Dual lymph node detection using gamma irradiation and/or fluorescence

With a single readout module and numerous gamma probe options, Europrobe 3.2 is a unique system that meets all perioperative detection needs, as well as percutaneous localisation in 7 major clinical areas.

A state-of-the-art device optimised for the detection of areas of high radionuclide uptake, fully meeting the broad requirements of surgeons and nuclear medicine practitioners.

Its versatile design allows detection of a wide range of isotopes, ensuring the probe can be used in many clinical procedures.

Clinical Application:

  • Oncological surgery: Detection of sentinel lymph nodes in breast cancer
  • Senology: technique of radioguided occult lesion localization (ROLL) / sentinel lymph node biopsy (SNOLL) 
  • Gynaecology: Laparoscopic sentinel lymph node detection in cervical and endometrial cancer. Detection of sentinel lymph nodes in vulvar cancer
  • Otorhinolaryngology: Oral cavity, head and stroke
  • Dermatology: Melanoma / osteosarcoma
  • Endocrinology: Thyroid / parathyroid glands
  • Nuclear medicine: Percutaneous detection / uptake monitoring

Bimodal detection

  • A complete modular system, combining:
    – Gamma ray detection
    – Fluorescent dye detection
  • The optical-nuclear probe is the first method adapted to the detection of hybrid indicators
  • Fluorescence tracing is carried out in a lit room.
  • The Optical-Nuclear Probe is the only device in the world for detecting SNLs with fluorescence without the need for cumbersome imaging systems.

A unique probe system allows the gamma detector to be used in such procedures as:

  • Sentinel lymph node detection – in open surgery
  • Sentinel lymph node detection – in laparoscopic surgery
  • Sentinel lymph node detection with simultaneous fluorescence detection

Probe types and specifications for the Europrobe 3.2 module

CDTE probes:

Cadmium telluride (CdTe ) probes are designed for the detection of lower energy radiation (i.e. I-125, Tc-99m, etc.) with excellent spatial resolution. These probes should be used for energy between 20 and 170 keV. Above 170 keV the detection efficiency will be much better with a CSI probe.
The detector and a high gain FET low noise preamplifier are mounted in an 11mm diameter probe (detection head).

The collimator is an integral part of the probe.

The operating temperature range is +10°C to + 40°C and ambient humidity should not exceed 75% at 40°C.

Isotopes:

  • Tc 99m (140 keV),
  • I 125 (27 KeV)
  • I 111 ( 171 & 245 KeV)
  • Energy range: 20 keV – 364keV ( optimum performance: 20 keV – 170 KeV)

Advantages:

  • Operates at ambient temperature
  • Low energy radiation detection
  • Offers excellent resolution of energy measurement at 140 keV (99mTc)
  • Small probes for detection in small incisions with high accuracy
  • Available in Bluetooth wireless version
  • Customised probes available

CSI probes:

Scintillation probes (CSI scintillator coupled to a silicon photodiode), operate without PMT and are most suitable for a higher energy range (In-111, I-131, etc.), up to photons of 1.0 MeV, but can also be used for Tc-99m detection if high sensitivity is required. The energy range for this probe varies from 100 keV to over 1 MeV.

The detector and high gain FET low noise preamplifier are mounted in a 16mm diameter probe (detector head).

The collimator is an integral part of the probe.

The operating temperature range is +10°C to + 40°C and ambient humidity should not exceed 75% at 40°C.

Isotopes:

  • Tc 99m (140 keV),
  • I 131 (364 keV),
  • F 18 (using a special collimator, 511KeV),
  • In 111 (171 & 245 keV)
  • Energy range: 100 keV — 1 MeV (Optimum performance:: 140 keV—1 MeV)

Advantages:

  • Operates at ambient temperature
  • Detects high energy radiation
  • Operates at a low initial voltage, unlike a PMT-based solution (typically 20V)
  • Available in Bluetooth wireless version
  • Customised probes available
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