L|our neui enes REAL-TIME MULTIMODAL CANCER DETECTION SUITE

Defeating Cancer: growing success, but still far from a definitive solution Cancer is a broad term encompassing 200+ types of malignant tumors, with growing incidence. It figures among the leading causes of death all over the world, and has a major social and psycho- logical impact. Avast majority of tumors expand through the lymphatic system, affecting progressively an increas- ing number of lymph nodes. The first direct-drainage nodes are denominiated "Sentinel" nodes, and their status with regard to cancer cell invasion is critical in staging and in determining patient treatment, as is evidenced...

Personalized Oncological Surgery, The Next Revolution, NOW Molecular vision for surgery More than 30 years after the original innovative papers by Dr. R. Cabañas in Urology, and more than 15 from the revolutionary publication of Dr. D. Morton on melanoma, Sentinel Node Navigation has been performed successfully in millions of patients, becoming “best practice” in superficially draining tumors. lts proven clinical results and hundreds of clinical papers from the most advanced oncological centres support its efficacy and effectiveness. The safety of this technique for patients and surgical staff...

Articulated electromagnetic arm, 1,5 m long, for easy and stable access to every anatomical region Single continuous crystal for unparalleled resolution (1,6 mm) and real time molecular vision, even in deep, “hidden” nodes Easy one-hand camera control, with laser positioning system for clear surgical field orientation Pinhole collimators for balancing resolution and sensitivity Twin 19” high resolution screens for optimum visibility (touch screen in surgeon´s side) Ergonomic handles in both sides, for easy transport and OR movement 2 USB ports and LAN access for easy data transfer Wide space...

A high performance portable gammacamera (in resolution, speed, reliability and ease of use) for advanced Nuclear Medicine indications A VERY special gammacamera, with breakthrough single continuous crystal technology Sentinella´s patented single continuous crystal and PSPM technologies are bringing a major improvement in resolution, quantification and image quality vs previous pixellated crystal gammacameras and gamma probes, finding formerly undetectable nodes, and paving the way for additional major improvements in combined localization, of tumors and lymph nodes with camera + probes + pointers...

Powerful Computer Aided 'hottest" spots in the field diameter with precise comparative quantification Laser Pointer for clear center of image surgical field Counts ROIA Automatic scale correction, to highlight points of activity, also adjustable by the side bar Fully customizable protocols by procedure, NM Doctor, surgeon, unit.. Sentinella Suite \ Single button control for image capture and image refreshing Virtual Lead to hide the tumor or injection point to enhance hidden nodes isotope used File format for storage, with complete molecular information for each image, which you can process and...

Diagnosis Designed and NM Suite in mind for the OR with women This tool allows comparisons between two acquisitions whatsoever, displayed in a practical and simple result of the biopsy, activity difference between two images or simultaneously viewing from two points of view. The various diagnostic support tools that software enables to take distances references between clusters of activity i.e. injection point-sentinel nodes, calculate activities of different regions or block those areas of the image that may be hiding nearby activity points. The tab sequence allows scheduling acquisitions in...

Personalized Open and Laparoscopic A SAFE Clinical Option in Breast Cancer Surgery SENTINEL NODE BIOPSY as proven critical staging and treatment tool in most patients, its role reinforced by recent studies such as ACOSOG´s Z0011. Sentinella, with thousands of patients diagnosed and treated successfully, has become the standard in many world class Institutions, with relevant clinical evidence: Courtesy of Dr. S. Vidal-Sicart - Nuclear Medicine Dpt. - Hospital Clínic. Barcelona. Spain. 1.- emonstrated localization of additional histologically positive lymph nodes not detected D with gamma probes...

Cancer Surgery in Superficial Draining Tumours Making a Difference in Melanoma and Head & Neck Tumors Growing fast in incidence, melanoma, a very agressive tumor, is affecting younger patients every year. With documented evidence indicating that 10 to 30% of melanomas are draining out of the expected lympathic areas, a detailed and accurate preop lymphoscintigraphy and true high precision surgery are a must. Sentinella´s proven performance in both melanoma and head and neck tumors, often with very small and non-superficial lymph nodes, is extensively documented, with major international studies...

Personalized Open and Laparoscopic Breakthrough in Urological Cancer Surgery Sentinel node biopsy is a controversial issue in some of the main urological indications due to some previous publications, while it is well accepted in penis cancer. There is, however, very strong positive evidence from The Netherlands and Austria, in Europe, and from some US centers about the excellent oncological results of Sentinel Node biopsy in prostate cancer, testicular cancer and even kidney and bladder cancer. Sentinella will become a powerful support tool in these pathologies, in laparoscopic and open surgery,...

Cancer Surgery in Deep Draining Tumours A New Era in Radioguided Colorectal Surgery? With 9,1%+ of tumors draining beyond expected “classical” areas, specially in transverse and descending colon, the wide field and deep detection capabilities of Sentinella, proven clinically useful in colorectal pathologies, are relevant factors. Personalized limited lymphadenectomy, location of additional positive hidden and aberrant nodes, clear localization of nodes next to tumor or injection point... and guarantee of complete resection of identified nodes (clean field). The exvivo assessment of the resected...