The MOZART® Specimen Tomosynthesis Imaging System
When the goal is to remove the entire tumor in a single procedure with maximum breast conservation.
Why the MOZART System?
- Creates true 3D images of breast specimens in 1mm slices in a single operation.
- Independently associated with lower re-excision rates (up to 50%) compared to Faxitron 2D imaging.
- More accurate than 2D imaging for identifying positive margins.
- Provides superior visibility through dense breast tissue.
- Reduces the likelihood of excising healthy breast tissue unnecessarily.
- Enables superior cosmesis for the patient.
- Reduces need for time consuming orthogonal views.
3D for larger specimens
The MOZART Supra: 3D imaging for larger specimens.
- The most accurate way to view the antomy of masteomies, lumpectomies, tissues, and bone.
- Featuring Automagnification – Never touch a mag tray again!
Differences in Re-excision rates for Breast-Conserving Surgery Using Intraoperative 2D Versus 3D Tomosynthesis Specimen Radiograph
Natalia Partain, MD, Carissia Calvo, MD, Ali Mokdad, MD, Andrea Colton, MD, Katherine Pouns, MD, Edward Clifford, MD, Deborah Farr, MD, James Huth, MD, Rachel Wooldridge, MD, A. Marilyn Leitch, MD.
Ann Surg Oncol 2020: Published online Aug 01
- Retrospective review of 657 breast-conserving operations performed for cancer from 2013-2018, procedures were performed by four surgeons at a single tertiary institution
- Comparative study of 2D versus 3D image-guided cavity margin excision compared to final pathology and need for additional surgery
- The re‑excision rate for the 2D group was 11% versus 5% for the 3D group
- The use of 3D tomosynthesis specimen radiographs decreased re‑excision rates by more than half
- A lower re‑excision rate is independently associated with 3D tomosynthesis
View for View, 3D Specimen Tomosynthesis Provides More Data Than 2D Specimen Mammography
Kaufman C, Zacharias K, Rogers A, Nix S, ODonnell J, Ness K, Schnell N, Hill L
Poster presented at: American Society of Breast Surgeons; 2017 May 2-5; Las Vegas, NV.
- Over an 18-month period, 200 patients who had image guided lumpectomies using both intraoperative 2D imaging and intraoperative 3D tomosynthesis were compared
- During the 18 months of adoption of the intraoperative 3D tomosynthesis, there was a significant reduction in re-excision rates, from 16% to 9%
- Use of specimen tomosynthesis in the OR has improved the accurate of intraoperative imagining in 43% of cases
Digital Breast Tomosynthesis for Intraoperative Margin Assessment during Breast-Conserving Surgery
Park KU, Kuerer HM, Rauch GM, Leung JWT, Sahin AA, Wei W, Li Y, Black DM.
Ann Surg Oncol 2019:26:1720-28.
- Study was to determine the ability of digital breast tomosynthesis (DBT) to detect positive margins compared with an institution’s standard extensive processing (SEP)
- This demonstrated the ability of DBT to accurately identify segmental mastectomy specimens having tumor at ink, with a similar sensitivity and higher specificity compared with our institutional SEP
- DBT can replace labor-intensive processing methods given that its rapid acquisition of high resolution, cross-sectioned images of the intact specimen takes approximately 1 min, and can be read by the surgeon
The temporal and financial benefit of intraoperative breast specimen imaging: A pilot study of the Kubtec MOZART
Kornfeld H, Mulder L, Spivey T, Cortina C, Madrigrano A, Kopkash K. Breast J. 2019;25:766-768.
- A retrospective chart review was conducted of all breast cancer patients from Jan 1, 2015 to December 31, 2016 with non-palpable lesions requiring wire- localization for excision
- On average, OR time was 7.6 minutes shorter when using intraoperative imaging as opposed to sending the specimen to diagnostic radiology. This time reduction translates into estimated OR cost savings of $284.62 per case
- This three-dimensional intraoperative imaging allows the surgeon to make a more accurate decision regarding targeted shave margins, which may improve more aesthetics and decrease re-excision rate, which would also provide a financial benefit
Implementation of Intra-Operative Specimen Tomosynthesis and Impact of Re-Excision Rates for Image Guided Partial Mastectomies
Munding E, Woodfin A, Terranella S, O’Donoghue C, O’Hara K, Madrigrano A
- Use of MOZART for localization versus remote radiologic interpretation for determining additional shave margins is associated with lower positive margins rates.
- Use of MOZART was shown to discover positive margins that would have been missed based on final pathology of initial specimen alone.