{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T07:33:31Z","timestamp":1777275211268,"version":"3.51.4"},"reference-count":23,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T00:00:00Z","timestamp":1776038400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T00:00:00Z","timestamp":1776038400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Med Imag Rad Onc"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>In breast malignancy, localisation of axillary nodes is crucial for guiding targeted axillary dissection (TAD), particularly following neoadjuvant chemotherapy (NACT). While many localisation techniques exist, many have limitations with flexibility in scheduling, patient discomfort or issues with implantables (e.g., radioactive seeds, radar reflectors or magnetic markers). Ultrasound\u2010guided Radioguided Occult Lesion Localisation (ROLL) was originally used for non\u2010palpable breast lesions and relatively new in localisation of axillary lymph nodes. The authors aim to share the experience of ROLL in this single tertiary centre.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and Methods<\/jats:title>\n                    <jats:p>From March 2020 to December 2024, 41 suspicious axillary nodes from 30 patients who underwent ultrasound guided ROLL were included in this study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The technical success rate was 95.1% (39\/41 nodes) as confirmed by the appreciation of radioisotope in post\u2010injection scintigraphy and subsequent intra\u2010operative localisation. Among 21 patients (26 nodes) who underwent NACT, the mean size of lymph node pre\u2010 and post\u2010NACT was 2.1\u2009cm (1.0\u20134.3\u2009cm) and 1.2\u2009cm (0.7\u20133.2\u2009cm), respectively. The distance from lymph node to skin was 1.5\u2009cm (0.8\u20132.5\u2009cm). The primary pathology was breast cancer in 26 patients (33 nodes). A tissue marker clip was inserted into 27 (65.9%) lymph nodes. Main technical challenges include small or deep lymph nodes and those that are either unclipped or marked with clips demonstrating limited sonographic visibility.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Ultrasound\u2010guided ROLL is an effective method for localising axillary lymph nodes, including small, deep or clipped\/unclipped nodes that are challenging to identify. This technique offers improved patient comfort and logistical flexibility, and its high accuracy provides a strong argument for its role in TAD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1754-9485.70102","type":"journal-article","created":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T05:05:07Z","timestamp":1776143107000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["<scp>ROLL<\/scp>\n                    Is Successful at Localising Axillary Lymph Nodes: A Single Tertiary Centre Experience"],"prefix":"10.1111","author":[{"given":"Hiok Yang","family":"Chan","sequence":"first","affiliation":[{"name":"Department of Diagnostic Imaging KK Women's and Children's Hospital  Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amini","family":"Mursal","sequence":"additional","affiliation":[{"name":"Department of Diagnostic Imaging KK Women's and Children's Hospital  Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qing Ting","family":"Tan","sequence":"additional","affiliation":[{"name":"Department of Breast Surgery KK Women's and Children's Hospital  Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1514-6841","authenticated-orcid":false,"given":"Veronica Siton","family":"Alcantara","sequence":"additional","affiliation":[{"name":"Department of Breast Surgery KK Women's and Children's Hospital  Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yien Sien","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Diagnostic Imaging KK Women's and Children's Hospital  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