The American Journal of Surgery
Volume 192, Issue 4 , Pages 513-515, October 2006

Intraoperative digital specimen mammography: prompt image review speeds surgery

Presented at the 7th Annual Meeting of the American Society of Breast Surgeons, Baltimore, Maryland, April 5–9, 2006

  • Cary S. Kaufman, M.D., F.A.C.S.

      Affiliations

    • Department of Surgery, University of Washington, Seattle, WA, USA
    • Bellingham Breast Center, 2940 Squalicum Parkway, Bellingham, WA, 98255, USA
    • Corresponding Author InformationCorresponding author. Tel.: +1-360-671-9877; fax: +1-360-671-9688.
  • ,
  • Barbara A. Bachman, M.D.

      Affiliations

    • Bellingham Breast Center, 2940 Squalicum Parkway, Bellingham, WA, 98255, USA
  • ,
  • Leslie Jacobson, M.S.

      Affiliations

    • Bellingham Breast Center, 2940 Squalicum Parkway, Bellingham, WA, 98255, USA
  • ,
  • Lauren B. Kaufman, M.D.

      Affiliations

    • Bellingham Breast Center, 2940 Squalicum Parkway, Bellingham, WA, 98255, USA
  • ,
  • Carol Mahon, R.N.

      Affiliations

    • Bellingham Surgery Center, Bellingham, WA, USA
  • ,
  • Laura Gambrell, R.N.

      Affiliations

    • Bellingham Surgery Center, Bellingham, WA, USA

Received 7 April 2006; received in revised form 9 June 2006

Abstract 

Specimen mammograms are often a time-consuming event for image-guided surgery. The use of an intraoperative imaging device may improve the speed of surgery, but comparison must be made to ensure accuracy is maintained. One hundred fifty consecutive image localized patients underwent both intraoperative digital specimen mammogram (in the operating room) and standard specimen mammogram (in radiology). Intraoperative mammograms as read by breast surgeons were as accurate as standard films while saving an average of 19 minutes per operative procedure. Intraoperative digital specimen mammograms can accurately identify target lesions while saving operating room time.

Keywords:  Specimen mammogram , Breast biopsy , Image guidance , Image localization , Specimen mammography , Faxitron , Intraoperative imaging , Breast imaging , Digital mammography , Breast surgeon , Breast surgery , Lumpectomy , Partial mastectomy

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PII: S0002-9610(06)00429-6

doi:10.1016/j.amjsurg.2006.06.022

The American Journal of Surgery
Volume 192, Issue 4 , Pages 513-515, October 2006