Transforming Cancer Surgery with Advanced Visualization and AI

It’s All About Getting Clean Margins the First Time

Key to a successful cancer surgery is getting clean margins so surgeons don’t have to make the dreaded call to their patients: “We didn’t get it all.”

Clean margins means there’s a healthy rim of tissue around the excised cancerous tumor so there’s no cancer left behind that could recur or spread. When clean margins are achieved, the chances of local recurrence are significantly lower and this is considered a successful surgery.

Positive Margins = Repeat Surgery

Surgeons will do everything they can to achieve clean margins but they cannot detect remaining cancer cells by sight or touch.

Traditional imaging used in the operating room, such as X-ray, does not have the resolution to detect microscopic cancer cells, and Pathology must be used to confirm clean margins, which takes up to 10 days.

Even for skilled surgeons using the latest techniques, the odds of needing a repeat surgery are relatively high—nearly 1 in 4 for some types of cancer:

21% of breast lumpectomies require re-excision12
11.5% of thyroid cancers have a positive margin9
21% of prostate cancers have a positive margin9

The Impact of Missed Margins

Example: Repeat Surgery in Breast-Conserving Surgery

The effects of repeat surgeries or re-excisions are devastating.

Let’s take the example of Janeye, a breast cancer patient. She gets the call that she needs a repeat surgery. To avoid any further issues, she chooses to have a mastectomy.

With this, her risk of complications and the overall severity of the surgery increases, moving the finish line for recovery even farther out. On top of that, her body is further altered and the emotional toll of all it on Janeye and her family is devastating.

PATIENT

SYSTEM STRAIN

ECONOMIC BURDEN

  • 66% increased risk of post-op complications* after repeated breast-conserving surgeries (BCS)4, 5-7
  • Delay in adjuvant treatment12
  • Compromised cosmesis12
  • Emotional trauma4
  • 10%-36% convert to mastectomy4
  • Hospital ratings, patient satisfaction scores, and patient referrals24, 5-7
  • OR time, delayed beds, and resource limitations12
  • 24% increase in healthcare costs4, 5-7
  • BCS reoperation: +$12,00012
  • Mastectomy conversion: +$46,00012

A Game Changer for Margin Management

S-Series OCT

Perimeter’s proprietary Optical Coherence Tomography (OCT) technology, available now, provides high-definition, 3D images of margins in the operating room, enabling surgeons to see difficult-to-detect disease when it matters most.

By gaining clarity on margins status in the OR rather than waiting days for pathology results, surgeons can act in the moment with confidence and potentially avoid the dreaded phone call.

The S-Series OCT has a general indication and has not been evaluated by FDA for specific uses. More information here.

Shaping the Future of Patient Care

Making Advanced MedTech More Accessible with AI

Perimeter’s proprietary image library generated on patent protected WF-OCT device

  • Trained on a proprietary library of 2M+ breast tissue images
  • Algorithm highlights areas of interest, accelerating surgeons’ decision making in the OR
  • Potential to reduce training load and improve ease of use, speeding up customer adoption

Bringing world-class technology to more surgeons and patients

Media and Podcasts

  • FOX 26 Media Segment

    FOX 26’s Melissa Wilson spoke with Dr. Alastair Thompson, Perimeter’s clinical trial lead Primary Principal Investigator and Section Chief of Breast Surgery and Professor at Baylor College of Medicine, to hear more details about our clinical trial and exciting advancements in the fight against breast cancer.

  • MassDevice Podcast

    Perimeter CEO Adrian Mendes joins Tom Salemi on an episode of the DeviceTalks podcast to discuss his path into medtech and how Perimeter hopes to use OCT and AI to boost surgeon confidence and patient peace of mind.

  • Empowered Patient Podcast

    Perimeter CEO Adrian Mendes speaks with Karen Jagoda about how OCT gives surgeons high-definition real-time visibility into tumor margins.

About Perimeter Medical

Interested in learning more about Perimeter?

Fill out the form to set up a meeting with Adrian Mendes, CEO, and Sara Brien, CFO.

 

Adrian Mendes, CEO

Sara Brien, CFO

Get in Touch


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