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PT  - JOURNAL ARTICLE
AU  - Hoang, J.K.
AU  - De Jesus, R.
AU  - Eastwood, J.D.
AU  - Gafton, A.R.
AU  - Witsell, D.L.
TI  - CT-Guided Hookwire Placement: A Technical Innovation for Preoperative Localization of Nonpalpable Cervical Lymph Nodes
AID  - 10.3174/ajnr.A2538
DP  - 2012 Aug 01
TA  - American Journal of Neuroradiology
PG  - E104--E106
VI  - 33
IP  - 7
4099  - http://www.ajnr.org/content/33/7/E104.short
4100  - http://www.ajnr.org/content/33/7/E104.full
SO  - Am. J. Neuroradiol.2012 Aug 01; 33
AB  - SUMMARY: The aim is to describe the technique of preoperative CT-guided hookwire localization of small, but suspicious, cervical lymph nodes. We present 3 patients who underwent the procedure for nonpalpable cervical nodes detected on PET/CT prior to complete surgical resection of the nodes. The details of the radiological procedure, surgical outcomes, and pathologic results are described. The mean intervention time for preoperative hookwire localization was 9 minutes (range 7–14 minutes). There were no complications. All surgeons felt that the lengths of the surgical skin incision and operative times were reduced because of localization. The pathologic diagnoses were 2 benign nodes and 1 case of metastatic ovarian carcinoma. In conclusion, preoperative CT-guided hookwire localization is a useful technique for guiding surgical excision, especially when cervical nodes are small and deep in location. FDGfluorodeoxyglucoseFNAfine-needle aspirationPETpositron-emission tomographySUVmaxmaximum standard uptake value