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Article ; Online: Pre-operative localisation of axillary lymph nodes using radiofrequency identification (RFID) tags: a feasibility assessment in 75 cases.

Lowes, S / El Tahir, S / Koo, S / Amonkar, S / Leaver, A / Milligan, R

2023 Volume 78, Issue 9, Page(s) e668–e675

Abstract: Aim: To evaluate the safety and feasibility of using radiofrequency identification (RFID) tags for the localisation of axillary nodes prior to targeted excision in a National Health Service (NHS) breast unit.: Materials and methods: Retrospective ... ...

Abstract	Aim: To evaluate the safety and feasibility of using radiofrequency identification (RFID) tags for the localisation of axillary nodes prior to targeted excision in a National Health Service (NHS) breast unit. Materials and methods: Retrospective data collection was carried out to analyse the first 75 cases of RFID-targeted axillary nodes inserted between 12 June 2019 and 27 October 2022, during which an overall total of 1,296 breast and axillary tags were deployed in 1,120 patients. Results: Of the 75 axillary tags, 70 (93%) had a primary breast cancer and five (7%) had no known breast cancer but had an abnormal node targeted for diagnostic excision. Of the 70 with breast cancer, 20 (29%) underwent neoadjuvant chemotherapy (NAC) including one neoadjuvant endocrine therapy. Localisations were performed an average of 11 days before surgery (median 6, range 1-95; n=75). Patients undergoing NAC had their tags inserted after completing treatment due to the artefact caused by the tags on magnetic resonance imaging (MRI). Tag deployment had a 100% success rate, with 62 tags (83%) lying within the node and 13 tags (17%) lying directly adjacent to the node, either in direct contact (nine of 13), or a maximum of 8 mm from the target (four of 13). All tags and their respective nodes were excised successfully at surgery with no significant complications. There were four cases of tag dislodgement during excision, but overall, this did not compromise retrieval of the tag or the node. Conclusions: The use of RFID tags for the preoperative localisation of axillary nodes is safe and feasible.
MeSH term(s)	Humans ; Female ; Lymph Node Excision ; Radio Frequency Identification Device ; Retrospective Studies ; Feasibility Studies ; State Medicine ; Lymph Nodes/diagnostic imaging ; Lymph Nodes/surgery ; Lymph Nodes/pathology ; Breast Neoplasms/diagnostic imaging ; Breast Neoplasms/surgery ; Breast Neoplasms/drug therapy ; Neoadjuvant Therapy ; Axilla/pathology ; Sentinel Lymph Node Biopsy ; Neoplasm Staging
Language	English
Publishing date	2023-06-10
Publishing country	England
Document type	Journal Article
ZDB-ID	391227-9
ISSN	1365-229X ; 0009-9260
ISSN (online)	1365-229X
ISSN	0009-9260
DOI	10.1016/j.crad.2023.05.017
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Article ; Online: Use of Hologic LOCalizer radiofrequency identification (RFID) tags to localise impalpable breast lesions and axillary nodes: experience of the first 150 cases in a UK breast unit.

Lowes, S / Bell, A / Milligan, R / Amonkar, S / Leaver, A

Clinical radiology

2020 Volume 75, Issue 12, Page(s) 942–949

Abstract: Aim: To report the outcome of 150 patients using the Hologic LOCalizer RFID (radiofrequency identification) tag system, including the first reported use of RFID tags in the axilla.: Materials and methods: Data were collected prospectively from the ... ...

Abstract	Aim: To report the outcome of 150 patients using the Hologic LOCalizer RFID (radiofrequency identification) tag system, including the first reported use of RFID tags in the axilla. Materials and methods: Data were collected prospectively from the first tag insertion (12 June 2019) until 150 consecutive patients had undergone surgery (excision date 9 January 2020). Results: A total of 177 tags were targeted to 177 malignant lesions in 150 women. Tags were inserted an average of 7.8 days before surgery (range 0-71 days). One hundred and twenty-six tags were targeted to a single lesion in one breast only; the remainder of tags were targeted to multiple lesions in one or both breasts, as well as to axillary lymph nodes. In addition, two cases involved the use of two tags to bracket microcalcification. All except three tags were satisfactorily deployed at their initial intended target. The majority of target lesions were masses (n=142, mean size 13.8 mm), with a range of other targets including post-vacuum-assisted biopsy cavities, marker clips post-neoadjuvant chemotherapy, architectural distortions, and clipped metastatic lymph nodes. All tags were successfully retrieved at surgical excision. Re-excision rate was 8.7%. There were no tag-specific surgical complications. Conclusions: The RFID tag system demonstrates many advantages over guidewires, and is effective at targeting axillary lymph nodes and multiple sites within the same breast.
MeSH term(s)	Adult ; Aged ; Aged, 80 and over ; Axilla/pathology ; Breast Neoplasms/pathology ; Breast Neoplasms/surgery ; Female ; Humans ; Lymph Node Excision ; Lymphatic Metastasis/pathology ; Middle Aged ; Prospective Studies ; Radio Frequency Identification Device ; Stereotaxic Techniques ; Ultrasonography, Interventional ; United Kingdom
Language	English
Publishing date	2020-09-09
Publishing country	England
Document type	Journal Article
ZDB-ID	391227-9
ISSN	1365-229X ; 0009-9260
ISSN (online)	1365-229X
ISSN	0009-9260
DOI	10.1016/j.crad.2020.08.014
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Article: Necrotising fasciitis of the breast: A rare but deadly disease.

Marks, Bertram / Fasih, Tarannum / Amonkar, Sunil / Pervaz, Mujahid

International journal of surgery case reports

2019 Volume 65, Page(s) 10–14

Abstract: Introduction: Necrotising fasciitis is a rare but deadly bacterial infection causing soft tissue and fascial necrosis. It is associated with a mortality rate of 25%. It is characterised by; erythematous skin, which turns dusky blue before haemorrhagic ... ...

Abstract	Introduction: Necrotising fasciitis is a rare but deadly bacterial infection causing soft tissue and fascial necrosis. It is associated with a mortality rate of 25%. It is characterised by; erythematous skin, which turns dusky blue before haemorrhagic bullae develop; localised pain; and inflammation. It is most commonly found in the extremities, the abdomen or the perineum but is rarely seen in the breast. Case presentation: We describe a 54-year-old lady who presented with breast erythema and raised inflammatory markers. Initially treated as cellulitis, however when her symptoms did not improve and despite IV antibiotics her bloods worsened, a CT scan was performed which showed a large volume of interstitial soft tissue gas with diffuse fat stranding, consistent with necrotising fasciitis. Debridement of her breast alongside the use of sensitive antibiotics and ITU support led to a satisfactory outcome. Discussion: We discuss how an early diagnosis can be made by the recognition of a triad of symptoms common in necrotising fasciitis, and how optimal management can be achieved with the incorporation of imaging to successfully identify the condition and allow targeted debridement of the areas of necrotising fasciitis. Conclusion: A high index of suspicion should be held if pain is disproportionate to the signs or sepsis is present. To aid an early diagnosis, imaging of the breast should be performed early to avoid delay in treatment.
Language	English
Publishing date	2019-10-18
Publishing country	Netherlands
Document type	Journal Article
ISSN	2210-2612
ISSN	2210-2612
DOI	10.1016/j.ijscr.2019.10.020
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Article ; Online: Eagle′s syndrome

Dinkar / Amonkar S

Indian Journal of Dental Research, Vol 14, Iss 3, Pp 162-

review of literature and case report.

2003 Volume 8

Abstract: Eagle′s Syndrome is caused by an elongated styloid process of the temporal bone or by ossification of the derivations of the second branchial arch. It is a source of craniofacial and cervical pain. Although the incidence of styloid process elongation is ... ...

Abstract	Eagle′s Syndrome is caused by an elongated styloid process of the temporal bone or by ossification of the derivations of the second branchial arch. It is a source of craniofacial and cervical pain. Although the incidence of styloid process elongation is fairly common, only a small percentage of the patients exhibit symptoms associated with Eagle′s syndrome. Like any other pain in the head and neck region it is an enigma. Eagle′s syndrome is one of the glaring examples where the exact etiology eludes from the treating doctor for a long. It is important for the dental practitioner to be aware of this anomaly and its anatomic basis. Unilateral symptoms were present in one case of bilateral elongation.
Keywords	Adult ; Humans ; Ligaments ; pathology ; Male ; Neck Pain ; etiology ; Ossification ; Heterotopic ; complications ; surgery ; Syndrome ; Tempor ; Dentistry ; RK1-715 ; Medicine ; R ; DOAJ:Dentistry ; DOAJ:Health Sciences
Language	English
Publishing date	2003-01-01T00:00:00Z
Publisher	Medknow Publications
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Spontaneous rupture of the spleen: three case reports and causative processes for the radiologist to consider.

Amonkar, S J / Kumar, E N

The British journal of radiology

2009 Volume 82, Issue 978, Page(s) e111–3

Abstract: Splenic rupture is most commonly encountered after blunt abdominal trauma. Atraumatic spontaneous splenic rupture is a rarer entity and can occur in both histologically normal and diseased spleen. It has a high morbidity, as there is often little or no ... ...

Abstract	Splenic rupture is most commonly encountered after blunt abdominal trauma. Atraumatic spontaneous splenic rupture is a rarer entity and can occur in both histologically normal and diseased spleen. It has a high morbidity, as there is often little or no clinical history to suggest its presence, and is generally diagnosed after imaging. We describe three experiences of spontaneous splenic rupture at our institution and discuss possible causes for the radiologist to consider.
MeSH term(s)	Abdominal Pain/complications ; Abdominal Pain/diagnostic imaging ; Aged ; Diagnosis, Differential ; Female ; Hematoma/diagnostic imaging ; Hematoma/surgery ; Humans ; Middle Aged ; Rupture, Spontaneous/diagnostic imaging ; Rupture, Spontaneous/surgery ; Splenic Rupture/diagnostic imaging ; Splenic Rupture/surgery ; Tomography, X-Ray Computed ; Treatment Outcome
Language	English
Publishing date	2009-06
Publishing country	England
Document type	Case Reports ; Journal Article
ZDB-ID	2982-8
ISSN	1748-880X ; 0007-1285
ISSN (online)	1748-880X
ISSN	0007-1285
DOI	10.1259/bjr/81440206
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Article: Eagle's syndrome: review of literature and case report.

Dinkar / Amonkar, S S

Indian journal of dental research : official publication of Indian Society for Dental Research

2003 Volume 14, Issue 3, Page(s) 162–168

Abstract: Eagle's Syndrome is caused by an elongated styloid process of the temporal bone or by ossification of the derivations of the second branchial arch. It is a source of craniofacial and cervical pain. Although the incidence of styloid process elongation is ... ...

Abstract	Eagle's Syndrome is caused by an elongated styloid process of the temporal bone or by ossification of the derivations of the second branchial arch. It is a source of craniofacial and cervical pain. Although the incidence of styloid process elongation is fairly common, only a small percentage of the patients exhibit symptoms associated with Eagle's syndrome. Like any other pain in the head and neck region it is an enigma. Eagle's syndrome is one of the glaring examples where the exact etiology eludes from the treating doctor for a long. It is important for the dental practitioner to be aware of this anomaly and its anatomic basis. Unilateral symptoms were present in one case of bilateral elongation.
MeSH term(s)	Adult ; Humans ; Ligaments/pathology ; Male ; Neck Pain/etiology ; Ossification, Heterotopic/complications ; Ossification, Heterotopic/surgery ; Syndrome ; Temporal Bone/pathology
Language	English
Publishing date	2003-07
Publishing country	India
Document type	Case Reports ; Journal Article ; Review
ZDB-ID	1354886-4
ISSN	1998-3603 ; 0970-9290
ISSN (online)	1998-3603
ISSN	0970-9290
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Zs.A 4581: Show issues

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Article ; Online: Pre-operative staging of the axilla in primary breast cancer. By redefining the abnormal appearing node can we reduce investigations without affecting overall treatment?

Amonkar, S J / Oates, E / McLean, L / Nicholson, S

Breast (Edinburgh, Scotland)

2013 Volume 22, Issue 6, Page(s) 1114–1118

Abstract: Primary axillary clearance (ANC) is currently performed based on cytology from abnormal appearing node(s) without considering extent of involvement. We assessed correlation between nodal burden and nodal appearance. 439 invasive breast cancer cases ... ...

Abstract	Primary axillary clearance (ANC) is currently performed based on cytology from abnormal appearing node(s) without considering extent of involvement. We assessed correlation between nodal burden and nodal appearance. 439 invasive breast cancer cases underwent axillary ultrasound (AUSS) with nodal scoring [UN2-normal (n = 293), UN3-indeterminate (n = 84), UN4-suspicious (n = 29), and UN5-replaced (n = 34)]. Fine needle aspiration cytology (FNAC) of all UN3, UN4 & UN5 nodes was performed. 64 cases had nodal metastases identified pre-operatively, proceeding to primary ANC. 375 cases underwent sentinel lymph node biopsy (SLNB), 64 of whom were found to have nodal metastases. Likelihood of metastases and nodal burden was related to AUSS score. >50% of malignant UN4 & UN5 scored nodes had ≥4 metastases compared to 19% of UN3 nodes. Most UN3 nodes are either not involved or have low metastatic burden which may be better served by SLNB alone. Redefining our FNAC nodal threshold could potentially avoid additional ANC morbidity and reduce pre-operative workload.
MeSH term(s)	Adult ; Aged ; Aged, 80 and over ; Axilla ; Biopsy, Fine-Needle ; Breast Neoplasms/pathology ; Breast Neoplasms, Male/pathology ; Female ; Humans ; Lymph Node Excision ; Lymph Nodes/diagnostic imaging ; Lymph Nodes/pathology ; Lymphatic Metastasis ; Male ; Middle Aged ; Neoplasm Staging ; Preoperative Period ; Sentinel Lymph Node Biopsy ; Tumor Burden ; Ultrasonography
Language	English
Publishing date	2013-12
Publishing country	Netherlands
Document type	Clinical Trial ; Journal Article
ZDB-ID	1143210-x
ISSN	1532-3080 ; 0960-9776
ISSN (online)	1532-3080
ISSN	0960-9776
DOI	10.1016/j.breast.2013.06.004
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Zs.A 3620: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (2.OG) ab Jg. 2022: Lesesaal (EG)
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Article: Crohn's disease discovered by an obstructing chick pea.

Amonkar, S J / Hughes, T / Browell, D A

British journal of hospital medicine (London, England : 2005)

2007 Volume 68, Issue 8, Page(s) 445

MeSH term(s)	Abdominal Pain/etiology ; Cicer ; Crohn Disease/diagnostic imaging ; Foreign Bodies/complications ; Foreign Bodies/diagnostic imaging ; Humans ; Ileal Diseases/diagnostic imaging ; Ileal Diseases/etiology ; Ileum ; Incidental Findings ; Intestinal Obstruction/diagnosis ; Intestinal Obstruction/etiology ; Male ; Middle Aged ; Nausea/etiology ; Tomography, X-Ray Computed/methods ; Vomiting/etiology
Language	English
Publishing date	2007-08
Publishing country	England
Document type	Case Reports ; Journal Article
ISSN	1750-8460
ISSN	1750-8460
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Mammotome biopsy: Impact on preoperative diagnosis rate.

Amonkar, S J / Cain, H / Browell, D A

Clinical radiology

2006 Volume 61, Issue 10, Page(s) 902–903

MeSH term(s)	Biopsy, Needle/statistics & numerical data ; Breast/pathology ; Breast Neoplasms/pathology ; Carcinoma in Situ/pathology ; Carcinoma, Ductal, Breast/pathology ; Female ; Humans ; Preoperative Care/statistics & numerical data
Language	English
Publishing date	2006-10
Publishing country	England
Document type	Comment ; Letter
ZDB-ID	391227-9
ISSN	1365-229X ; 0009-9260
ISSN (online)	1365-229X
ISSN	0009-9260
DOI	10.1016/j.crad.2006.05.014
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Article: Microbial control of insect pests of economic importance using Bacillus thuringiensis var. Kenyae

Amonkar, S.V

Crop productivity : proceedings of the Workshop on "Increasing Crop Productivity", 20th and 21st June 1986, Bombay, India / editors: H.C. Srivastava, S. Bhaskaran, K.K.G. Menon.

1987

Keywords	Bacillus thuringiensis ; bacterial insecticides ; insect control ; crops
Language	English
Size	p. 383-400.
Publisher	Oxford & IBH Pub. Co., c1987.
Publishing place	New Delhi
Document type	Article
ISBN	812040257X ; 9788120402577
Database	NAL-Catalogue (AGRICOLA)

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