Open AccessRadio‐guided occult lesion localisation using iodine 125 Seeds “ ROLLIS ” to guide surgical removal of an impalpable posterior chest wall melanoma metastasis
Author(s) -
Dissanayake Shashini,
Dissanayake Deepthi,
Taylor Donna B.
Publication year - 2015
Publication title -
journal of medical radiation sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.484
H-Index - 18
eISSN - 2051-3909
pISSN - 2051-3895
DOI - 10.1002/jmrs.125
Subject(s) - medicine , occult , radiology , lesion , positron emission tomography , metastasis , breast cancer , cancer , surgery , pathology , alternative medicine
Cancer screening and surveillance programmes and the use of sophisticated imaging tools such as positron emission tomography‐computed tomography (PET ‐ CT ) have increased the detection of impalpable lesions requiring imaging guidance for excision. A new technique involves intra‐lesional insertion of a low‐activity iodine‐125 ( 125 I) seed and detection of the radioactive signal in theatre using a hand‐held gamma probe to guide surgery. Whilst several studies describe using this method to guide the removal of impalpable breast lesions, only a handful of publications report its use to guide excision of lesions outside the breast. We describe a case in which radio‐guided occult lesion localisation using an iodine 125 seed was used to guide excision of an impalpable posterior chest wall metastasis detected on PET ‐ CT .