The Central-European SentiMag study: sentinel lymph node biopsy with superparamagnetic iron oxide (SPIO) vs. radioisotope.
Sentinel lymph node biopsy (SLNB) is the standard surgical procedure for the axilla in early node-negative breast cancer. To date, the "gold standard" to localize the sentinel lymph node (SLN) is the radiotracer (99m)Tc with or without blue dye. The aim of this study was to evaluate potential equivalency of the new SentiMag(®) technique in comparison to the "gold standard". Within this prospective, multicentric and multinational non-inferiority study including 150 patients (99m)Tc was compared with the magnetic technique, using superparamagnetic iron oxide particles (SPIOs, Sienna+(®)) for localization of SLNs. The results showed a detection rate per patient of 97.3% (146/150) for (99m)Tc vs. 98.0% (147/150) for Sienna+(®) with a similar average number of removed SLNs per patient and a higher per patient malignancy detection rate for the SPIO tracer. We obtained convincing results that magnetic SLNB can be performed easily, safely and equivalently well in comparison to the radiotracer method.
Department of Gynaecology and Obstetrics, Breast Cancer Centre, Agaplesion Markus Hospital, Frankfurt, Germany. Electronic address: marc.thill@fdk.info.
Marc
M
Thill
Department of Surgical Oncology, Medical University of Lublin, Poland.
Andrzej
A
Kurylcio
Department of Gynecology and Obstetrics, Interdisciplinary Breast Centre, Kantonsspital Baden, Baden, Switzerland.
Rebekka
R
Welter
Department of Gynaecology and Obstetrics, Breast Cancer Centre, Agaplesion Markus Hospital, Frankfurt, Germany.
Viviana
V
van Haasteren
Department of Gynaecology and Obstetrics, Breast Cancer Centre, Agaplesion Markus Hospital, Frankfurt, Germany.
Britta
B
Grosse
Breast Centre Bern, Engeriedspital, Lindenhofgruppe, Bern, Switzerland.
Gilles
G
Berclaz
Department of Surgical Oncology, Medical University of Lublin, Poland.
Wojciech
W
Polkowski
Department of Gynecology and Obstetrics, Interdisciplinary Breast Centre, Kantonsspital Baden, Baden, Switzerland.
Nik
N
Hauser
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001365:Axilla; D001943:Breast Neoplasms / Q000000981:diagnostic imaging*; D003287:Contrast Media; D003911:Dextrans; D005260:Female; D006801:Humans; D008198:Lymph Nodes / Q000000981:diagnostic imaging*; D008207:Lymphatic Metastasis / Q000000981:diagnostic imaging; D058185:Magnetite Nanoparticles; D008875:Middle Aged; D011446:Prospective Studies; D011877:Radionuclide Imaging; D019275:Radiopharmaceuticals; D021701:Sentinel Lymph Node Biopsy / Q000379:methods*; D013668:Technetium Tc 99m Aggregated Albumin
D003287:Contrast Media; D003911:Dextrans; D058185:Magnetite Nanoparticles; D019275:Radiopharmaceuticals; D013668:Technetium Tc 99m Aggregated Albumin; C083602:technetium Tc 99m nanocolloid; C065507:ferumoxides
Invasive breast cancer; SentiMag(®); Sentinel lymph node biopsy; Sienna+(®); Superparamagnetic iron oxide (SPIO)