Concept for using magnetic particle imaging for intraoperative margin analysis in breast-conserving surgery

Abstract Breast-conserving surgery (BCS) is a commonly utilized treatment for early stage breast cancers but has relatively high reexcision rates due to post-surgical identification of positive margins. A fast, specific, sensitive, easy-to-use tool for assessing margins intraoperatively could reduce...

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Main Authors: Erica E. Mason, Eli Mattingly, Konstantin Herb, Monika Śliwiak, Sofia Franconi, Clarissa Zimmerman Cooley, Priscilla J. Slanetz, Lawrence L. Wald
Format: Article
Language:English
Published: Nature Portfolio 2021-06-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-021-92644-8
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author Erica E. Mason
Eli Mattingly
Konstantin Herb
Monika Śliwiak
Sofia Franconi
Clarissa Zimmerman Cooley
Priscilla J. Slanetz
Lawrence L. Wald
author_facet Erica E. Mason
Eli Mattingly
Konstantin Herb
Monika Śliwiak
Sofia Franconi
Clarissa Zimmerman Cooley
Priscilla J. Slanetz
Lawrence L. Wald
author_sort Erica E. Mason
collection DOAJ
description Abstract Breast-conserving surgery (BCS) is a commonly utilized treatment for early stage breast cancers but has relatively high reexcision rates due to post-surgical identification of positive margins. A fast, specific, sensitive, easy-to-use tool for assessing margins intraoperatively could reduce the need for additional surgeries, and while many techniques have been explored, the clinical need is still unmet. We assess the potential of Magnetic Particle Imaging (MPI) for intraoperative margin assessment in BCS, using a passively or actively tumor-targeted iron oxide agent and two hardware devices: a hand-held Magnetic Particle detector for identifying residual tumor in the breast, and a small-bore MPI scanner for quickly imaging the tumor distribution in the excised specimen. Here, we present both hardware systems and demonstrate proof-of-concept detection and imaging of clinically relevant phantoms.
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spelling doaj.art-9926859ee06740ea8ba82500dae17e652022-12-21T20:34:23ZengNature PortfolioScientific Reports2045-23222021-06-0111111610.1038/s41598-021-92644-8Concept for using magnetic particle imaging for intraoperative margin analysis in breast-conserving surgeryErica E. Mason0Eli Mattingly1Konstantin Herb2Monika Śliwiak3Sofia Franconi4Clarissa Zimmerman Cooley5Priscilla J. Slanetz6Lawrence L. Wald7Department of Radiology, A. A. Martinos Center for Biomedical Imaging, Massachusetts General HospitalHarvard-MIT Division of Health Sciences and TechnologyDepartment of Radiology, A. A. Martinos Center for Biomedical Imaging, Massachusetts General HospitalDepartment of Radiology, A. A. Martinos Center for Biomedical Imaging, Massachusetts General HospitalDepartment of Radiology, A. A. Martinos Center for Biomedical Imaging, Massachusetts General HospitalDepartment of Radiology, A. A. Martinos Center for Biomedical Imaging, Massachusetts General HospitalDepartment of Radiology, Boston University Medical CenterDepartment of Radiology, A. A. Martinos Center for Biomedical Imaging, Massachusetts General HospitalAbstract Breast-conserving surgery (BCS) is a commonly utilized treatment for early stage breast cancers but has relatively high reexcision rates due to post-surgical identification of positive margins. A fast, specific, sensitive, easy-to-use tool for assessing margins intraoperatively could reduce the need for additional surgeries, and while many techniques have been explored, the clinical need is still unmet. We assess the potential of Magnetic Particle Imaging (MPI) for intraoperative margin assessment in BCS, using a passively or actively tumor-targeted iron oxide agent and two hardware devices: a hand-held Magnetic Particle detector for identifying residual tumor in the breast, and a small-bore MPI scanner for quickly imaging the tumor distribution in the excised specimen. Here, we present both hardware systems and demonstrate proof-of-concept detection and imaging of clinically relevant phantoms.https://doi.org/10.1038/s41598-021-92644-8
spellingShingle Erica E. Mason
Eli Mattingly
Konstantin Herb
Monika Śliwiak
Sofia Franconi
Clarissa Zimmerman Cooley
Priscilla J. Slanetz
Lawrence L. Wald
Concept for using magnetic particle imaging for intraoperative margin analysis in breast-conserving surgery
Scientific Reports
title Concept for using magnetic particle imaging for intraoperative margin analysis in breast-conserving surgery
title_full Concept for using magnetic particle imaging for intraoperative margin analysis in breast-conserving surgery
title_fullStr Concept for using magnetic particle imaging for intraoperative margin analysis in breast-conserving surgery
title_full_unstemmed Concept for using magnetic particle imaging for intraoperative margin analysis in breast-conserving surgery
title_short Concept for using magnetic particle imaging for intraoperative margin analysis in breast-conserving surgery
title_sort concept for using magnetic particle imaging for intraoperative margin analysis in breast conserving surgery
url https://doi.org/10.1038/s41598-021-92644-8
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