Journal article
Minimizing re-excision after breast conserving surgery - a review of radiofrequency spectroscopy for real-time, intraoperative margin assessment
Expert review of medical devices, Vol.18(11), pp.1057-1068
11/02/2021
DOI: 10.1080/17434440.2021.1992273
PMID: 34657525
Abstract
For early-stage breast cancer, breast-conserving surgery (BCS) plus radiation is standard-of-care. Nationwide, >20% of BCS patients require re-excision for positive margins, resulting in delayed adjuvant therapy, increased complications, emotional and financial stress for patients, and additional cost to the healthcare system. Although several methods may be employed to mitigate positive margins, no technique can fully address the need. MarginProbe® is an adjunctive tool for real-time intraoperative margin assessment and is shown to reduce positive margins by >50%.
Discussion of the impact of re-excision following BCS, a review of currently available methods for intraoperative margin management, followed by a technology and literature review of the MarginProbe® Radiofrequency Spectroscopy System.
Re-excision significantly impacts patients, providers and payers. Limitations in the ability to assess margins at time of surgery warrant more advanced methods of residual disease detection. MarginProbe facilitates the most efficient pathway for breast cancer patients through the surgical phase of treatment. The device is well-suited for adoption as the healthcare focus shifts from volume to value and supports the three pillars of the US Department of Health and Human Services' 'Triple-Aim' strategy: improve population health, improve patient experience of care, and reduce per-capita costs.
Details
- Title: Subtitle
- Minimizing re-excision after breast conserving surgery - a review of radiofrequency spectroscopy for real-time, intraoperative margin assessment
- Creators
- Vincent J. Reid - University of Iowa Hospitals and ClinicsJeffrey S. Falk - St. George's UniversityAlice M. Police - Director of Breast Surgery, Northwell HealthCalvin A. Ridgeway - Medical Director of Breast Care Center, Lovelace Women's Hospital, NM, USA.Lisa L. Cadena - Dilon TechnologiesStephen P. Povoski - The Ohio State University Wexner Medical Center
- Resource Type
- Journal article
- Publication Details
- Expert review of medical devices, Vol.18(11), pp.1057-1068
- Publisher
- Taylor & Francis
- DOI
- 10.1080/17434440.2021.1992273
- PMID
- 34657525
- ISSN
- 1743-4440
- eISSN
- 1745-2422
- Language
- English
- Date published
- 11/02/2021
- Academic Unit
- Surgery
- Record Identifier
- 9984322952902771
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