Radioactive seed localization for conservative surgery of nonpalpable breast cancer

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dc.contributor.authorFERREIRA, HORTENCIA de J.pt_BR
dc.contributor.authorSOUZA, CARLA D. dept_BR
dc.contributor.authorROSTELATO, MARIA E.C.M.pt_BR
dc.coverageInternacionalpt_BR
dc.date.accessioned2023-06-23T19:25:58Z
dc.date.available2023-06-23T19:25:58Z
dc.date.issued2022pt_BR
dc.description.abstractBackground: The radioactive seed localization (RSL) is used in impalpable breast cancer conservative surgery to assist the surgeon in accurately locating and excising the lesion site. This study aims to present recommendations about the RSL program implementation in health institutions that perform breast cancer conservative surgery with intraoperative localization. Methods: An extensive literature review was performed. It comprehends: the committee responsible for implementation of the program actions; description of the necessary multidisciplinary team; the radiological safety committee role; the facility licensing; professionals training; material and instrumentation associated with the technique; and seed tracking system. Results: 13 topics are presented. The Program Implementation Committee must be formed by leaders from each department. The committee assumes responsibility for evaluating the necessary processes and presenting the schedule for program implementation. Since the procedure is classified as a nuclear medicine procedure it requires licensing. The Professional Team Formation, Education, and Training is a priority and simulation exercises are necessary. The Materials and Instrumentation Associated with the Technique must be well-know by the team and they should practice using radiation detectors. The seed must be always tracked, from moment they are received to discard. An Inventory for Tracking Seeds is provided. The Radiological Safety Aspects such as the ALARA principle are presented. A full description for the Radiological Procedure for Placing the seeds, the surgical removal and the Specimen Handling in Pathology focusing on how to locate the seed and retrieve them. After removed, the seeds can be placed in storage to wait for full radioactive decay or be returned to the manufacturer. Conclusions: The procedure has the advantage to increase to 2 months the time between insertion of the seed and the surgical removal. Regular multidisciplinary team meetings during program development are important to create a realistic timeline, having briefing meetings after the first 1-5 RSL cases and having annual or biannual follow-up meetings to discuss any issues or incidents.pt_BR
dc.format.extent94-106pt_BR
dc.identifier.citationFERREIRA, HORTENCIA de J.; SOUZA, CARLA D. de; ROSTELATO, MARIA E.C.M. Radioactive seed localization for conservative surgery of nonpalpable breast cancer: recommendations for technology implantation program. <b>International Journal of Surgery Protocols</b>, v. 26, n. 1, p. 94-106, 2022. DOI: <a href="https://dx.doi.org/10.29337/ijsp.182">10.29337/ijsp.182</a>. Disponível em: http://repositorio.ipen.br/handle/123456789/34081.
dc.identifier.doi10.29337/ijsp.182pt_BR
dc.identifier.fasciculo1pt_BR
dc.identifier.issn2468-3574pt_BR
dc.identifier.orcid0000-0003-2943-6097pt_BR
dc.identifier.orcidhttps://orcid.org/0000-0003-2943-6097
dc.identifier.orcidhttp://orcid.org/0000-0003-1335-8864
dc.identifier.percentilfiSem Percentil
dc.identifier.percentilfiCiteScoreSem Percentil CiteScore
dc.identifier.urihttp://repositorio.ipen.br/handle/123456789/34081
dc.identifier.vol26pt_BR
dc.relation.ispartofInternational Journal of Surgery Protocolspt_BR
dc.rightsopenAccesspt_BR
dc.subjectmammary glands
dc.subjectneoplasms
dc.subjectsurgery
dc.subjectradiation doses
dc.subjectradiation protection
dc.titleRadioactive seed localization for conservative surgery of nonpalpable breast cancerpt_BR
dc.typeArtigo de periódicopt_BR
dspace.entity.typePublication
ipen.autorMARIA ELISA CHUERY MARTINS ROSTELATO
ipen.autorCARLA DARUICH DE SOUZA
ipen.autorHORTENCIA DE JESUS FERREIRA
ipen.codigoautor7
ipen.codigoautor7717
ipen.codigoautor15398
ipen.contributor.ipenauthorMARIA ELISA CHUERY MARTINS ROSTELATO
ipen.contributor.ipenauthorCARLA DARUICH DE SOUZA
ipen.contributor.ipenauthorHORTENCIA DE JESUS FERREIRA
ipen.date.recebimento23-06
ipen.identifier.fi0.9
ipen.identifier.fiCiteScoreSem CiteScore
ipen.identifier.ipendoc29700pt_BR
ipen.range.fi0.001 - 1.499
ipen.subtitulorecommendations for technology implantation programpt_BR
ipen.type.genreArtigo
relation.isAuthorOfPublicationda77b491-04ff-4c68-aa65-dead9208a48c
relation.isAuthorOfPublication866434dc-2634-4567-8b4b-04e5ce06bf04
relation.isAuthorOfPublicationbe6f73c2-da3e-4089-aed2-181c8d9196e4
relation.isAuthorOfPublication.latestForDiscoverybe6f73c2-da3e-4089-aed2-181c8d9196e4
sigepi.autor.atividadeROSTELATO, MARIA E.C.M.:7:230:Npt_BR
sigepi.autor.atividadeSOUZA, CARLA D. de:7717:230:Npt_BR
sigepi.autor.atividadeFERREIRA, HORTENCIA de J.:15398:230:Spt_BR
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