Twinkling: A Useful Adjunct for Identifying Biopsy Clips on US Images

HomeRadiology: Imaging CancerVol. 5, No. 4 PreviousNext CommentaryTwinkling: A Useful Adjunct for Identifying Biopsy Clips on US ImagesGary J. Whitman Gary J. Whitman Author AffiliationsFrom the Department of Breast Imaging, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Houston, TX 77030.Address correspondence to the author (email: [email protected]).Gary J. Whitman Published Online:Jul 28 2023https://doi.org/10.1148/rycan.230090MoreSectionsFull textPDF ToolsAdd to favoritesCiteTrack CitationsPermissionsReprints ShareShare onFacebookTwitterLinked In References1. Lee CU, Piltin MA, Moldoveanu D, Urban MW, Hesley GK. Using US twinkling artifact to identify breast biopsy markers: brief report. Radiol Imaging Cancer 2023;5(4):e220168. Link, Google Scholar2. Rahmouni A, Bargoin R, Herment A, Bargoin N, Vasile N. Color Doppler twinkling artifact in hyperechoic regions. Radiology 1996;199(1):269–271. Link, Google Scholar3. Voss RK, Ward EP, Ojeda-Fournier H, Blair SL. Doppler ultrasound-visible SignalMark microspheres are better identified than HydroMARK® clips in a simulated intraoperative setting in breast and lung tissue. Ann Surg Oncol 2018;25(12):3740–3746. Crossref, Medline, Google Scholar4. Tan MP, Bi Z, Ong EMW. The ‘twinkle’ artifact - A novel method of clip identification to facilitate targeted axillary surgery following neoadjuvant chemotherapy in breast cancer patients. Clin Imaging 2020;68:36–44. Crossref, Medline, Google Scholar5. Caudle AS, Yang WT, Krishnamurthy S, et al. Improved axillary evaluation following neoadjuvant therapy for patients with node-positive breast cancer using selective evaluation of clipped nodes: implementation of targeted axillary dissection. J Clin Oncol 2016;34(10):1072–1078. Crossref, Medline, Google Scholar6. Gante I, Maldonado JP, Figueiredo Dias M. Marking techniques for targeted axillary dissection among patients with node-positive breast cancer treated with neoadjuvant chemotherapy. Breast Cancer (Auckl) 2023;17:11782234231176159. Crossref, Google Scholar7. Jakub JW, Hesley GK, Larson NB, et al. Ultrasonographic detection and surgical retrieval of a nonmetallic twinkle marker in breast cancer: pilot study. Radiol Imaging Cancer 2022;4(6):e220053. Link, Google ScholarArticle HistoryReceived: June 12 2023Revision requested: June 14 2023Revision received: July 5 2023Accepted: July 10 2023Published online: July 28 2023 FiguresReferencesRelatedDetailsRecommended Articles Ultrasonographic Detection and Surgical Retrieval of a Nonmetallic Twinkle Marker in Breast Cancer: Pilot StudyRadiology: Imaging Cancer2022Volume: 4Issue: 6Using US Twinkling Artifact to Identify Breast Biopsy Markers: Brief ReportRadiology: Imaging Cancer2023Volume: 5Issue: 4Preoperative Axillary US in Early-Stage Breast Cancer: Potential to Prevent Unnecessary Axillary Lymph Node DissectionRadiology2018Volume: 288Issue: 1pp. 55-63Ongoing Demand for Radiologists in Preoperative Axillary Lymph Node AssessmentRadiology2021Volume: 300Issue: 1pp. 55-56Can We Use MRI and US to Predict Axillary Node Response in Breast Cancer?Radiology2019Volume: 293Issue: 1pp. 58-59See More RSNA Education Exhibits Update on the Management of the Axilla in Breast CancerDigital Posters2020How Can Radiologists Help Surgeons in the Assessment of the Axilla? Ultrasound-guided Localization of Axillary Lymph Nodes Using Activated Charcoal Before Neoadjuvant Chemotherapy in Breast Cancer PatientsDigital Posters2019Axillary Lymph Node Imaging In Breast CancerDigital Posters2021 RSNA Case Collection Deodorant ArtifactRSNA Case Collection2021"Cold" Sentinel Lymph Node in Cutaneous Melanoma RSNA Case Collection2020Tattoo pigment deposition in axillary lymph nodeRSNA Case Collection2020 Vol. 5, No. 4 Metrics Altmetric Score PDF download