Breast conserving surgery and intra-operative specimen radiography: Margin assessment by the surgeon or the radiologist?
Journal Title: International Journal of Radiology and Radiation Oncology - Year 2018, Vol 4, Issue 1
Abstract
In the United Kingdom since the late 1990s there has been both a shortage of and falling level in recruitment of breast radiologists/radiographers. Specimen radiography is a widely used intra-operative adjunct to aid margin assessment in patients undergoing wide local excision for early stage breast cancer. Aim: This study looks to determine accuracy and congruence of radiological intra-operative margin assessment by surgeon and consultant radiographer against the gold standard of histological assessment. Methods: Prospective assessment of specimen margins for all wide local excisions performed between June 2015 and June 2017 by a single breast surgeon in the UK. Specimen radiographs were independently assessed by a consultant radiographer and surgeon for adequacy of margins and compared to histological assessment.
Authors and Affiliations
Mylvaganam Senthurun, Tafazal Habib, Caddick Virginia, Madahar Priya
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