Diagnosis and radio-guided surgery of lung nodules
Rev Esp Med Nucl Imagen Mol (Engl Ed). 2020 Sep-Oct;39(5):327-336.
doi: 10.1016/j.remn.2020.06.014.
Epub 2020 Aug 6.
[Article in
English,
Spanish]
Affiliations
- 1 Servicio de Medicina Nuclear, Hospital Clínic, Barcelona, España. Electronic address: [email protected].
- 2 Servicio de Medicina Nuclear, IDI-Hospital Universitario de Bellvitge, Hospitalet de Llobregat, Barcelona, España.
- 3 Servicio de Imagen para el Diagnóstico, Medicina Nuclear, Hospital Universitari Sant Joan de Reus, Reus, Tarragona, España.
- 4 Servicio de Medicina Nuclear, Hospital Universitario San Pedro, Logroño, España.
- 5 Servicio de Cirugía Torácica (ICR), Hospital Clínic Barcelona, España.
- 6 Servicio de Imagen para el Diagnóstico, Radiología. Hospital Universitari Sant Joan de Reus, Tarragona, España.
- 7 Servicio de Medicina Nuclear, Complejo Hospitalario de Navarra, Pamplona, España.
Abstract
The detection of pulmonary nodules has increased in recent decades due to the introduction of lung cancer screening programs and the massively use of routine chest computed tomography in patients with malignant neoplasms. Percutaneous biopsy of these nodules does not always characterize them, so sometimes a surgical biopsy is necessary, which often requires a presurgical localization. The radioguided occult lesion localization (ROLL) described for breast lesions was first applied in the resection of pulmonary nodules in 2000, becoming an alternative to other presurgical localization techniques such as hook-wire. The technique provides high detection rate with minimal morbidity, enhancing multidisciplinary work with specialists in Radiology and Chest Surgery. The present paper describes the different pre-surgical localization techniques currently available, the methodological procedure of the ROLL technique and the collected results in 20 years of experience.
Keywords:
Cirugía radioguiada; ROLL; Radioguided surgery; Solitary pulmonary nodule; nódulo pulmonar solitario.
Copyright © 2020 Sociedad Española de Medicina Nuclear e Imagen Molecular. Publicado por Elsevier España, S.L.U. All rights reserved.
MeSH terms
-
Early Detection of Cancer
-
Evidence-Based Medicine
-
Fiducial Markers
-
Humans
-
Intraoperative Period
-
Lung Neoplasms / diagnostic imaging
-
Lung Neoplasms / surgery
-
Multiple Pulmonary Nodules / diagnostic imaging*
-
Multiple Pulmonary Nodules / surgery
-
Pneumonectomy
-
Positron Emission Tomography Computed Tomography / methods*
-
Positron-Emission Tomography
-
Punctures
-
Radionuclide Imaging
-
Radiopharmaceuticals
-
Solitary Pulmonary Nodule / diagnostic imaging*
-
Solitary Pulmonary Nodule / surgery
-
Staining and Labeling / methods
-
Surgery, Computer-Assisted / methods*
-
Thoracic Surgery, Video-Assisted
-
Tomography, X-Ray Computed
-
Ultrasonography