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Special Section on Optical Diagnostic and Biophotonic Methods from Bench to Bedside

Light-guided lumpectomy: device and case report

[+] Author Affiliations
Amanda Dayton

Providence St. Vincent Medical Center, Oregon Medical Laser Center, 9555 SW Barnes Road, Portland, Oregon 97225 and Oregon Health & Science University, Department of Biomedical Engineering, 3303 SW Bond Avenue, Portland, Oregon 97239

Laurel Soot

Providence St. Vincent Medical Center, Ruth J. Spear Breast Center, 9205 SW Barnes Road, Portland, Oregon 97225 and The Oregon Clinic, Westside Surgical Division, 9155 SW Barnes Road, Portland, Oregon 97225

Ronald Wolf

The Oregon Clinic, Westside Surgical Division, 9155 SW Barnes Road, Portland, Oregon 97225

Christina Gougoutas-Fox

Providence St. Vincent Medical Center, Ruth J. Spear Breast Center, 9205 SW Barnes Road, Portland, Oregon 97225

Scott Prahl

Providence St. Vincent Medical Center, Oregon Medical Laser Center, 9555 SW Barnes Road, Portland, Oregon 97225 and Oregon Health & Science University, Department of Biomedical Engineering, 3303 SW Bond Avenue, Portland, Oregon 97239

J. Biomed. Opt. 15(6), 061706 (February 24, 2010June 22, 2010August 09, 2010November 10, 2010). doi:10.1117/1.3499422
History: Received February 24, 2010; Revised June 22, 2010; Accepted August 09, 2010; Published November 10, 2010
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We describe the development, design, fabrication, and testing of an optical wire to assist in the surgical removal of small lesions during breast-conserving surgery. We modify a standard localization wire by adding a 200-μm optical fiber alongside it; the resulting optical wire fit through an 18 gauge needle for insertion in the breast. The optical wire is anchored in the lesion by a radiologist under ultrasonic and mammographic guidance. At surgery, the tip is illuminated with an eye-safe, red, HeNe laser, and the resulting glowball of light in the breast tissue surrounds the lesion. The surgeon readily visualizes the glowball in the operating room. This glowball provides sufficient feedback to the surgeon that it is used (1) to find the lesion and (2) as a guide during resection. Light-guided lumpectomy is a simple enhancement to traditional wire localization that could improve the current standard of care for surgical treatment of small, nonpalpable breast lesions.

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© 2010 Society of Photo-Optical Instrumentation Engineers

Citation

Amanda Dayton ; Laurel Soot ; Ronald Wolf ; Christina Gougoutas-Fox and Scott Prahl
"Light-guided lumpectomy: device and case report", J. Biomed. Opt. 15(6), 061706 (February 24, 2010June 22, 2010August 09, 2010November 10, 2010). ; http://dx.doi.org/10.1117/1.3499422


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