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We performed a meta\u2010analysis of published data to assess which method has achieved the lowest false\u2010negative rate.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We found 3,588 articles concerning sentinel nodes and breast cancer published from 1993 through mid\u20102011; 183 articles met our inclusion criteria. The studies described in these 183 articles included a total of 9,306 patients. We grouped the studies by injection material and injection location. The false\u2010negative rates were analyzed according to these groupings and also by the year in which the articles were published.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There was significant variation related to injection material. The use of blue dye alone was associated with the highest false\u2010negative rate. Inclusion of a radioactive tracer along with blue dye resulted in a significantly lower false\u2010negative rate. Although there were variations in the false\u2010negative rate according to injection location, none were significant.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The use of blue dye should be accompanied by a radioactive tracer to achieve a significantly lower false\u2010negative rate. Location of injection did not have a significant impact on the false\u2010negative rate. Given the limitations of acquiring appropriate data, the false\u2010negative rate should not be used as a metric for training or quality control.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-012-1623-z","type":"journal-article","created":{"date-parts":[[2012,5,8]],"date-time":"2012-05-08T19:45:14Z","timestamp":1336506314000},"page":"2239-2251","source":"Crossref","is-referenced-by-count":164,"title":["The False\u2010Negative Rate of Sentinel Node Biopsy in Patients with Breast Cancer: A Meta\u2010Analysis"],"prefix":"10.1002","volume":"36","author":[{"given":"Sarah","family":"Pesek","sequence":"first","affiliation":[{"name":"University of Vermont College of Medicine 05405 Burlington VT USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taka","family":"Ashikaga","sequence":"additional","affiliation":[{"name":"University of Vermont College of Medicine 05405 Burlington VT USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lars 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