SPECT/CT and a portable gamma camera to optimize sentinel node visualization in urological malignancies and head and neck cancer

5 Sept 2009, 09:30
30m
Hotel Baia delle Zagare

Hotel Baia delle Zagare

71030 – Mattinata – Gargano – Italy

Speaker

Dr Lenka Vermeeren (Department of Nuclear Medicine, Netherlands Cancer Institute - Antoni van Leeuwenhoek Hospital)

Description

Exact localization of radioactive sentinel nodes is requisite to provide accurate staging with lymphatic mapping. SPECT/CT can exactly localize sentinel nodes and is able to depict more sentinel nodes than conventional (planar) images. It especially adds relevant information in areas with a complex anatomy, like the head and neck region and in pelvic and retroperitoneal areas. A portable gamma camera can be used to improve intra-operative search for sentinel nodes. Such a camera provides real-time imaging of the sentinel node and can detect and localize those nodes, even if located near the injection area. The use of a gamma camera also increases certainty about the accuracy and completeness of the excision of the radioactive nodes, because it facilitates post-excision monitoring.

Author

Dr Lenka Vermeeren (Department of Nuclear Medicine, Netherlands Cancer Institute - Antoni van Leeuwenhoek Hospital)

Co-authors

Dr Axel Bex (Department of Head and Neck Surgery, Netherlands Cancer Institute - Antoni van Leeuwenhoek Hospital) Dr Hans Balm (Department of Head and Neck Surgery, Netherlands Cancer Institute - Antoni van Leeuwenhoek Hospital) Dr Martin Klop (Department of Urology) Dr Michiel Van den Brekel (Department of Head and Neck Surgery, Netherlands Cancer Institute - Antoni van Leeuwenhoek Hospital) Dr Renato Valdes Olmos (Department of Nuclear Medicine) Dr Simon Horenblas (Department of Urology) Dr Wim Meinhardt (Department of Urology)

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