ESTRO Multidisciplinary Management of Breast Cancer 2017

Drawback of the radioguided SLNB

• 99 Tc is produced only in a few reactors worldwide which compromises its supply • Dependency on a nuclear medicine unit • Cannot be injected by the surgeon • Radiation exposure of patients and health care personel • Logistical challenges (handling and disposal of isotopes, training of staff, legislative requirements) 26