Evidence map›Paper›PMID 37322358›Full record

ArticleBreast cancer research and treatment2023

Radiofrequency localization of nonpalpable breast cancer in a multicentre prospective cohort study: feasibility, clinical acceptability, and safety.

Anke Christenhusz, Bianca M den Dekker, Thijs van Dalen, Lisa Jongen, Margreet C van der Schaaf, Lejla Alic, Bennie Ten Haken, Ruud M Pijnappel, Anneriet E Dassen

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Breast cancer research and treatment, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Observational
  7. Article
  8. Early Breast Cancer: Could Combined LOCalizerJournal of clinical medicine · 2024
    Article
  9. Evolution of localization methods for non-palpable breast lesions: a literature review from a translational medicine perspective.Translational breast cancer research : a journal focusing on translational research in breast cancer · 2024
    Review
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Anke Christenhusz *Department of Surgery, Medisch Spectrum Twente Enschede, Enschede, The Netherlands. anke.christenhusz@mst.nl.ORCID http://orcid.org/0000-0003-0624-7875
Bianca M den Dekker *Department of Radiology, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
Thijs van DalenDepartment of Surgery, Diakonessenhuis Utrecht, Utrecht, The Netherlands.
Lisa JongenDepartment of Radiology, Diakonessenhuis Utrecht, Utrecht, The Netherlands.
Margreet C van der SchaafDepartment of Radiology, Medisch Spectrum Twente Enschede, Enschede, The Netherlands.
Lejla AlicUniversity of Twente, Magnetic Detection and Imaging Group, Enschede, The Netherlands.
Bennie Ten HakenUniversity of Twente, Magnetic Detection and Imaging Group, Enschede, The Netherlands.
Ruud M PijnappelDepartment of Radiology, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
Anneriet E DassenDepartment of Surgery, Medisch Spectrum Twente Enschede, Enschede, The Netherlands.
Medisch Spectrum Twente · NLDiakonessenhuis hospital · NLUniversity of Twente · NLUtrecht University · NL

Funding

Hologic 1257
6 · The paper itself

Abstract

purposeIn breast conserving surgery, accurate lesion localization is essential for obtaining adequate surgical margins. Preoperative wire localization (WL) and radioactive seed localization (RSL) are widely accepted methods to guide surgical excision of nonpalpable breast lesions but are limited by logistical challenges, migration issues, and legislative complexities. Radiofrequency identification (RFID) technology may offer a viable alternative. The purpose of this study was to evaluate the feasibility, clinical acceptability, and safety of RFID surgical guidance for localization of nonpalpable breast cancer.

methodsIn a prospective multicentre cohort study, the first 100 RFID localization procedures were included. The primary outcome was the percentage of clear resection margins and re-excision rate. Secondary outcomes included procedure details, user experience, learningcurve, and adverse events.

resultsBetween April 2019 and May 2021, 100 women underwent RFID guided breast conserving surgery. Clear resection margins were obtained in 89 out of 96 included patients (92.7%), re-excision was indicated in three patients (3.1%). Radiologists reported difficulties with the placement of the RFID tag, partially related to the relatively large needle-applicator (12-gauge). This led to the premature termination of the study in the hospital using RSL as regular care. The radiologist experience was improved after a manufacturer modification of the needle-applicator. Surgical localization involved a low learning curve. Adverse events (n = 33) included dislocation of the marker during insertion (8%) and hematomas (9%). The majority of adverse events (85%) occurred using the first-generation needle-applicator.

conclusionRFID technology is a potential alternative for non-radioactive and non-wire localization of nonpalpable breast lesions.

Indexed as

Breast NeoplasmsCohort StudiesFeasibility StudiesFemaleHumansMargins of ExcisionMastectomy, SegmentalProspective StudiesBreast cancerBreast conserving surgeryPrimary lesion localizationRadiofrequency identificationRFID

Identifiers

PMID37322358
PMCPMC10300157
OpenAlexW4380785612

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.