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Preoperative localization of breast lesions: Current techniques

      Highlights

      • Localization of breast lesions is a common procedure that has evolved as surgical, imaging, and biomedical technology have progressed.
      • Wire localization, introduced almost 50 years ago, was the first technique introduced to help localize nonpalpable, image-detected breast lesions.
      • Preoperative radioactive seed localization was one of the first alternatives proposed to avoid some of the limitations encountered with wire localization.
      • Non-ionizing devices have recently emerged in the wake of progress made with radioseed localization.
      • Currently radiofrequency reflectors and magnetic seeds are gaining in popularity and will be seen more widely in the future.
      • Comparing and contrasting these techniques enables informed decisions about which technique is the best operational fit for a given practice.

      Abstract

      Image-guided preoperative localization of breast lesions is a common procedure. This article describes several commercially available localization options—wire localization, radioactive seed localization, localization with a radiofrequency reflector, and magnetic seed localization—and outlines the advantages and disadvantages of each. This information may help radiologists initiate conversations at their facilities with surgeons, pathologists, and hospital administration as they seek to add value and provide patient-centered care.

      Keywords

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