breast tumor; partial mastectomy; radioactivity; surgery; radiation safety; breast surgery; diseases; mastectomy, segmental; radiation dosimetry; effective tool; procedures; regulatory compliance; seed localization; humans; human; female; localisation; adioactive seed localization; mammography localization; tumour localization
Journal Title: Journal of Radiological Protection
Volume: 44
Issue: 1
ISSN: 0952-4746
Publisher: IOP Publishing Ltd  
Date Published: 2024-03-01
Start Page: 011511
Language: English
DOI: 10.1088/1361-6498/ad246a
PUBMED: 38295404
PROVIDER: scopus
PMCID: PMC11701837
DOI/URL:
Notes: Article -- MSK Cancer Center Support Grant (P30 CA008748) acknowledged in PDF -- MSK corresponding author is M. Bellamy -- Source: Scopus
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MSK Authors
  1. Kimberly Nicole Feigin
    33 Feigin
  2. Monica Morrow
    772 Morrow
  3. Pat B Zanzonico
    355 Zanzonico
  4. Lawrence Dauer
    170 Dauer
  5. Tracy-Ann Moo
    96 Moo
  6. Bae Philavan Chu
    20 Chu
  7. Antonio Leonardo Damato
    75 Damato
  8. Tiana Vynguyen Le
    42 Le
  9. Michael B. Bellamy
    16 Bellamy
  10. Kavya Prasad
    8 Prasad