Breast cancer. Lymphoscintigraphy SPECT/CT. [18F]FDG-PET.
Teaching Case Visit Teaching Case
Case presentation:
- Female.
- 79 y.o.
- Lump in upper outer quadrant of left breast.
Teaching points:
- The use of PET-guided surgery is expanding.
- The most recent probes detect intra-operatively either the high-energy annihilation γ rays (with adequate shielding and collimation), or directly the β+ particles (with a beta probe).
- Since β+ particles have a very short range of penetration in tissues, beta-probe counting is only possible in direct contact with tissues (not affected by background γ radiation).
- The use of either a high-energy gamma probe or a beta probe in radioguided surgery for assessing postresection [18F]FDG-avid residual disease yields in principle similar results.
- Considering that the radiopharmaceutical used for mapping sentinel lymph nodes is 99mTc-Nanocoll, the intra-operative probe used must detect lowenergy γ rays as well.