Update on Preoperative Breast Localization

Abstract

The radiologist plays an important role in detection, diagnosis, localization, pathologic correlation, and follow-up imaging of breast cancer. A successful breast surgical treatment program relies on the image guidance tools and skills of the radiologist and surgeon. This article reviews the evolving tools available for preoperative localization. Non-wire devices provide a safe, efficient, noninferior alternative to wire localization and can be placed 0 to 30 days before scheduled surgery. This technology may evolve to other longer-term, efficient, and cost-effective applications for patients who require neoadjuvant treatment or who have findings visible only at MR imaging.

Keywords: Breast; MAGSEED; Malignant neoplasm; Radioactive seed localization I125 (RSL); Radiofrequency identification (RFID); SCOUT RADAR; Targeted axillary dissection (TAD); Wire localization (WL, WNL); Wire-free localization.