MRI-based 3D-printed surgical guides for breast cancer patients who received neoadjuvant chemotherapy
Magnetic resonance imaging (MRI) is the most accurate technique for evaluating residual tumor after neoadjuvant chemotherapy. However, precise determination of the extent of dispersed residual tumor in the breast following treatment remains a difficult task. We hereby introduce three-dimensional (3D...
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Published in | Scientific reports Vol. 9; no. 1; pp. 11991 - 6 |
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Main Authors | , , , , , , , , , , , , , , , |
Format | Journal Article |
Language | English |
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Nature Publishing Group UK
19.08.2019
Nature Publishing Group |
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Abstract | Magnetic resonance imaging (MRI) is the most accurate technique for evaluating residual tumor after neoadjuvant chemotherapy. However, precise determination of the extent of dispersed residual tumor in the breast following treatment remains a difficult task. We hereby introduce three-dimensional (3D)-printed surgical guides for use in breast cancer patients undergoing breast-conserving surgery after receiving neoadjuvant chemotherapy. We prospectively applied the 3D-printed surgical guides on breast cancer patients who underwent partial breast resection after receiving neoadjuvant chemotherapy. Breasts and tumors were modeled in 3D by using pretreatment magnetic resonance images, and surgical guides were created by using a 3D printer to mark the primary tumor. Out of the five patients who participated in the study, all patients had clear resection margins, and two patients experienced complete pathological remission. There were no recurrences during the median follow-up period of 21.9 months. Thus, our newly-developed 3D-printed surgical guides were useful for accurately marking the extent of breast tumor based on pretreatment magnetic resonance images, which is important for designating the extent of surgery needed in patients who have received neoadjuvant chemotherapy. |
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AbstractList | Magnetic resonance imaging (MRI) is the most accurate technique for evaluating residual tumor after neoadjuvant chemotherapy. However, precise determination of the extent of dispersed residual tumor in the breast following treatment remains a difficult task. We hereby introduce three-dimensional (3D)-printed surgical guides for use in breast cancer patients undergoing breast-conserving surgery after receiving neoadjuvant chemotherapy. We prospectively applied the 3D-printed surgical guides on breast cancer patients who underwent partial breast resection after receiving neoadjuvant chemotherapy. Breasts and tumors were modeled in 3D by using pretreatment magnetic resonance images, and surgical guides were created by using a 3D printer to mark the primary tumor. Out of the five patients who participated in the study, all patients had clear resection margins, and two patients experienced complete pathological remission. There were no recurrences during the median follow-up period of 21.9 months. Thus, our newly-developed 3D-printed surgical guides were useful for accurately marking the extent of breast tumor based on pretreatment magnetic resonance images, which is important for designating the extent of surgery needed in patients who have received neoadjuvant chemotherapy. |
ArticleNumber | 11991 |
Author | Gong, Gyung-Yub Chung, Il-Young Son, Byung Ho Lee, Sangwook Kim, Namkug Ahn, Sei Hyun Choi, Seung Hyun Lee, Sae Byul Ko, Beom Seok Kim, Sung-Bae Lee, Jong Won Kim, Jisun Kim, Hee Jeong Kim, Hak Hee Kim, Guk Bae Seo, Joon Beom |
Author_xml | – sequence: 1 givenname: Beom Seok orcidid: 0000-0001-7831-7874 surname: Ko fullname: Ko, Beom Seok organization: Division of Breast Surgery, Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine – sequence: 2 givenname: Namkug orcidid: 0000-0002-3438-2217 surname: Kim fullname: Kim, Namkug organization: Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Department of Convergence Medicine, Asan Medical Center, University of Ulsan College of Medicine – sequence: 3 givenname: Jong Won orcidid: 0000-0001-7875-1603 surname: Lee fullname: Lee, Jong Won organization: Division of Breast Surgery, Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine – sequence: 4 givenname: Hee Jeong surname: Kim fullname: Kim, Hee Jeong organization: Division of Breast Surgery, Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine – sequence: 5 givenname: Il-Young orcidid: 0000-0001-5271-8530 surname: Chung fullname: Chung, Il-Young organization: Division of Breast Surgery, Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine – sequence: 6 givenname: Jisun surname: Kim fullname: Kim, Jisun organization: Division of Breast Surgery, Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine – sequence: 7 givenname: Sae Byul surname: Lee fullname: Lee, Sae Byul organization: Division of Breast Surgery, Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine – sequence: 8 givenname: Byung Ho surname: Son fullname: Son, Byung Ho organization: Division of Breast Surgery, Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine – sequence: 9 givenname: Hak Hee surname: Kim fullname: Kim, Hak Hee organization: Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine – sequence: 10 givenname: Joon Beom surname: Seo fullname: Seo, Joon Beom organization: Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine – sequence: 11 givenname: Sung-Bae surname: Kim fullname: Kim, Sung-Bae organization: Department of Oncology, Asan Medical Center, University of Ulsan College of Medicine – sequence: 12 givenname: Gyung-Yub surname: Gong fullname: Gong, Gyung-Yub organization: Department of Pathology, Asan Medical Center, University of Ulsan College of Medicine – sequence: 13 givenname: Guk Bae surname: Kim fullname: Kim, Guk Bae organization: Department of Convergence Medicine, Asan Medical Center, University of Ulsan College of Medicine – sequence: 14 givenname: Sangwook orcidid: 0000-0002-7103-1563 surname: Lee fullname: Lee, Sangwook organization: Department of Convergence Medicine, Asan Medical Center, University of Ulsan College of Medicine – sequence: 15 givenname: Seung Hyun surname: Choi fullname: Choi, Seung Hyun organization: Department of Convergence Medicine, Asan Medical Center, University of Ulsan College of Medicine – sequence: 16 givenname: Sei Hyun surname: Ahn fullname: Ahn, Sei Hyun email: ahnsh@amc.seoul.kr organization: Division of Breast Surgery, Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/31427647$$D View this record in MEDLINE/PubMed |
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References | Rosen (CR3) 2003; 181 Homer (CR7) 1983; 141 Davis, Wechsler, Feig, March (CR8) 1988; 150 Rengier (CR12) 2010; 5 Landercasper (CR6) 1987; 164 Tykka, Roiha, Sjoblom (CR9) 1993; 109 Zopf, Hollister, Nelson, Ohye, Green (CR13) 2013; 368 Barth (CR14) 2017; 24 Mauri, Pavlidis, Ioannidis (CR5) 2005; 97 Sakakibara (CR11) 2008; 207 Shin (CR2) 2011; 84 Yamashiro (CR10) 2009; 16 Mieog, van der Hage, van de Velde (CR1) 2007; 94 Partridge (CR4) 2002; 179 JS Mieog (46798_CR1) 2007; 94 HJ Shin (46798_CR2) 2011; 84 H Tykka (46798_CR9) 1993; 109 MJ Homer (46798_CR7) 1983; 141 SC Partridge (46798_CR4) 2002; 179 J Landercasper (46798_CR6) 1987; 164 DA Zopf (46798_CR13) 2013; 368 EL Rosen (46798_CR3) 2003; 181 D Mauri (46798_CR5) 2005; 97 M Sakakibara (46798_CR11) 2008; 207 N Yamashiro (46798_CR10) 2009; 16 F Rengier (46798_CR12) 2010; 5 PS Davis (46798_CR8) 1988; 150 RJ Barth Jr. (46798_CR14) 2017; 24 |
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Snippet | Magnetic resonance imaging (MRI) is the most accurate technique for evaluating residual tumor after neoadjuvant chemotherapy. However, precise determination of... |
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SubjectTerms | 59/57 631/67/1347 692/4028/546 Adult Antineoplastic Combined Chemotherapy Protocols - therapeutic use Biopsy Breast cancer Breast Neoplasms - diagnosis Breast Neoplasms - therapy Chemotherapy Combined Modality Therapy Female Humanities and Social Sciences Humans Magnetic resonance imaging Magnetic Resonance Imaging - methods Mammography - methods Mastectomy Mastectomy, Segmental - methods Middle Aged multidisciplinary Neoadjuvant Therapy NMR Nuclear magnetic resonance Patients Printing, Three-Dimensional Remission Science Science (multidisciplinary) Surgery Surgery, Computer-Assisted - methods Treatment Outcome Tumors |
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Title | MRI-based 3D-printed surgical guides for breast cancer patients who received neoadjuvant chemotherapy |
URI | https://link.springer.com/article/10.1038/s41598-019-46798-1 https://www.ncbi.nlm.nih.gov/pubmed/31427647 https://www.proquest.com/docview/2275921388 https://search.proquest.com/docview/2336981039 https://pubmed.ncbi.nlm.nih.gov/PMC6700186 |
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