1. Feasibility of Intraoperative Breast MRI and the Role of Prone Versus Supine Positioning in Surgical Planning for Breast-Conserving Surgery
- Author
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Eva C. Gombos, Kirby G. Vosburgh, Fatih Aydogan, Mehra Golshan, Ferenc A. Jolesz, Yasuaki Sagara, Stephen DeSantis, Melissa Anne Mallory, Diana Caragacianu, and Jagadeesan Jayender
- Subjects
Adult ,medicine.medical_specialty ,Supine position ,Adolescent ,Interventional magnetic resonance imaging ,medicine.medical_treatment ,Breast Neoplasms ,Mastectomy, Segmental ,Surgical planning ,Perioperative Care ,Article ,Intraoperative MRI ,Young Adult ,03 medical and health sciences ,0302 clinical medicine ,Predictive Value of Tests ,Prone Position ,Supine Position ,Internal Medicine ,Breast-conserving surgery ,Humans ,Medicine ,Breast MRI ,030212 general & internal medicine ,Aged ,medicine.diagnostic_test ,business.industry ,Middle Aged ,Magnetic Resonance Imaging ,Oncology ,030220 oncology & carcinogenesis ,Female ,Surgery ,Radiology ,business - Abstract
We assessed the feasibility of supine intraoperative MRI (iMRI) during breast-conserving surgery (BCS), enrolling 15 patients in our phase I trial between 2012 and 2014. Patients received diagnostic prone MRI, BCS, pre-excisional supine iMRI, and postexcisional supine iMRI. Feasibility was assessed based on safety, sterility, duration, and image-quality. Twelve patients completed the study; mean duration = 114 minutes; all images were adequate; no complications, safety, or sterility issues were encountered. Substantial tumor-associated changes occurred (mean displacement = 67.7 mm, prone-supine metric, n = 7). We have demonstrated iMRI feasibility for BCS and have identified potential limitations of prone breast MRI that may impact surgical planning.
- Published
- 2017