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          Human Health Campus
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          Breast cancer. Lymphoscintigraphy SPECT/CT. [18F]FDG-PET.

          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.

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