This pilot clinical trial studies radiofrequency technology in locating non-palpable breast lesions in patients undergoing surgery. Placing a miniature radiofrequency tag or microchip in the breast lesion before surgery and using a handheld device to guide doctors during surgery may improve surgical outcomes in patients with non-palpable breast lesions.
PRIMARY OBJECTIVES: I. Evaluate the feasibility of utilizing a new Federal Drug Administration (FDA)-cleared radiofrequency tag for localization of non-palpable breast lesions and provide preliminary data for a larger study. OUTLINE: Patients undergo mammogram or ultrasound for image-guided placement of the radiofrequency tag within 30 days of surgery and then undergo radiofrequency-guided localization during surgery. After completion of study, patients are followed up within 2 weeks.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
DIAGNOSTIC
Masking
NONE
Enrollment
50
Radiofrequency tag
Undergo mammogram for image-guided placement of radiofrequency tag
Ancillary studies
UCLA / Jonsson Comprehensive Cancer Center
Los Angeles, California, United States
Patients With Successful Placement of the Radiofrequency Tag Under Radiographic Guidance Confirmed by Mammography
Patients with successful radiofrequency tag placement
Time frame: at time of device placement, confirmed by mammography
Patients With Successful Retrieval of the Radiofrequency Tag Confirmed by Specimen Radiography
Patients with successful radiofrequency tag retrieval.
Time frame: at time of surgery, within 30 days of tag implant
Days Prior to Surgery of Insertion of Marker
Mean number of days before surgery that radiofrequency tag was placed.
Time frame: Up to 30 days prior to surgery
Patient Experience With Image-guided Placement of Tag as Rated by a Patient Questionnaire
The patient experience with image-guided placement of the radio frequency Identification (RFID) tag.This assessments was captured using Likert-type questionnaires. Individual question responses for the patient and physician questionnaires ranged from 1 to 5 with the score of 5 representing the maximum positive or favorable response to each question. The following choices were included in each questionnaire: 1. Strongly disagree 2. Disagree 3. Neutral 4. Agree 5. Strongly Agree Responses of the individual scales were added to create a total score, which would include a possible total range of 5 to a maximum of 25 points. 25 is the maximum positive or favorable response.
Time frame: within 24 hours of device placement
Patients With Cancer Requiring Re-excision
Patients requiring re-excision.
Time frame: up to 4 weeks post initial surgery
Patients With Documented Migration of Marker
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Undergo radiofrequency-guided localization
Undergo ultrasound for image-guided placement of radiofrequency tag
Movement of radiofrequency tag from point of placement
Time frame: at time of surgery, within 30 days of tag implant
Patients With Positive Margins on Initial Lumpectomy Using Radiofrequency Identification Technology
Patients with margins of excisable tissue remaining.
Time frame: at time of pathologic evaluation of surgical specimen, within 4 weeks of surgery
Radiologist's Experience Placing Radiofrequency Tag Compared to Wire Localization as Measured by a Radiologist's Questionnaire
The radiologist's experience with image-guided placement of the RFID tag.This assessments was captured using Likert-type questionnaires. Individual question responses for the patient and physician questionnaires ranged from 1 to 5 with the score of 5 representing the maximum positive or favorable response to each question. The following choices were included in each questionnaire: 1. Strongly disagree 2. Disagree 3. Neutral 4. Agree 5. Strongly Agree Responses of the individual scales were added to create a total score, which would include a possible total range of 5 to a maximum of 25 points. 25 is the maximum positive or favorable response.
Time frame: within 24 hours of device placement
Surgeon's Experience Using Radiofrequency Tag to Guide Resection Compared to Wire Localization as Measured by a Surgeon's Questionnaire
The surgeon's experience with image-guided placement of the RFID tag.This assessments was captured using Likert-type questionnaires. Individual question responses for the patient and physician questionnaires ranged from 1 to 5 with the score of 5 representing the maximum positive or favorable response to each question. The following choices were included in each questionnaire: 1. Strongly disagree 2. Disagree 3. Neutral 4. Agree 5. Strongly Agree Responses of the individual scales were added to create a total score, which would include a possible total range of 5 to a maximum of 25 points. 25 is the maximum positive or favorable response.
Time frame: within 24 hours of surgery
Volume (cm3), of Tissue Removed With Specimen With Tag (Not Including Shave Margins, if Taken)
Amount of tissue removed with radiofrequency tag.
Time frame: at time of pathologic evaluation of surgical specimen, within 4 weeks of surgery