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Research ArticleImaging

99mTc-Tilmanocept Versus 99mTc-Sulfur Colloid in Lymphoscintigraphy: Sentinel Lymph Node Identification and Patient-Reported Pain

Brittany L. Murphy, Allison R. Woodwick, Katie M. Murphy, Kimberly J. Chandler, Geoffrey B. Johnson, Christopher H. Hunt, Patrick Peller, James W. Jakub and Andrew C. Homb
Journal of Nuclear Medicine Technology December 2019, 47 (4) 300-304; DOI: https://doi.org/10.2967/jnmt.118.225342
Brittany L. Murphy
1Department of Surgery, Mayo Clinic, Rochester, Minnesota
2Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, Minnesota; and
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Allison R. Woodwick
3Department of Diagnostic Radiology, Mayo Clinic, Rochester, Minnesota
CNMT
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Katie M. Murphy
3Department of Diagnostic Radiology, Mayo Clinic, Rochester, Minnesota
CNMT
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Kimberly J. Chandler
3Department of Diagnostic Radiology, Mayo Clinic, Rochester, Minnesota
CNMT
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Geoffrey B. Johnson
3Department of Diagnostic Radiology, Mayo Clinic, Rochester, Minnesota
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Christopher H. Hunt
3Department of Diagnostic Radiology, Mayo Clinic, Rochester, Minnesota
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Patrick Peller
3Department of Diagnostic Radiology, Mayo Clinic, Rochester, Minnesota
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James W. Jakub
1Department of Surgery, Mayo Clinic, Rochester, Minnesota
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Andrew C. Homb
3Department of Diagnostic Radiology, Mayo Clinic, Rochester, Minnesota
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    FIGURE 1.

    Average localization time for 99mTc-tilmanocept vs. 99mTc-SC.

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    TABLE 1

    Nuclear Medicine Data

    Parameter99mTc-SC (n = 29)99mTc-tilmanocept (n = 57)P
    Age (y)57.0 ± 13.6 (n = 29)59.5 ± 12.7 (n = 47)0.22
    Surgery0.24
     Mastectomy11 (38%)31 (54%)
     Lumpectomy18 (62%)25 (44%)
     No breast surgery0%1 (2%)
    Localization time (min)10.96 ± 7.3619.31 ± 18.060.003
    Transit uptake (%)2.20 ± 2.371.86 ± 2.710.55
    Number of nodes visualized per patient1.07 ± 0.261.26 ± 0.480.02
    • Data are n followed by percentage, or mean ± SD.

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    TABLE 2

    SLN Data

    Parameter99mTc-SC (n = 28)99mTc-tilmanocept (n = 39)P
    SLNs excised (n)2.57 ± 1.642.41 ± 1.560.66
    Positive SLNsn = 6n = 5
     n0.28 ± 0.60 (range, 0–2)0.13 ± 0.34 (range, 0–2)0.89
     Proportion0.12 ± 0.260.08 ± 0.240.72
    Blue nodesn = 27n = 31
     n0.81 ± 1.00 (range, 0–4)1.45 ± 1.72 (range, 1–8)0.04
     Proportion0.32 ± 0.360.52 ± 0.430.03
    • Data are mean ± SD.

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Journal of Nuclear Medicine Technology: 47 (4)
Journal of Nuclear Medicine Technology
Vol. 47, Issue 4
December 1, 2019
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99mTc-Tilmanocept Versus 99mTc-Sulfur Colloid in Lymphoscintigraphy: Sentinel Lymph Node Identification and Patient-Reported Pain
Brittany L. Murphy, Allison R. Woodwick, Katie M. Murphy, Kimberly J. Chandler, Geoffrey B. Johnson, Christopher H. Hunt, Patrick Peller, James W. Jakub, Andrew C. Homb
Journal of Nuclear Medicine Technology Dec 2019, 47 (4) 300-304; DOI: 10.2967/jnmt.118.225342

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99mTc-Tilmanocept Versus 99mTc-Sulfur Colloid in Lymphoscintigraphy: Sentinel Lymph Node Identification and Patient-Reported Pain
Brittany L. Murphy, Allison R. Woodwick, Katie M. Murphy, Kimberly J. Chandler, Geoffrey B. Johnson, Christopher H. Hunt, Patrick Peller, James W. Jakub, Andrew C. Homb
Journal of Nuclear Medicine Technology Dec 2019, 47 (4) 300-304; DOI: 10.2967/jnmt.118.225342
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