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ECMP 2022.
Full Paper

Wireless localisation of breast lesions with MagSeed. A radiological perspective of 300 cases

Published Online:https://doi.org/10.1259/bjr.20211241

Abstract

Objectives:

The purpose of this article is to review the technical and radiological aspects of MagSeed® localisation, to assess its accuracy based on post-localisation mammograms and excision specimen X-rays and to discuss the radiological experience of our institutions.

Methods:

Two-year data were collected retrospectively from three NHS boards from the West of Scotland. A total of 309 MagSeeds® were inserted under mammographic or ultrasonographic guidance in 300 women with unifocal, multifocal and/or bilateral breast lesions at the day of surgery or up to 30 days prior to it. Radiological review of post-localisation mammograms and intraoperative specimen X-rays as well as a review of the surgical outcomes were performed to assess the accuracy and efficacy of the method. Our experience relating to the technique’s strengths and downsides were also noted.

Results:

The MagSeeds® were inserted on average 7.2 days before surgery. The localisation technique was straight forward for the radiologists. In 99% of the cases, the MagSeed® was successfully deployed and 100% of the successfully localised lesions were excised at surgery. There was no difference in the accuracy of the localisation whether this was mammographically or ultrasonographically guided. On post-localisation mammograms, the MagSeed® was radiologically accurately positioned in 97.3% of the cases. No delayed MagSeed® migration was observed. On the specimen X-rays, the lesion was centrally positioned in 45.1%, eccentric within more than 1 mm from the margin in 35.7% and in 14.8% it was at the specimen’s margin. The re-excision rate was 18.3%.

Conclusion:

The MagSeed® is an accurate and reliable localisation method in breast conserving surgery with good surgical outcomes.

Advances in knowledge:

To our knowledge, the radiological aspects of MagSeed® localisation have not been widely described in peer-reviewed journals thus far.

REFERENCES

Volume 95, Issue 1133May 2022

© 2022 The Authors. Published by the British Institute of Radiology


History

  • ReceivedNovember 17,2021
  • RevisedJanuary 31,2022
  • AcceptedFebruary 03,2022
  • Published onlineFebruary 24,2022

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