Tc-99m SM3 radioimmunoscintigraphy is combined with kinetic analysis a
nd probability mapping using a change detection algorithm to investiga
te axillary node involvement before primary surgery in patients with b
reast cancer. Whereas planar imaging was unsuccessful, axillary node i
nvolvement was correctly determined in 11 out of 13 patients 6 out of
7 true negatives and 5 out of 6 true positives down to 0.35 grams. A p
rospective study is underway.