AIP Advances (Jan 2024)

Estimating the location of the hook-wire used in breast-conserving surgery using a magnetometer

  • Oiendrila Bhowmik Debnath,
  • Akihiro Kuwahata,
  • Yuki Sunaga,
  • Shinichi Chikaki,
  • Miki Kaneko,
  • Moriaki Kusakabe,
  • Masaki Sekino

DOI
https://doi.org/10.1063/9.0000799
Journal volume & issue
Vol. 14, no. 1
pp. 015028 – 015028-6

Abstract

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In the surgical treatment of nonpalpable breast lesions, such as in early-stage cancer, a hook-wire is inserted into the lesion as a marker to enable surgeons to excise the tissue, along with the hook-wire, with a good margin. However, a benchmark technique for intraoperatively determining whether the excised tissue has an appropriate margin around the lesion has not yet been established. In this study, a method for locating a ferromagnetic stainless steel hook-wire inside the excised tissue using a magnetometer is proposed. The magnetometer is placed around a phantom along with the hook-wire at varied locations to map the magnetic field distribution. The three-dimensional coordinates of hook-wire are obtained by executing an optimization algorithm. The experimental results indicate that the location of the hook-wire is successfully obtained. Based on the information regarding the margin around the hook-wire, the surgeon can immediately evaluate the risk of whether some cancer cells still remain in the body.