The MOZART® Supra® Specimen Tomosynthesis Imaging System
When you need 3D images of specimens of all sizes in Pathology or the OR.
KUBTEC INVITES YOU TO A WEBINAR FEATURING CARY S. KAUFMAN, MD FACS:
Breast Cancer Surgery Post COVID-19
‘Taking the Guesswork Out of Intraoperative Margin Management’
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Why the MOZART Supra?
- Large 10″ x 12″ detector for imaging mastectomies, lumpectomies, lymph nodes, organs and bones.
- AutoMagnification automatically zooms to give you the highest resolution images of your area of interest the first time.
- Creates true 3D images of specimens in 1mm slices in a single operation.
- Independently associated with a 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.
- All KUBTEC systems are compatible with Windows 10.
3D Imaging in a more compact system
The MOZART: 3D specimen tomosynthesis for the OR.
The most accurate way to view the antomy of breast specimens in the OR.
The MOZART Supra ViewAssist™ software package consists of intelligent, specialized features that enable the user to be more efficient.
- Image Blender™ – Combines Optical and X‑ray images.
- Voice Control – Uses your voice to control the system.
- Computer-Aided Detection – Automatically identifies and locates likely microcalcifications.
- Auto Magnification – Automatically elevates your specimen to the appropriate mag level.
Clinical Data
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
Differences in Re-excisions Rates for Breast Conserving Surgery using Intraoperative 2D vs. 3D Tomosynthesis Specimen Radiograph
Colton A, Calvo C, Mokdad A, Pouns K, Clifford E, Farr D, Huth J, Wooldridge R, Leitch M, Partain N.
Poster presented at: American Society of Breast Surgeons; 2019 May 1-4; Dallas, TX.
- 514 breast conserving operations for cancer were performed from 2016-2018
- 323 cases performed using 2D while 191 cases performed using 3D
- A lower re-excision rate (50% reduction) is independently associated with 3D tomosynthesis
- 3D tomosynthesis may be considered
to reduce re-operation rates by allowing surgeons to excise additional margins at the index operation, decreasing reoperations and anxiety/costs for patients
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.
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
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
Specimen Images
