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CT-guided hookwire placement: a technical innovation for preoperative localization of nonpalpable cervical lymph nodes.

Publication ,  Journal Article
Hoang, JK; De Jesus, R; Eastwood, JD; Gafton, AR; Witsell, DL
Published in: AJNR Am J Neuroradiol
August 2012

The aim is to describe the technique of preoperative CT-guided hookwire localization of small, but suspicious, cervical lymph nodes. We present 3 patients who underwent the procedure for nonpalpable cervical nodes detected on PET/CT prior to complete surgical resection of the nodes. The details of the radiological procedure, surgical outcomes, and pathologic results are described. The mean intervention time for preoperative hookwire localization was 9 minutes (range 7-14 minutes). There were no complications. All surgeons felt that the lengths of the surgical skin incision and operative times were reduced because of localization. The pathologic diagnoses were 2 benign nodes and 1 case of metastatic ovarian carcinoma. In conclusion, preoperative CT-guided hookwire localization is a useful technique for guiding surgical excision, especially when cervical nodes are small and deep in location.

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Published In

AJNR Am J Neuroradiol

DOI

EISSN

1936-959X

Publication Date

August 2012

Volume

33

Issue

7

Start / End Page

E104 / E106

Location

United States

Related Subject Headings

  • Tomography, X-Ray Computed
  • Radiography, Interventional
  • Prosthesis Implantation
  • Preoperative Care
  • Nuclear Medicine & Medical Imaging
  • Needles
  • Middle Aged
  • Mammography
  • Lymphatic Metastasis
  • Lymph Nodes
 

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Hoang, J. K., De Jesus, R., Eastwood, J. D., Gafton, A. R., & Witsell, D. L. (2012). CT-guided hookwire placement: a technical innovation for preoperative localization of nonpalpable cervical lymph nodes. AJNR Am J Neuroradiol, 33(7), E104–E106. https://doi.org/10.3174/ajnr.A2538
Hoang, J. K., R. De Jesus, J. D. Eastwood, A. R. Gafton, and D. L. Witsell. “CT-guided hookwire placement: a technical innovation for preoperative localization of nonpalpable cervical lymph nodes.AJNR Am J Neuroradiol 33, no. 7 (August 2012): E104–6. https://doi.org/10.3174/ajnr.A2538.
Hoang JK, De Jesus R, Eastwood JD, Gafton AR, Witsell DL. CT-guided hookwire placement: a technical innovation for preoperative localization of nonpalpable cervical lymph nodes. AJNR Am J Neuroradiol. 2012 Aug;33(7):E104–6.
Hoang, J. K., et al. “CT-guided hookwire placement: a technical innovation for preoperative localization of nonpalpable cervical lymph nodes.AJNR Am J Neuroradiol, vol. 33, no. 7, Aug. 2012, pp. E104–06. Pubmed, doi:10.3174/ajnr.A2538.
Hoang JK, De Jesus R, Eastwood JD, Gafton AR, Witsell DL. CT-guided hookwire placement: a technical innovation for preoperative localization of nonpalpable cervical lymph nodes. AJNR Am J Neuroradiol. 2012 Aug;33(7):E104–E106.

Published In

AJNR Am J Neuroradiol

DOI

EISSN

1936-959X

Publication Date

August 2012

Volume

33

Issue

7

Start / End Page

E104 / E106

Location

United States

Related Subject Headings

  • Tomography, X-Ray Computed
  • Radiography, Interventional
  • Prosthesis Implantation
  • Preoperative Care
  • Nuclear Medicine & Medical Imaging
  • Needles
  • Middle Aged
  • Mammography
  • Lymphatic Metastasis
  • Lymph Nodes