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Research ArticleImaging

A Practical Technique to Improve Visualization of Sentinel Nodes in the Axillary Region on Breast Lymphoscintigraphy: Medial Breast Traction by Patient

Savas Ozdemir, Lisa Corner, Toby Searcy, Swati Sharma and Smita Sharma
Journal of Nuclear Medicine Technology June 2022, 50 (2) 115-118; DOI: https://doi.org/10.2967/jnmt.121.262994
Savas Ozdemir
1Division of Nuclear Medicine and Molecular Imaging, Department of Radiology, University of Florida, Jacksonville, Florida;
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Lisa Corner
1Division of Nuclear Medicine and Molecular Imaging, Department of Radiology, University of Florida, Jacksonville, Florida;
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Toby Searcy
1Division of Nuclear Medicine and Molecular Imaging, Department of Radiology, University of Florida, Jacksonville, Florida;
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Swati Sharma
2Department of Radiology, University of Florida, Jacksonville, Florida; and
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Smita Sharma
3Division of Women’s Imaging, Department of Radiology, University of Florida, Jacksonville, Florida
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Abstract

Methods: A standard method of performing breast lymphoscintigraphy is to obtain anterior and lateral views after periareolar intradermal injection of a radiotracer. However, a sentinel lymph node may be obscured by the activity at the injection site, especially on anterior views. Also, breast tissue may cause attenuation to prevent sentinel node visualization. In cases in which a sentinel lymph node is visualized on one view but not the other view or a sentinel lymph node is either not visualized or inadequately visualized, we repeat anterior and lateral views during medial traction of the breast performed by the patient. Results: We have found the medial breast traction technique performed by the patient to be especially useful for identification of axillary sentinel nodes. Conclusion: Repeat images during medial traction of the breast by the patient is an effective technique to improve visualization of sentinel lymph nodes in the axillary region.

  • breast lymphoscintigraphy
  • lymphoscintigraphy techniques
  • sentinel node
  • medial traction

Footnotes

  • Published online Nov. 8, 2021.

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Journal of Nuclear Medicine Technology: 50 (2)
Journal of Nuclear Medicine Technology
Vol. 50, Issue 2
June 1, 2022
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A Practical Technique to Improve Visualization of Sentinel Nodes in the Axillary Region on Breast Lymphoscintigraphy: Medial Breast Traction by Patient
Savas Ozdemir, Lisa Corner, Toby Searcy, Swati Sharma, Smita Sharma
Journal of Nuclear Medicine Technology Jun 2022, 50 (2) 115-118; DOI: 10.2967/jnmt.121.262994

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A Practical Technique to Improve Visualization of Sentinel Nodes in the Axillary Region on Breast Lymphoscintigraphy: Medial Breast Traction by Patient
Savas Ozdemir, Lisa Corner, Toby Searcy, Swati Sharma, Smita Sharma
Journal of Nuclear Medicine Technology Jun 2022, 50 (2) 115-118; DOI: 10.2967/jnmt.121.262994
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Keywords

  • breast lymphoscintigraphy
  • lymphoscintigraphy techniques
  • sentinel node
  • medial traction
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