This document addresses the use of radiofrequency spectroscopy (RFS) and optical coherence tomography (OCT) for the assessment of surgical margins during breast-conserving surgery (BCS, also known as lumpectomy or wide excision). These technologies have been proposed to detect the presence of malignant tissue on the excised tissue sample in the operating room during surgery.

Note: For other documents addressing breast surgery please see:

• SURG.00023 Breast Procedures; including Reconstructive Surgery, Implants and Other Breast Procedures

Position Statement

Investigational and Not Medically Necessary:

The use of radiofrequency spectroscopy or optical coherence tomography for intraoperative assessment of surgical margins during breast-conserving surgery is considered investigational and not medically necessary.