{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T21:15:07Z","timestamp":1789074907118,"version":"build-2803163510"},"reference-count":21,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2024,5,22]],"date-time":"2024-05-22T00:00:00Z","timestamp":1716336000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"Etta Kalin Moskowitz Fund Research Award"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,7,30]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>Evaluate surgical utilization of SCOUT reflectors placed at breast biopsy.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Consent was waived for this retrospective IRB-approved, HIPAA-compliant study. Breast biopsy examinations that reported the term \u201cSCOUT\u201d between January 2021 and June 2022 were identified using an institutional search engine. Cases were included if a SCOUT reflector was placed at time of breast biopsy and excluded if lesion pathology was already known. Analysis was performed at the lesion level. A multivariate-regression analysis evaluated 6 variables with potential impact on SCOUT utilization.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>One hundred twenty-one lesions in 112 patients met inclusion criteria. Biopsy yielded 93% (113\/121) malignant, 3% (4\/121) elevated risk, 2% (2\/121) benign-discordant, and 2% (2\/121) benign-concordant results. Two cases lost to follow-up were excluded. SCOUT reflectors were utilized for lumpectomy (58%, 69\/119 lesions) and excisional biopsy (6%, 7\/119 lesions). SCOUTs were not utilized due to mastectomy (23%, 27\/119), subsequent wire localization (2%, 2\/119), and nonsurgical cases (12%, 14\/119). Reflector placement utilization was 52% higher for findings less than 3.5 cm in size (P &amp;lt;.001), 33% higher in patients without prior treated breast cancer (P =\u2009.012), and 19% higher in patients with no suspicious ipsilateral lymph node (P =\u2009.048).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>SCOUT reflector placement at time of biopsy was utilized for surgery 64% (76\/119) of the time, although most (98%, 119\/121) biopsies were malignant, elevated risk, or benign-discordant. Factors increasing reflector utilization include smaller lesion size, no suspicious ipsilateral lymph node, and no prior treated breast cancer.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jbi\/wbae024","type":"journal-article","created":{"date-parts":[[2024,5,22]],"date-time":"2024-05-22T21:59:40Z","timestamp":1716415180000},"page":"347-354","source":"Crossref","is-referenced-by-count":3,"title":["SCOUT\u00ae Radar Localization at Time of Breast Biopsy"],"prefix":"10.1093","volume":"6","author":[{"given":"Brittany Z","family":"Dashevsky","sequence":"first","affiliation":[{"name":"Department of Radiology, Stanford University School of Medicine , Palo Alto, CA , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed S","family":"Muneer","sequence":"additional","affiliation":[{"name":"Department of Radiology, Stanford University School of Medicine , Palo Alto, CA , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meng","family":"Hao","sequence":"additional","affiliation":[{"name":"Department of Radiology, Stanford University School of Medicine , Palo Alto, CA , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tie","family":"Liang","sequence":"additional","affiliation":[{"name":"Department of Radiology, Stanford University School of Medicine , Palo Alto, CA , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irene L","family":"Wapnir","sequence":"additional","affiliation":[{"name":"Department of Surgery, Stanford University School of Medicine , Palo Alto, CA , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven P","family":"Poplack","sequence":"additional","affiliation":[{"name":"Department of Radiology, Stanford University School of Medicine , Palo Alto, CA , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,5,22]]},"reference":[{"issue":"4","key":"2024073019321615800_CIT0001","doi-asserted-by":"crossref","first-page":"378","DOI":"10.1001\/jamasurg.2016.4751","article-title":"Reoperation rates in ductal carcinoma in situ vs invasive breast cancer after wire-guided breast-conserving surgery","volume":"152","author":"Langhans","year":"2017","journal-title":"JAMA Surg"},{"issue":"4","key":"2024073019321615800_CIT0002","doi-asserted-by":"crossref","first-page":"807","DOI":"10.2214\/ajr.140.4.807","article-title":"Localization of nonpalpable breast lesions: technical aspects and analysis of 80 cases","volume":"140","author":"Homer","year":"1983","journal-title":"AJR Am J Roentgenol"},{"issue":"5","key":"2024073019321615800_CIT0003","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1056\/NEJM197607292950506","article-title":"Preoperative localization of nonpalpable breast lesions demonstrated by mammography","volume":"295","author":"Frank","year":"1976","journal-title":"N Engl J Med"},{"issue":"1085","key":"2024073019321615800_CIT0004","doi-asserted-by":"crossref","first-page":"20170740","DOI":"10.1259\/bjr.20170740","article-title":"Innovations in image-guided preoperative breast lesion localization","volume":"91","author":"Cheang","year":"2018","journal-title":"Br J Radiol"},{"key":"2024073019321615800_CIT0005","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.clinimag.2019.01.013","article-title":"Preoperative localization of breast lesions: current techniques","volume":"56","author":"Mayo","year":"2019","journal-title":"Clin Imaging"},{"issue":"1","key":"2024073019321615800_CIT0006","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1007\/s10549-020-05918-6","article-title":"Impalpable breast lesion localisation, a logistical challenge: results of the UK iBRA-NET national practice questionnaire","volume":"185","author":"Somasundaram","year":"2021","journal-title":"Breast Cancer Res Treat"},{"issue":"4","key":"2024073019321615800_CIT0007","doi-asserted-by":"crossref","first-page":"1173","DOI":"10.3390\/cancers15041173","article-title":"Localization techniques for non-palpable breast lesions: current status, knowledge gaps, and rationale for the MELODY Study (EUBREAST-4\/iBRA-NET, NCT 05559411)","volume":"15","author":"Banys-Paluchowski","year":"2023","journal-title":"Cancers"},{"issue":"3","key":"2024073019321615800_CIT0008","doi-asserted-by":"crossref","first-page":"591","DOI":"10.1016\/j.rcl.2016.12.012","article-title":"Update on preoperative breast localization","volume":"55","author":"Hayes","year":"2017","journal-title":"Radiol Clin North Am"},{"issue":"11","key":"2024073019321615800_CIT0009","doi-asserted-by":"crossref","first-page":"2016","DOI":"10.1016\/j.ejso.2019.06.035","article-title":"Is the future magnetic? 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