PMC3907206_01
Image of the SPY Elite  system.
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The imaging head of the SPY Elite  machine as shown in Fig. 1 was positioned at the correct distance from the patient to achieve optimal imaging.
Pathology showing a T2N0M0 invasive ductal carcinoma, triple negative disease, with clear margins extraction.
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Pathology confirmed a stage T2N0MX ductal carcinoma that was ER/PR and HER-2/neu negative with clear margins as shown in Fig. 2.
Intra-operative image of the nipple-sparing radical mastectomy and specimen extraction.
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An elliptical incision was made, above the nipple areola from the lateral edge of the sternal border and pointing toward the axilla in its lateral aspect as shown in Fig. 3.
Lower pole of breast imaged with the SPY Elite  system to assess tissue perfusion.
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The lower pole of the breast was then imaged as shown in Fig. 4. Angiography with indocyanine green showed poor perfusion of the inferior flap quantified by the 15 and 25 percent marks as shown in Fig. 4.