Continuous innovation in precision radio-guided surgery

Revista espanola de medicina nuclear e imagen molecular Pub Date : 2024-01-01 DOI:10.1016/j.remnie.2023.11.001

Sergi Vidal-Sicart , Elena Goñi , Isaac Cebrecos , Mª Eugenia Rioja , Andrés Perissinotti , Catalina Sampol , Oscar Vidal , David Saavedra-Pérez , Ada Ferrer , Carles Martí , José Ferrer Rebolleda , Mª José García Velloso , Jhon Orozco-Cortés , Berta Díaz-Feijóo , Aida Niñerola-Baizán , Renato Alfredo Valdés Olmos

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Abstract

Since its origins, nuclear medicine has faced technological changes that led to modifying operating modes and adapting protocols. In the field of radioguided surgery, the incorporation of preoperative scintigraphic imaging and intraoperative detection with the gamma probe provided a definitive boost to sentinel lymph node biopsy to become a standard procedure for melanoma and breast cancer.

The various technological innovations and consequent adaptation of protocols come together in the coexistence of the disruptive and the gradual. As obvious examples we have the introduction of SPECT/CT in the preoperative field and Drop-in probes in the intraoperative field. Other innovative aspects with possible application in radio-guided surgery are based on the application of artificial intelligence, navigation and telecare.

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在精密放射引导手术方面不断创新。

自诞生以来，核医学面临着技术变革，导致了操作模式的修改和协议的调整。在放射引导手术领域，术前显像和术中伽玛探头检测的结合为前哨淋巴结活检提供了明确的推动，使其成为黑色素瘤和乳腺癌的标准程序。各种技术创新和随之而来的协议适应在破坏性和渐进的共存中走到了一起。作为一个明显的例子，我们在术前使用SPECT/CT，在术中使用Drop-in探针。其他可能应用于无线电引导手术的创新方面是基于人工智能、导航和远程医疗的应用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Revista espanola de medicina nuclear e imagen molecular

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