Comparison of the time taken for localised breast surgery pre- and post-introduction of intra-operative digital specimen mammography

Vinicius Carraro do Nascimento, Anita G. Bourke

Research output: Contribution to journalArticle

Abstract

IntroductionMore than half of the patients with an impalpable malignant breast lesion have a mammographically detected and imaged-guided localisation, which can be technically challenging for the breast surgeon. Specimen imaging is used to confirm successful excision of the localised index lesion and has improved the operating list efficiency resulting in a higher number of excisions per surgical list. The aim of this study was to evaluate whether introducing IDSM (intra-operative digital specimen mammography) saved operation time for localised breast surgery.

MethodsA single-centre retrospective review was undertaken to compare the operation time (from incision to wound closure) taken for excision of 114 consecutive image-guided localised impalpable breast lesions, performed using departmental specimen radiography (DSR), 6months prior to the introduction of IDSM (Hologic, Trident((R))) in March 2013, with the theatre time taken for excision of 121 consecutive image-guided localised impalpable breast lesions in the 6months following introduction of IDSM.

ResultsThere was no significant difference in mean surgical time, which were 47.8 (27.3) minutes in the CSR group and 48.8 (+/- 25.7) minutes in the IDSM group.

ConclusionWe were expecting to confirm a reduction in theatre time with the introduction of IDSM. Surprisingly, no difference in operating times was demonstrated. Factors that influenced the impact of IDSM included the proximity of the imaging department to the operating theatre.

Original languageEnglish
Pages (from-to)39-42
Number of pages4
JournalJournal of Medical Imaging and Radiation Oncology
Volume62
Issue number1
DOIs
Publication statusPublished - Feb 2018

Cite this

@article{5d1b42fd014b434a89ee9f3aeed985f5,
title = "Comparison of the time taken for localised breast surgery pre- and post-introduction of intra-operative digital specimen mammography",
abstract = "IntroductionMore than half of the patients with an impalpable malignant breast lesion have a mammographically detected and imaged-guided localisation, which can be technically challenging for the breast surgeon. Specimen imaging is used to confirm successful excision of the localised index lesion and has improved the operating list efficiency resulting in a higher number of excisions per surgical list. The aim of this study was to evaluate whether introducing IDSM (intra-operative digital specimen mammography) saved operation time for localised breast surgery.MethodsA single-centre retrospective review was undertaken to compare the operation time (from incision to wound closure) taken for excision of 114 consecutive image-guided localised impalpable breast lesions, performed using departmental specimen radiography (DSR), 6months prior to the introduction of IDSM (Hologic, Trident((R))) in March 2013, with the theatre time taken for excision of 121 consecutive image-guided localised impalpable breast lesions in the 6months following introduction of IDSM.ResultsThere was no significant difference in mean surgical time, which were 47.8 (27.3) minutes in the CSR group and 48.8 (+/- 25.7) minutes in the IDSM group.ConclusionWe were expecting to confirm a reduction in theatre time with the introduction of IDSM. Surprisingly, no difference in operating times was demonstrated. Factors that influenced the impact of IDSM included the proximity of the imaging department to the operating theatre.",
keywords = "breast, digital, excision, intra-operative radiograph, specimen, RADIOGRAPHY, LESIONS, EXCISION, MARGINS, CANCER, SYSTEM",
author = "{do Nascimento}, {Vinicius Carraro} and Bourke, {Anita G.}",
year = "2018",
month = "2",
doi = "10.1111/1754-9485.12623",
language = "English",
volume = "62",
pages = "39--42",
journal = "Journal of Medical Imaging and Radiation Oncology",
issn = "0004-8461",
publisher = "John Wiley & Sons",
number = "1",

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TY - JOUR

T1 - Comparison of the time taken for localised breast surgery pre- and post-introduction of intra-operative digital specimen mammography

AU - do Nascimento, Vinicius Carraro

AU - Bourke, Anita G.

PY - 2018/2

Y1 - 2018/2

N2 - IntroductionMore than half of the patients with an impalpable malignant breast lesion have a mammographically detected and imaged-guided localisation, which can be technically challenging for the breast surgeon. Specimen imaging is used to confirm successful excision of the localised index lesion and has improved the operating list efficiency resulting in a higher number of excisions per surgical list. The aim of this study was to evaluate whether introducing IDSM (intra-operative digital specimen mammography) saved operation time for localised breast surgery.MethodsA single-centre retrospective review was undertaken to compare the operation time (from incision to wound closure) taken for excision of 114 consecutive image-guided localised impalpable breast lesions, performed using departmental specimen radiography (DSR), 6months prior to the introduction of IDSM (Hologic, Trident((R))) in March 2013, with the theatre time taken for excision of 121 consecutive image-guided localised impalpable breast lesions in the 6months following introduction of IDSM.ResultsThere was no significant difference in mean surgical time, which were 47.8 (27.3) minutes in the CSR group and 48.8 (+/- 25.7) minutes in the IDSM group.ConclusionWe were expecting to confirm a reduction in theatre time with the introduction of IDSM. Surprisingly, no difference in operating times was demonstrated. Factors that influenced the impact of IDSM included the proximity of the imaging department to the operating theatre.

AB - IntroductionMore than half of the patients with an impalpable malignant breast lesion have a mammographically detected and imaged-guided localisation, which can be technically challenging for the breast surgeon. Specimen imaging is used to confirm successful excision of the localised index lesion and has improved the operating list efficiency resulting in a higher number of excisions per surgical list. The aim of this study was to evaluate whether introducing IDSM (intra-operative digital specimen mammography) saved operation time for localised breast surgery.MethodsA single-centre retrospective review was undertaken to compare the operation time (from incision to wound closure) taken for excision of 114 consecutive image-guided localised impalpable breast lesions, performed using departmental specimen radiography (DSR), 6months prior to the introduction of IDSM (Hologic, Trident((R))) in March 2013, with the theatre time taken for excision of 121 consecutive image-guided localised impalpable breast lesions in the 6months following introduction of IDSM.ResultsThere was no significant difference in mean surgical time, which were 47.8 (27.3) minutes in the CSR group and 48.8 (+/- 25.7) minutes in the IDSM group.ConclusionWe were expecting to confirm a reduction in theatre time with the introduction of IDSM. Surprisingly, no difference in operating times was demonstrated. Factors that influenced the impact of IDSM included the proximity of the imaging department to the operating theatre.

KW - breast

KW - digital

KW - excision

KW - intra-operative radiograph

KW - specimen

KW - RADIOGRAPHY

KW - LESIONS

KW - EXCISION

KW - MARGINS

KW - CANCER

KW - SYSTEM

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DO - 10.1111/1754-9485.12623

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EP - 42

JO - Journal of Medical Imaging and Radiation Oncology

JF - Journal of Medical Imaging and Radiation Oncology

SN - 0004-8461

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