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"apellidos" => "Goñi Gironés" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">d</span>" "identificador" => "aff0020" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">e</span>" "identificador" => "aff0025" ] ] ] ] "afiliaciones" => array:5 [ 0 => array:3 [ "entidad" => "Servicio de Medicina Nuclear, Hospital Universitario Virgen Macarena, Sevilla, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Medicina Nuclear, Hospital Universitario Joan XXIII de Tarragona, Tarragona, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Servicio de Medicina Nuclear, Hospital Clínic Barcelona, Barcelona, Spain" "etiqueta" => "c" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "Servicio de Medicina Nuclear, Hospital Universitario de Navarra, Pamplona, Navarra, Spain" "etiqueta" => "d" "identificador" => "aff0020" ] 4 => array:3 [ "entidad" => "Grupo de Trabajo de Cirugía Radioguiada (GTCRG) de la Sociedad Española de Medicina Nuclear e Imagen Molecular (SEMNIM), Spain" "etiqueta" => "e" "identificador" => "aff0025" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Encuesta del Grupo de Trabajo de Cirugía Radioguiada (GTCRG) de la Sociedad Española de Medicina Nuclear e Imagen Molecular (SEMNIM): localización radioguiada de lesiones no palpables de mama con o sin indicación de biopsia selectiva de ganglio centinela: ROLL, SNOLL y semillas de <span class="elsevierStyleSup">125</span>I" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1761 "Ancho" => 2508 "Tamanyo" => 293313 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Geographical distribution of the participating Nuclear Medicine services.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0065">Introduction</span><p id="par0005" class="elsevierStylePara elsevierViewall">Thanks to the generalized implementation of mammography screening programs and technical improvements in the images, approximately 25–35%<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> of non-palpable breast cancers are diagnosed.</p><p id="par0010" class="elsevierStylePara elsevierViewall">To achieve this, a localization procedure that allows intraoperative identification and surgical resection is necessary. The ultimate objective of this procedure is to safely eliminate the tumoral tissue with adequate surgical margins, avoiding unnecessary resection of healthy breast tissue and providing good cosmetic results without compromising survival.</p><p id="par0015" class="elsevierStylePara elsevierViewall">Wire-guided localization has been the standard technique for years, but it has limitations and, therefore, other techniques have been introduced in an attempt to solve these limitations. Among these, radioguided surgery (RGS) is of note. In 1998, Luini et al.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> described the radioguided occult lesion localization (ROLL) technique that localizes the tumoral lesion by the injection of particles labeled with a radioactive isotope. In 2001 Feggi et al.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> introduced the sentinel node and occult lesion localization (SNOLL) technique that took advantage of a single injection of labeled particles to detect not only the tumor but also the sentinel lymph node (SLN). In addition, in 2001 Gray et al.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a> described the use of <span class="elsevierStyleSup">125</span>iodine (<span class="elsevierStyleSup">125</span>I) seeds for the localization of occult breast lesions.</p><p id="par0020" class="elsevierStylePara elsevierViewall">For some time, the Radioguided Surgery Working Group (GTCRG in Spanish) has wanted to know the grade of utility of radioguided surgery techniques in our country. Therefore, two surveys have been carried out; one at a national level on the use of selective sentinel lymph node biopsy (SSLNB) in breast cancer and melanoma<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a> and another more recently and specific on SSLNB in melanoma.<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a> Taking into account the boom in the use of ROLL in breast cancer, the GTCRG considered determining the status of this technique in our setting and with this objective this survey was carried out and also collected important technical details.</p><p id="par0025" class="elsevierStylePara elsevierViewall">We wish to thank the centers that responded to the survey for their valuable contribution. They are listed at the end of the text. On the other hand, we hope that knowing the starting point will encourage all to continue working and developing radioguided techniques in the future.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">Material and methods</span><p id="par0030" class="elsevierStylePara elsevierViewall">In October, 2020 a survey elaborated by the GTCRG on the current status of technique for the localization of non-palpable breast lesions with or without indication for SSLNB, ROLL/SNOLL was sent to Nuclear Medicine services in hospitals around Spain.</p><p id="par0035" class="elsevierStylePara elsevierViewall">The survey collected the number of ROLL/SNOLL procedures in each participating center and the methodology used: radiotracers used, type of injection, images acquired, instruments used during surgery and the results. There was a specific section on <span class="elsevierStyleSup">125</span>I seeds in which information on the personnel involved in the procedure was also requested.</p><p id="par0040" class="elsevierStylePara elsevierViewall">The survey was sent by email by the secretary of the Spanish Society of Nuclear Medicine and Molecular Imaging (SEMNIM in Spanish) giving a response time of two months with an extension of 15 days being answered by 55 centers of our geography (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). The results were automatically collected in an Excel 2007 spreadsheet for posterior analysis with the same program (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">Results</span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Generalities</span><p id="par0045" class="elsevierStylePara elsevierViewall">A total of 55 centers responded to the survey, and of these, 21 used the wire-guided technique and the remaining 34 used different RGS techniques for the localization of non-palpable breast lesions (38.2% vs. 61.8%, respectively).</p><p id="par0050" class="elsevierStylePara elsevierViewall">Among the 34 centers using RGS, 33 (97%) performed ROLL/SNOLL with radiocolloids and 9 (26.5%) used <span class="elsevierStyleSup">125</span>I seeds. Among the groups using seeds, in 1, other methods were not used while the remaining 8 centers combined their use with ROLL/SNOLL. In addition, in 23 centers (68%) RGS was combined with the use of wires according to the indication. <a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a> shows the different ways of combining the RGS technique together with the wire in the different centers.</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Use of the ROLL/SNOLL technique</span><p id="par0055" class="elsevierStylePara elsevierViewall">Of the 33 centers that used the ROLL/SNOLL technique, in 20 (60.6%) it had been applied for more than 10 years, in 9 (27%) for 5–10 years, in 1 (3%) between 3–5 years and in 2 (6.1%) between 1–3 years. One center did not know/did not comment (NK/NC).</p><p id="par0060" class="elsevierStylePara elsevierViewall">In 6 centers (18.1%), the number of cases of SNOLL per year was greater than 200 cases/year and in 27 centers (81.2%) the number was less than 200.</p><p id="par0065" class="elsevierStylePara elsevierViewall">The use of ROLL/SNOLL made up 30% of the activity of breast RGS in 13 hospitals (39.5%) while in 18 centers (21.2%) it was between 10–30% and in the other 13 centers this activity was less than 10%. Likewise, exclusive ROLL activity is scarce and in 54.5% of the centers it is performed in less than 10 cases per year (<a class="elsevierStyleCrossRef" href="#fig0015">Fig. 3</a>).</p><elsevierMultimedia ident="fig0015"></elsevierMultimedia></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Implementation of the ROLL/SNOLL technique</span><p id="par0070" class="elsevierStylePara elsevierViewall">To implement the ROLL/SNOLL technique, 24 centers (72.7%) carried out a validation period, while the remaining 9 centers (27.3%) reported not having done so. Among the centers performing some type of validation, in 7 it was made exclusively with the validation, in 7 (21.2%) they attended a specific course or workshop and in 10 (30.3%) both were carried out.</p></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0095">Indication for the ROLL/SNOLL technique</span><p id="par0075" class="elsevierStylePara elsevierViewall">In 15 of the 33 centers (45.5%), the ROLL/SNOLL was indicated in both benign lesions (or with equivocal or borderline histology) and malignant lesions with/without indication of SSLNB, including the context of neoadjuvant chemotherapy (NCT). See <a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>.</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0100">Type of radiological lesion</span><p id="par0080" class="elsevierStylePara elsevierViewall">Taking into account that more than one answer could be given, in this survey item, the indication chosen in order of frequency in 31 of the 33 centers (94%) was echovisible nodules, followed by microcalcifications in 18 centers (54%), focal asymmetric density in 12 centers (36.3%), in lesions <1 mm in 1 center (3.1%) and in 2 centers (6.1%) they localized metallic clips, adenopathies or post-NCT lesions.</p></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0105">Radiotracers and protocols used</span><p id="par0085" class="elsevierStylePara elsevierViewall">To perform the SNOLL technique, 23 of the centers (69.7%) used a single radiotracer dose, 6 (18.2%) used separate doses for the SLN, 3 (9,1%) used another protocol and 1 (3.1%) NK/NC. In the case of SNOLL with separate doses, 7 centers reported performing periareolar injections and 3 reported using subdermal injections.</p><p id="par0090" class="elsevierStylePara elsevierViewall">With respect to the molecules used in the SNOLL technique, 21 centers (63.6%) used nanocolloid particles, 8 (24.2%) used macroaggregated albumin (MAA) + nanocolloids and 4 (12.1%) used <span class="elsevierStyleSup">125</span>I seeds and nanocolloids together. Among the 32 centers that performed ROLL, 24 (75%) used MAA, 4 (12.5%) used nanocolloids and the remaining 4 (12.5%) used <span class="elsevierStyleSup">125</span>I seeds.</p><p id="par0095" class="elsevierStylePara elsevierViewall">In regard to the doses used, for SNOLL 111 MBq (range 37–185 MBq) was the most frequent while for ROLL the dose was 74 MBq (range 3.7–185 MBq).</p><p id="par0100" class="elsevierStylePara elsevierViewall">The intratumoral volume most frequently injected was common for both SNOLL and ROLL, being 0.2 ml (range SNOLL 0.1−4 ml and ROLL 0.1−5 ml).</p><p id="par0105" class="elsevierStylePara elsevierViewall">In relation to the protocols used, in most centers it was of two days, with this option being chosen in 21 (63.6%) of the centers performing SNOLL and in 19 (57.6%) of those using ROLL (<a class="elsevierStyleCrossRef" href="#tbl0010">Table 2</a>).</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia></span><span id="sec0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0110">Radiotracer injection method</span><p id="par0110" class="elsevierStylePara elsevierViewall">The radiotracer injection methods was by ultrasonography in 16 of the 33 centers (48.5%), ultrasonography or stereotaxis according to the indication in 15 (45.5%) and others (magnetic resonance [MR] and/or computed tomography [CT]) in the remaining 2 centers (6.1%).</p></span><span id="sec0055" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0115">Radiological control of the injection</span><p id="par0115" class="elsevierStylePara elsevierViewall">Radiological control of the injection was performed with a small volume of air in 13 centers (39.4%), with radiological contrast (stereotaxis) in 2 (6.1%) and lastly, with other methods including mammography or single photon emission computed tomography (SPECT)/CT in the remaining 2 centers (6.1%). It was of note that in 14 centers (42.4%) radiological control was not performed.</p></span><span id="sec0060" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0120">Image acquisition</span><p id="par0120" class="elsevierStylePara elsevierViewall">In the case of SNOLL, most groups acquired the images at 120 min after radioisotope injection (range 1–1.080 min), with 10 centers (31.2%) acquiring images in the first hour post-injection. With the ROLL technique, the images were acquired at 30 min (range 0–1.080 min).</p><p id="par0125" class="elsevierStylePara elsevierViewall">Regarding the type of images, in 21 hospitals (63.6%) planar scintigraphy and SPECT/CT were performed according to the indication, while in 6 (18.2%) only planar scintigraphy was carried out and in 5 (15.2%) planar scintigraphy and SPECT/CT were always performed. In addition, one of the participating centers reported performing portable SPECT.</p></span><span id="sec0065" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0125">Complications</span><p id="par0130" class="elsevierStylePara elsevierViewall">Sporadic complications were reported in 33.3% (11/33) of the centers. These complications included cutaneous contamination, extravasation, elevated dispersion in mammary adipose tissue, marked displacement with respect to the lesion to be resected, reflux in injection tract, extratumoral diffusion and no tumoral localization in surgery as well as contamination due to splashing of the dose on disconnecting the needle when great pressure is made for injection.</p><p id="par0135" class="elsevierStylePara elsevierViewall">A complication reported in relation to the SLN when using the SNOLL technique was the absence of radiotracer migration shown in the scintigraphic image. Among the 33 centers that answered this question, there was an absence of migration <5% in 12 centers (36.4%), between 5–15% in 13 centers (39.4%), between 15–25% in 6 centers (18.2%) and >25% in 2 centers (6.1%), and 90.9% of the groups (30/33) performed reinjected when this occurred.</p></span><span id="sec0070" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0130">Surgery</span><p id="par0140" class="elsevierStylePara elsevierViewall">The tumoral detection rate was >95% in 30 of the 32 centers (93.8%), being between 90–95% in the remaining 2 (6.3%).</p><p id="par0145" class="elsevierStylePara elsevierViewall">The rate of affected or insufficient margins in the tumorectomy piece was less than 10% in 18 of the 32 centers (56.3%), while in 5 (15.6%) it was between 10–20%. The remaining results are shown in <a class="elsevierStyleCrossRef" href="#fig0020">Fig. 4</a>.</p><elsevierMultimedia ident="fig0020"></elsevierMultimedia><p id="par0150" class="elsevierStylePara elsevierViewall">The rates of intraoperative extension performed for both histological confirmation of the affected or insufficient margin and for empiric reasons (not justified by histology) were less than 20% in most centers. These data are shown in <a class="elsevierStyleCrossRef" href="#tbl0015">Table 3</a>.</p><elsevierMultimedia ident="tbl0015"></elsevierMultimedia><p id="par0155" class="elsevierStylePara elsevierViewall">The reintervention rates were <20% in the 22 centers that responded to this question (68.8%), while the remaining 10 centers responded NK/NC (31.3%). Radiological control of the tumorectomy piece was always performed in 24 of the 32 hospitals (75%) versus 8 (25%) in which it was carried out twice.</p><p id="par0160" class="elsevierStylePara elsevierViewall">The rate of SLN detection was >95% in 26 (78.8%) of the 33 participating centers, between 90–95% in 4 (12.1%), between 85–90% in 1 (3.0%) and <85% in 2 centers (6.1%).</p></span><span id="sec0075" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0135">Resources in the operating room</span><p id="par0165" class="elsevierStylePara elsevierViewall">The nuclear medicine specialist is present in the operating room in 30 (88.2%) of the 34 participating centers, using the probe in 23 (67.6%) of these centers. In addition, portable intraoperative gamma cameras are used in 7 centers (20.6%) (<a class="elsevierStyleCrossRef" href="#tbl0020">Table 4</a>).</p><elsevierMultimedia ident="tbl0020"></elsevierMultimedia></span><span id="sec0080" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0140">Specific section on <span class="elsevierStyleSup">125</span>I seeds</span><p id="par0170" class="elsevierStylePara elsevierViewall">Nine centers use <span class="elsevierStyleSup">125</span>I seeds for the localization of non-palpable breast tumors with the radioactive seed localization (RSL) technique, representing 26% (9/34) of the centers performing RGS and 16.3% (9/55) of the total number of participating centers. Five of the groups combine the use of <span class="elsevierStyleSup">125</span>I seeds with wire and/or ROLL/SNOLL, 3 groups combine them with ROLL/SNOLL and only one center reported that <span class="elsevierStyleSup">125</span>I seeds were the only technique used.</p></span></span><span id="sec0085" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0145">Use of <span class="elsevierStyleSup">125</span>I seeds</span><p id="par0175" class="elsevierStylePara elsevierViewall">In 1 center (11.1%) the seeds have been used for more than 10 years, in 4 (44.4%) between 2–5 years and in the remaining 4 (44.4%) for less than 2 years. More than 100 seeds/year are placed in 3 (33.3%) of the participating centers, between 50–100 seeds/year in 2 (22.2%) and between 10–50 seeds/ear in 4 (44.4%) centers.</p></span><span id="sec0090" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0150">Implementation of the technique</span><p id="par0180" class="elsevierStylePara elsevierViewall">In all the centers except one the implementation of the technique had to be approved by some type of commission or evaluation of new technologies.</p><p id="par0185" class="elsevierStylePara elsevierViewall">Six of the participating groups (6.7%) reported that they had attended a specific course/workshop for the implementation of the technique, while 2 others (22.2%) also underwent some type of validation and one last group reported not having done either of the previous.</p><p id="par0190" class="elsevierStylePara elsevierViewall">In 5 of the groups, seeds initially acquired for brachytherapy which were not useful for therapeutic purposes due to their decay were reused. In the 4 remaining groups the seeds were acquired directly for this objective.</p></span><span id="sec0095" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0155">Indication for the use of <span class="elsevierStyleSup">125</span>I seeds</span><p id="par0195" class="elsevierStylePara elsevierViewall">The 9 hospitals reported using the seeds for both labeling non-palpable breast lesions and labeling initially metastatic lymph nodes in patients undergoing NCT. The indications of <span class="elsevierStyleSup">125</span>I seed use are shown in <a class="elsevierStyleCrossRef" href="#tbl0025">Table 5</a>.</p><elsevierMultimedia ident="tbl0025"></elsevierMultimedia></span><span id="sec0100" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0160">Preparation and placement</span><p id="par0200" class="elsevierStylePara elsevierViewall">In 4 of the centers (44.4%) a medical specialist prepared the seed in the device for its placement, while in 2 (22.2%) this was done by a nuclear medicine technician, a radiophysics technician in 2 other centers and a specialist in medical physics in 1 (1.11%).</p><p id="par0205" class="elsevierStylePara elsevierViewall">The seed is placed by ultrasound or stereotaxis according to the indication in 6 of the centers (66.7%), while it 3 centers it is only placed by ultrasonography.</p></span><span id="sec0105" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0165">Seed radioactivity</span><p id="par0210" class="elsevierStylePara elsevierViewall">The mean radioactivity of the seeds placed in the tumor is 5.0 MBq (range 0.2–7.0 MBq), while in the axilla after NCT it is 5.7 MBq (range 0.2–9.25 MBq) and in the axillar pre-NCT it is 7.8 MBq (range 4.4–12 MBq). In other situations, the participating centers reported using a mean radioactivity of 5−1 MBq (range 0.2–7.0 MBq).</p></span><span id="sec0110" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0170">Time between placement and seed resection</span><p id="par0215" class="elsevierStylePara elsevierViewall">The mean number of days between seed placement and resection in the case of non-palpable breast tumors is 2.9 days (range 1–7 days) and in the case of axillary rescue after NCT it is 2.5 days (range 1–7 days). In the case of axillary marking before surgery, a specific group places the seeds 160 days beforehand and another 7 days before, although the latter would be a bias since it is the center that reported performing targeted axillary dissection (TAD). In the case of the other indications described in the corresponding section, the seeds were placed with a mean of 3.2 days (range 1–7 days).</p></span><span id="sec0115" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0175">Radiological control of the piece</span><p id="par0220" class="elsevierStylePara elsevierViewall">Radiological control of the surgical pieces to confirm the inclusion of the seed was always performed in 7 (77.8%) centers and sometimes in 2 (22.2%).</p><span id="sec0120" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0180">Comments</span><p id="par0225" class="elsevierStylePara elsevierViewall">At the end of the survey there was a free section for including any comment considered to be of note or relevant to the survey.</p><p id="par0230" class="elsevierStylePara elsevierViewall">One group noted that although it was not included in the survey, they are performing SSLNB post-NCT in cN1 which evolves to ycN0. To do this the lymph nodes are previously marked with a clip with the ROLL technique (MAA). It was also reported that there is no mention of the cases in which the seed was lost, and the percentage of non-visualizations of the SLN and reinjection when using seeds were not included. Another group specified that they are pending the initiation of the use of seeds in lymph nodes following NCT. One center reported that until October 2019 they performed SNOLL and ROLL and thereafter only use <span class="elsevierStyleSup">125</span>I seeds bought directly, considerably increasing the ROLLs since the radiologists prefer ROLL to wire, which they hardly ever use. Lastly, one center specified that the responses with respect to SNOLL always referred to seeds and that they only exceptionally used radiotracers for ROLL/SNOLL.</p></span></span></span><span id="sec0125" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0185">Discussion</span><p id="par0235" class="elsevierStylePara elsevierViewall">The first field of application of RGS of occult lesions was breast cancer in 1998<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> and at present it is considered an essential diagnostic-therapeutic technique for the management of patients with breast lesions. Although generically RGS is consolidated in most of our hospitals, in view of the results of this survey, the diversity of the indications is of note, and more importantly, 38.2% of the participating hospitals do not use RGS techniques for the detection of non-palpable tumors. This could be attributable to the fact that neither of the two techniques, ROLL nor wire, has demonstrated to be widely superior over the other in the extensive literature available. This makes it difficult to replace one technique already implemented by another that needs an external service since, on occasions, an additional specialist is required in the operating room.<a class="elsevierStyleCrossRefs" href="#bib0035"><span class="elsevierStyleSup">7–11</span></a> With the introduction of the SNOLL technique, which combines both the detection of the SLN and the resection of the breast lesion in a single technique, the use of RGS has gained relevance in the management of breast cancer.</p><p id="par0240" class="elsevierStylePara elsevierViewall">Following analysis of the data, we detected an information bias in relation to the number of centers that perform the ROLL/SNOLL technique with radiocolloids, since 30 hospitals reported performing this procedure, while the remaining questions referring to the technique were answered by up to 33 centers. We believe that this is because the hospitals that only perform tumorectomy with seeds, previously used radiocolloids and responded to the specific questions. Therefore, we corrected the data and considered that 33 centers actually used ROLL/SNOLL and the results obtained were described accordingly.</p><p id="par0245" class="elsevierStylePara elsevierViewall">In the section on radiotracers, it was of note that 2 of the 3 centers that reported subdermal injection in the section referring to the separate dose in case of SNOLL belonged to the 23 groups that used a single dose for ROLL/SNOLL, and this is, therefore, contradictory. This may have incurred an interpretation bias on behalf of the survey participants who really performed a single injection in the case of SNOLL, confusing the question referring to an initially single dose with that referring to reinjection in case of no migration of the radiotracer.</p><p id="par0250" class="elsevierStylePara elsevierViewall">The protocol most used is that of 2 days which allows the acquisition of a greater number of lymphoscintigraphic images, being especially important when performing SNOLL. The detection of a greater number of SLNs was described when performing delayed image acquisition as well as with the use of SPECT/CT. However, 31.2% of the centers that perform SNOLL acquire the images in the first hour. This may lead to an error of interpretation since the design of the survey did not consider if early or delayed images were performed. The response could correspond to the initiation of the images and not necessarily exclude the delayed acquisition. With respect to the acquisition of SPECT/CT, it has shown to detect a greater number of lesions and territories,<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">12</span></a> which is especially useful when drainage is not observed in the planar images and seems to be implemented in Spain since it is routinely or systematically performed in 78.8% of the centers.</p><p id="par0255" class="elsevierStylePara elsevierViewall">It was of note that in 42.4% of the centers, radiological control of the injection of the radiopharmaceutical was not performed, which could be justified by the experience of the radiologist or verification of the piece having sufficient margins and/or a high rate of identification in the definitive histopathological analysis.</p><p id="par0260" class="elsevierStylePara elsevierViewall">Both RGS techniques seem to be safe in light of the results obtained. Only 1 out of every 3 centers described some type of complication, including the absence of migration, which is not in itself a complication, but rather could be considered as a difficulty of the procedure. In this setting, most of the centers perform reinjection of the radiotracer. It should be highlighted that in 6% of the centers the absence of migration occurred in greater than 25% of the cases.</p><p id="par0265" class="elsevierStylePara elsevierViewall">With respect to the rate of reintervention, all of the centers that responded to this question reported a rate less than 20%. As a limitation it should be considered that this survey did not previously define what was considered to be an affected margin and neither did it have a separate question about the corresponding rate to CDIS (ductal carcinoma in situ) and CDI(infiltrating). Nonetheless, to establish a comparison with the literature when wire is used, a Danish study including 4,118 patients obtained a global percentage of reintervention of 17.6%, which on more in depth analysis corresponds to 37% in CDIS and 13% in CDI.<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">13</span></a> Thus, with the limitations described, it is encouraging that all the centers responding express these results.</p><p id="par0270" class="elsevierStylePara elsevierViewall">In relation to the resources used, the use of intraoperative devices such as portable gamma cameras is of note. The first use of a portable gamma camera in breast cancer was to evaluate the resection margins,<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">14</span></a> although its use expanded rapidly as another intraoperative detection tool, demonstrating its greater utility in lesions of difficult localization such as those close to the injection site<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">15</span></a> and, especially, with the integration of fusion with the optical image.<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">16</span></a></p><p id="par0275" class="elsevierStylePara elsevierViewall">The presence of a nuclear medicine physician was less than 90% and they played an active intraoperative role in the management of the probe in only in 68% of the cases. Detection of the SLN involves multidisciplinary work with a trained surgical team that has surpassed the learning curve. In addition, the integration of all the diagnostic process, from the injection, acquisition of images, evaluation of drainage and intraoperative localization provides the best management of patients with breast cancer.</p><p id="par0280" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleSup">125</span>I seeds have become an increasingly more essential tool in breast cancer.<a class="elsevierStyleCrossRef" href="#bib0085"><span class="elsevierStyleSup">17</span></a> Once the administrative difficulties had been overcome, RSL was implemented in 9 centers in Spain and performs more than 100 procedures per year only in the setting of application in breast cancer. We would like to highlight that we have been made aware that since the responses to the survey several centers in Spain have implemented the use of <span class="elsevierStyleSup">125</span>I seeds in their departments although their recent efforts are not reflected in this survey. This is in accordance with the growing trend in the use of <span class="elsevierStyleSup">125</span>I seeds to the detriment of the wire, as shown in the results of the National Dutch Registry described by Schermers et al.<a class="elsevierStyleCrossRef" href="#bib0090"><span class="elsevierStyleSup">18</span></a> The use of seeds includes not only the detection of the breast lesions but also suspicious lymph nodes, which, in light of the results of the multicenter Dutch study,<a class="elsevierStyleCrossRef" href="#bib0095"><span class="elsevierStyleSup">19</span></a> makes Radioactive Iodine Seed localization in the Axilla with the Sentinel node procedure (RISAS) the best alternative in patients who are lymph node positive and candidates to NCT.</p></span><span id="sec0130" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0190">Conclusions</span><p id="par0285" class="elsevierStylePara elsevierViewall">In summary, RGS of non-palpable breast lesions is implemented in most of the centers in our country, presenting an elevated percentage of success of around 94% in the detection of lesions.</p><p id="par0290" class="elsevierStylePara elsevierViewall">The usual radiotracer dose used is 111 MBq for the ROLL technique and 222 MBq for the SNOLL technique, with a volume of 0.2 ml.</p><p id="par0295" class="elsevierStylePara elsevierViewall">The most common protocol is that of 2 days and includes SPECT/CT either routinely or according to the indication.</p><p id="par0300" class="elsevierStylePara elsevierViewall">In 26% of the centers, RGS is performed with <span class="elsevierStyleSup">125</span>I seeds for both the detection of breast lesions and suspicious/pathological lymph nodes, with a radioactivity of 5−8 MBq according to the indication.</p><p id="par0305" class="elsevierStylePara elsevierViewall">The time between the implantation and resection is around 3 days, with posterior radiological control in most cases.</p><p id="par0310" class="elsevierStylePara elsevierViewall">The results of the survey demonstrate the relevance of RGS in the management of patients with breast cancer in the different stages of the disease, with disparity in the implementation of new techniques and tools which is related to the multiple health care realities of the Nuclear Medicine services. The presence of guidelines or national consensus documents will be useful to homogenize the methodology of RGS in breast cancer and help in the implementation of new procedures in all the authorized centers.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:10 [ 0 => array:3 [ "identificador" => "xres1739202" "titulo" => "Abstract" "secciones" => array:4 [ 0 => array:2 [ "identificador" => "abst0005" "titulo" => "Objective" ] 1 => array:2 [ "identificador" => "abst0010" "titulo" => "Material and methods" ] 2 => array:2 [ "identificador" => "abst0015" "titulo" => "Results" ] 3 => array:2 [ "identificador" => "abst0020" "titulo" => "Conclusion" ] ] ] 1 => array:2 [ "identificador" => "xpalclavsec1533998" "titulo" => "Keywords" ] 2 => array:3 [ "identificador" => "xres1739201" "titulo" => "Resumen" "secciones" => array:4 [ 0 => array:2 [ "identificador" => "abst0025" "titulo" => "Objetivo" ] 1 => array:2 [ "identificador" => "abst0030" "titulo" => "Material y 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=> "sec0045" "titulo" => "Radiotracers and protocols used" ] 5 => array:2 [ "identificador" => "sec0050" "titulo" => "Radiotracer injection method" ] 6 => array:2 [ "identificador" => "sec0055" "titulo" => "Radiological control of the injection" ] 7 => array:2 [ "identificador" => "sec0060" "titulo" => "Image acquisition" ] 8 => array:2 [ "identificador" => "sec0065" "titulo" => "Complications" ] 9 => array:2 [ "identificador" => "sec0070" "titulo" => "Surgery" ] 10 => array:2 [ "identificador" => "sec0075" "titulo" => "Resources in the operating room" ] 11 => array:2 [ "identificador" => "sec0080" "titulo" => "Specific section on I seeds" ] ] ] 1 => array:2 [ "identificador" => "sec0085" "titulo" => "Use of I seeds" ] 2 => array:2 [ "identificador" => "sec0090" "titulo" => "Implementation of the technique" ] 3 => array:2 [ "identificador" => "sec0095" "titulo" => "Indication for the use of I seeds" ] 4 => array:2 [ "identificador" => "sec0100" "titulo" => "Preparation and placement" ] 5 => array:2 [ "identificador" => "sec0105" "titulo" => "Seed radioactivity" ] 6 => array:2 [ "identificador" => "sec0110" "titulo" => "Time between placement and seed resection" ] 7 => array:3 [ "identificador" => "sec0115" "titulo" => "Radiological control of the piece" "secciones" => array:1 [ 0 => array:2 [ "identificador" => "sec0120" "titulo" => "Comments" ] ] ] ] ] 7 => array:2 [ "identificador" => "sec0125" "titulo" => "Discussion" ] 8 => array:2 [ "identificador" => "sec0130" "titulo" => "Conclusions" ] 9 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2021-11-11" "fechaAceptado" => "2021-12-01" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec1533998" "palabras" => array:6 [ 0 => "Radioguided surgery" 1 => "Non-palpable breast lesions" 2 => "ROLL" 3 => "SNOLL" 4 => "<span class="elsevierStyleSup">125</span>I seeds" 5 => "Sentinel node" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec1533997" "palabras" => array:6 [ 0 => "Cirugía radioguiada" 1 => "Lesiones no palpables de mama" 2 => "ROLL" 3 => "SNOLL" 4 => "Semillas de <span class="elsevierStyleSup">125</span>I" 5 => "Ganglio centinela" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:3 [ "titulo" => "Abstract" "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Objective</span><p id="spar0075" class="elsevierStyleSimplePara elsevierViewall">To know the current status of the technique of radioguided localisation of non-palpable breast lesions with or without indication for selective sentinel node biopsy -ROLL, SNOLL and <span class="elsevierStyleSup">125</span>I seeds- by conducting a national survey developed by the Working Group on Radioguided Surgery (GTCRG) of the Spanish Society of Nuclear Medicine and Molecular Imaging (SEMNIM).</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Material and methods</span><p id="spar0080" class="elsevierStyleSimplePara elsevierViewall">In October 2020, the form was sent in digital format to the different nuclear medicine services in Spain. A response time of 2 months with an overtime of 15 days was given. The number of ROLL/SNOLL procedures in each centre and the methodology used were obtained, including important technical details. In addition, a specific section on <span class="elsevierStyleSup">125</span>I seeds was included. The results were automatically downloaded into an Excel 2007 spreadsheet for subsequent analysis with the same program.</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Results</span><p id="spar0085" class="elsevierStyleSimplePara elsevierViewall">The survey was answered by 55 centres; 21 use wire-guided localisation while the remaining 34 use different radioguided surgery techniques (RGS) for the localisation of non-palpable breast lesions, with the results itemized into thirteen sections. The commonly used tracer dose is 111 MBq for the ROLL technique and 222 MBq for the SNOLL technique, with a volume of 0.2 ml. The most common protocol is the two-day protocol. 26% of centres performing CRG use <span class="elsevierStyleSup">125</span>I seeds for both breast lesion and suspicious/pathological node detection, with the time between implantation and removal being about 3 days, with subsequent radiological control in most cases.</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conclusion</span><p id="spar0090" class="elsevierStyleSimplePara elsevierViewall">The survey shows the relevance of radioguided surgery in the management of breast cancer patients at different stages of the disease, with disparity in the implementation of new techniques and tools, which responds to the multiple healthcare realities of Nuclear Medicine services.</p></span>" "secciones" => array:4 [ 0 => array:2 [ "identificador" => "abst0005" "titulo" => "Objective" ] 1 => array:2 [ "identificador" => "abst0010" "titulo" => "Material and methods" ] 2 => array:2 [ "identificador" => "abst0015" "titulo" => "Results" ] 3 => array:2 [ "identificador" => "abst0020" "titulo" => "Conclusion" ] ] ] "es" => array:3 [ "titulo" => "Resumen" "resumen" => "<span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Objetivo</span><p id="spar0095" class="elsevierStyleSimplePara elsevierViewall">Conocer el estado actual de la técnica de localización radioguiada de lesiones no palpables de mama con o sin indicación de biopsia selectiva de ganglio centinela —ROLL, SNOLL y semillas de <span class="elsevierStyleSup">125</span>I— mediante la realización de una encuesta nacional elaborada por el Grupo de Trabajo de Cirugía Radioguiada (GTCRG) de la Sociedad Española de Medicina Nuclear e Imagen Molecular (SEMNIM).</p></span> <span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Material y métodos</span><p id="spar0100" class="elsevierStyleSimplePara elsevierViewall">En octubre del 2020 se envió la encuesta, en formato digital, a los distintos servicios de Medicina Nuclear de nuestra geografía. Se dio un tiempo de respuesta de 2 meses con prórroga de 15 días. Se ha obtenido el número de procedimientos ROLL/SNOLL de cada centro y la metodología utilizada, recogiendo importantes detalles técnicos. Además, se ha incluido un apartado específico sobre las semillas de <span class="elsevierStyleSup">125</span>I. Los resultados se volcaron de forma automática en una hoja de cálculo Excel 2007 para su posterior análisis con el mismo programa.</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Resultados</span><p id="spar0105" class="elsevierStyleSimplePara elsevierViewall">La encuesta fue contestada por 55 centros; 21 utilizan arpón mientras que los 34 restantes emplean distintas técnicas de cirugía radioguiada (CRG) para la localización de lesiones no palpables de mama, desglosando los resultados en 13 apartados. La dosis de trazador habitualmente utilizada es de 111 MBq para la técnica ROLL y de 222 MBq para la técnica SNOLL, con un volumen de 0,2 ml. El protocolo más habitual es el de 2 días. El 26% de los centros que realiza CRG utiliza semillas de <span class="elsevierStyleSup">125</span>I tanto para la detección de lesiones mamarias como de ganglios sospechosos/patológicos, siendo el tiempo entre la implantación y la extirpación es de unos 3 días, con posterior control radiológico en la mayoría de los casos.</p></span> <span id="abst0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Conclusión</span><p id="spar0110" class="elsevierStyleSimplePara elsevierViewall">La encuesta pone de manifiesto la relevancia de la cirugía radioguiada en el manejo de los pacientes con cáncer de mama en las diferentes etapas de la enfermedad, con disparidad en la implementación de las nuevas técnicas y herramientas, que responde a las múltiples realidades asistenciales de los servicios de Medicina Nuclear.</p></span>" "secciones" => array:4 [ 0 => array:2 [ "identificador" => "abst0025" "titulo" => "Objetivo" ] 1 => array:2 [ "identificador" => "abst0030" "titulo" => "Material y métodos" ] 2 => array:2 [ "identificador" => "abst0035" "titulo" => "Resultados" ] 3 => array:2 [ "identificador" => "abst0040" "titulo" => "Conclusión" ] ] ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: de la Riva Pérez PA, Carrera Salazar D, Paredes Barranco P, Goñi Gironés E. Encuesta del Grupo de Trabajo de Cirugía Radioguiada (GTCRG) de la Sociedad Española de Medicina Nuclear e Imagen Molecular (SEMNIM): localización radioguiada de lesiones no palpables de mama con o sin indicación de biopsia selectiva de ganglio centinela: ROLL, SNOLL y semillas de <span class="elsevierStyleSup">125</span>I. Rev Esp Med Nucl Imagen Mol. 2022;41:223–230.</p>" ] ] "apendice" => array:1 [ 0 => array:1 [ "seccion" => array:1 [ 0 => array:4 [ "apendice" => "<p id="par0320" class="elsevierStylePara elsevierViewall">The following are Supplementary data to this article:<elsevierMultimedia ident="upi0005"></elsevierMultimedia><elsevierMultimedia ident="upi0010"></elsevierMultimedia></p>" "etiqueta" => "Appendix A" "titulo" => "Supplementary data" "identificador" => "sec0140" ] ] ] ] "multimedia" => array:11 [ 0 => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1761 "Ancho" => 2508 "Tamanyo" => 293313 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Geographical distribution of the participating Nuclear Medicine services.</p>" ] ] 1 => array:8 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 840 "Ancho" => 2091 "Tamanyo" => 116257 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Localization techniques in the groups performing radioguided surgery.</p> <p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">ROLL/SNOLL: radioguided occult lesion localization/sentinel node and occult lesion localization.</p>" ] ] 2 => array:8 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 922 "Ancho" => 2508 "Tamanyo" => 140267 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0015" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Cases/year with ROLL/SNOLL.</p>" ] ] 3 => array:8 [ "identificador" => "fig0020" "etiqueta" => "Figure 4" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr4.jpeg" "Alto" => 1084 "Ancho" => 1591 "Tamanyo" => 98937 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0020" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Rate of affected or insufficient margins.</p>" ] ] 4 => array:8 [ "identificador" => "tbl0005" "etiqueta" => "Table 1" "tipo" => "MULTIMEDIATABLA" "mostrarFloat" => true "mostrarDisplay" => false "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0025" "detalle" => "Table " "rol" => "short" ] ] "tabla" => array:2 [ "leyenda" => "<p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">ROLL/SNOLL: radioguided occult lesion localization/sentinel node and occult lesion localization; SSLNB: selective sentinel lymph node biopsy; NCT: neoadjuvant chemotherapy.</p>" "tablatextoimagen" => array:1 [ 0 => array:1 [ "tabla" => array:1 [ 0 => """ <table border="0" frame="\n \t\t\t\t\tvoid\n \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Indication of the ROLL/SNOLL technique \t\t\t\t\t\t\n \t\t\t\t\t\t</th><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black">n \t\t\t\t\t\t\n \t\t\t\t\t\t</th><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black">% \t\t\t\t\t\t\n \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Malignant lesions with/without SSLNB \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">3 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">9.1% \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Malignant lesions in the context of NCT \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">2 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">6.1% \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Benign and malignant lesion with/without SSLNB \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">3 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">9.1% \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Malignant lesion with/without SSLNB and in the context of NCT \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">10 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">30.3% \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Combination of the previous indications \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">15 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">45.5% \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleItalic">General total</span> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">33 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">100.0% \t\t\t\t\t\t\n \t\t\t\t</td></tr></tbody></table> """ ] ] ] ] "descripcion" => array:1 [ "en" => "<p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Indication of the ROLL/SNOLL technique.</p>" ] ] 5 => array:8 [ "identificador" => "tbl0010" "etiqueta" => "Table 2" "tipo" => "MULTIMEDIATABLA" "mostrarFloat" => true "mostrarDisplay" => false "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0030" "detalle" => "Table " "rol" => "short" ] ] "tabla" => array:2 [ "leyenda" => "<p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">ROLL/SNOLL: radioguided occult lesion localization/sentinel node and occult lesion localization.</p>" "tablatextoimagen" => array:1 [ 0 => array:1 [ "tabla" => array:1 [ 0 => """ <table border="0" frame="\n \t\t\t\t\tvoid\n \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col"> \t\t\t\t\t\t\n \t\t\t\t\t\t</th><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " colspan="2" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black">SNOLL</th><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " colspan="2" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black">ROLL</th></tr><tr title="table-row"><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black"> \t\t\t\t\t\t\n \t\t\t\t\t\t</th><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black">n \t\t\t\t\t\t\n \t\t\t\t\t\t</th><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black">% \t\t\t\t\t\t\n \t\t\t\t\t\t</th><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black">n \t\t\t\t\t\t\n \t\t\t\t\t\t</th><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black">% \t\t\t\t\t\t\n \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">1 day \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">8 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">24.2% \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">11 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">33.3% \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">2 days \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">21 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">63.6% \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">19 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">57.6% \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Both indistinctly \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">4 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">12.1% \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">3 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">9.1% \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Total \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">33 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">100% \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">33 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">100% \t\t\t\t\t\t\n \t\t\t\t</td></tr></tbody></table> """ ] ] ] ] "descripcion" => array:1 [ "en" => "<p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Protocols used.</p>" ] ] 6 => array:8 [ "identificador" => "tbl0015" "etiqueta" => "Table 3" "tipo" => "MULTIMEDIATABLA" "mostrarFloat" => true "mostrarDisplay" => false "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0035" "detalle" => "Table " "rol" => "short" ] ] "tabla" => array:2 [ "leyenda" => "<p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">NK/NC: not know/no comment.</p>" "tablatextoimagen" => array:1 [ 0 => array:1 [ "tabla" => array:1 [ 0 => """ <table border="0" frame="\n \t\t\t\t\tvoid\n \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Rate of intraoperative extensión due to insufficent or affected margin</th><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " colspan="2" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Rate of empiric intraoperative extension (without histological justification)</th></tr><tr title="table-row"><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black"> \t\t\t\t\t\t\n \t\t\t\t\t\t</th><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black">n \t\t\t\t\t\t\n \t\t\t\t\t\t</th><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black">% \t\t\t\t\t\t\n \t\t\t\t\t\t</th><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black">n \t\t\t\t\t\t\n \t\t\t\t\t\t</th><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black">% \t\t\t\t\t\t\n \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><20% \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">22 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">68.8% \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">16 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">50.0% \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">20–40% \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">2 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">6.3% \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">3 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">9.4% \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">40–60% \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">2 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">6.3% \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">60–80% \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">3.1% \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">3.1% \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">NK/NC \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">5 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">15.6% \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">12 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">37.5% \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Total general \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">32 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">100.0% \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">32 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">100 \t\t\t\t\t\t\n \t\t\t\t</td></tr></tbody></table> """ ] ] ] ] "descripcion" => array:1 [ "en" => "<p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Rate of intraoperative extension.</p>" ] ] 7 => array:8 [ "identificador" => "tbl0020" "etiqueta" => "Table 4" "tipo" => "MULTIMEDIATABLA" "mostrarFloat" => true "mostrarDisplay" => false "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0040" "detalle" => "Table " "rol" => "short" ] ] "tabla" => array:1 [ "tablatextoimagen" => array:1 [ 0 => array:1 [ "tabla" => array:1 [ 0 => """ <table border="0" frame="\n \t\t\t\t\tvoid\n \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Resources in the operating room</th></tr><tr title="table-row"><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black"> \t\t\t\t\t\t\n \t\t\t\t\t\t</th><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black">n \t\t\t\t\t\t\n \t\t\t\t\t\t</th><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black">% \t\t\t\t\t\t\n \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Probe \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">34 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">100.0% \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Gamma camera \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">7 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">20.6% \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Nuclear Medicine physician in the operating room \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">30 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">88.2% \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Nuclear Medicine physician uses the probe \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">23 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">67.6 \t\t\t\t\t\t\n \t\t\t\t</td></tr></tbody></table> """ ] ] ] ] "descripcion" => array:1 [ "en" => "<p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">Resources in the operating room.</p>" ] ] 8 => array:8 [ "identificador" => "tbl0025" "etiqueta" => "Table 5" "tipo" => "MULTIMEDIATABLA" "mostrarFloat" => true "mostrarDisplay" => false "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0045" "detalle" => "Table " "rol" => "short" ] ] "tabla" => array:2 [ "leyenda" => "<p id="spar0070" class="elsevierStyleSimplePara elsevierViewall">SSLNB: selective sentinel lymph node biopsy; NCT: neoadjuvant chemotherapy; TAD: targeted axillary dissection; RISAS: radioactive iodine seed localization in the axilla with sentinel node procedure; MARI: marking the axillary lymph node with radioactive <span class="elsevierStyleSup">125</span>I seeds.</p>" "tablatextoimagen" => array:1 [ 0 => array:1 [ "tabla" => array:1 [ 0 => """ <table border="0" frame="\n \t\t\t\t\tvoid\n \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Indication for the use of <span class="elsevierStyleSup">125</span>I seeds</th></tr><tr title="table-row"><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black"> \t\t\t\t\t\t\n \t\t\t\t\t\t</th><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black">n \t\t\t\t\t\t\n \t\t\t\t\t\t</th><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black">% \t\t\t\t\t\t\n \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">1. Marking non-palpable breast lesions with/without SSLNB \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">9 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">100% \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">2. Marking initially metastatic lymph nodes in patients undergoing NCT. \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">9 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">100% \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>-TAD \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">9 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">100% \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>-RISAS \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">3 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">33.3% \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>-MARI \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">2 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">22.2% \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">3. Others \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">6 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">66.7% \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>-Axillary recurrence \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">11.1% \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>-Cervical lymph node metastasis in thyroid cancer. Adenopathies in other localizations \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">11.1% \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>-Oligo metastasis or tissues to resect \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">11.1% \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>-Adenopathies, tumors in other localizations \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">11.1% \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>-Lung, lymph nodes in other localizations, lesions of difficult intrasurgical localization \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">11.1% \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>-Non-mammary tumors: thyroid cancer, parathyroid disease \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">11.1% \t\t\t\t\t\t\n \t\t\t\t</td></tr></tbody></table> """ ] ] ] ] "descripcion" => array:1 [ "en" => "<p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">Indications for the use of <span class="elsevierStyleSup">125</span>I seeds.</p>" ] ] 9 => array:5 [ "identificador" => "upi0005" "tipo" => "MULTIMEDIAECOMPONENTE" "mostrarFloat" => false "mostrarDisplay" => true "Ecomponente" => array:2 [ "fichero" => "mmc1.docx" "ficheroTamanyo" => 16212 ] ] 10 => array:5 [ "identificador" => "upi0010" "tipo" => "MULTIMEDIAECOMPONENTE" "mostrarFloat" => false "mostrarDisplay" => true "Ecomponente" => array:2 [ "fichero" => "mmc2.docx" "ficheroTamanyo" => 53740 ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:19 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Palpable breast cancers are inherently different from nonpalpable breast cancers" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "K. 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Original Article
Survey of the Radioguided Surgery Working Group (GTCRG-RGSWG) of the Spanish Society of Nuclear Medicine and Molecular Imaging (SEMNIM): Radioguided localization of non-palpable breast lesions with or without indication for selective sentinel node biopsy: ROLL, SNOLL and 125I seeds
Encuesta del Grupo de Trabajo de Cirugía Radioguiada (GTCRG) de la Sociedad Española de Medicina Nuclear e Imagen Molecular (SEMNIM): localización radioguiada de lesiones no palpables de mama con o sin indicación de biopsia selectiva de ganglio centinela: ROLL, SNOLL y semillas de 125I
P.A. de la Riva Péreza,e,
, D. Carrera Salazarb,e, P. Paredes Barrancoc,e, E. Goñi Gironésd,e
Corresponding author
a Servicio de Medicina Nuclear, Hospital Universitario Virgen Macarena, Sevilla, Spain
b Servicio de Medicina Nuclear, Hospital Universitario Joan XXIII de Tarragona, Tarragona, Spain
c Servicio de Medicina Nuclear, Hospital Clínic Barcelona, Barcelona, Spain
d Servicio de Medicina Nuclear, Hospital Universitario de Navarra, Pamplona, Navarra, Spain
e Grupo de Trabajo de Cirugía Radioguiada (GTCRG) de la Sociedad Española de Medicina Nuclear e Imagen Molecular (SEMNIM), Spain