Comparison of analog and digitally evaluated volume of the female breast in reconstructive breast surgery. Validation of a noninvasive measurement method with 3D camera1.

IF 2.1 4区 医学 Q3 HEMATOLOGY Clinical hemorheology and microcirculation Pub Date : 2023-01-01 DOI:10.3233/CH-229101
V Brebant, L Lemonnier, M Georgieva, A Anker, N Heine, S Seitz, K Frank, L Prantl, A Eigenberger
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引用次数: 1

Abstract

Background: Reconstructive surgery is established as a standard treatment option after mastectomy due to cancer. It is crucial to patients to achieve a natural and symmetric looking breast through reconstruction. Anthropometric measurements are used to assess the objective symmetry of the breast, which are prone to errors and difficult to reproduce.

Objective: The aim of this work is to validate breast volumetry using three-dimensional surface imaging.

Methods: We compared preoperatively analog and digitally evaluated volume of the breast with our gold standard, direct water displacement measurement of the mastectomy specimen. We examined 34 breast specimens in total.

Results: Each measurement method (Breast Sculptor, VAM, Breast-V) for breast volume/mass determination demonstrates acceptable agreement ranges when compared with resected volumes and masses. The strongest volumetry instrument is Breast Sculptor (digital), the weakest is Breast-V (analog).

Conclusions: 3D surface imaging is a quick, effective, and convenient method to evaluate breast shape and volume. The accuracy, reproducibility, and reliability of 3D surface imaging were comparable with MRI in our study.This takes us a step closer to the long-term goal of establishing robust instruments to plan breast reconstructive surgery, achieve better surgical results, and contribute to quality assurance in breast surgery.

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重建乳房手术中模拟和数字评估的女性乳房体积比较。利用三维相机验证无创测量方法1。
背景:乳房再造手术已被确定为癌症乳房切除术后的标准治疗方案。对于患者来说,通过重建手术获得自然、对称的乳房至关重要。人体测量法用于评估乳房的客观对称性,但容易产生误差且难以再现:这项工作的目的是利用三维表面成像验证乳房体积测量:我们将术前模拟和数字评估的乳房体积与我们的金标准--乳房切除标本的直接水位移测量进行了比较。我们共检查了 34 个乳房标本:结果:与切除的体积和质量相比,每种测定乳房体积/质量的测量方法(Breast Sculptor、VAM、Breast-V)都显示出可接受的一致性范围。最强的体积测量仪器是乳房雕刻机(数字式),最弱的是 Breast-V(模拟式):结论:三维表面成像是一种快速、有效、方便的乳房形状和体积评估方法。在我们的研究中,三维表面成像的准确性、可重复性和可靠性与核磁共振成像不相上下。这让我们离建立健全的仪器来规划乳房重建手术、获得更好的手术效果以及促进乳房手术质量保证的长期目标更近了一步。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.30
自引率
33.30%
发文量
170
期刊介绍: Clinical Hemorheology and Microcirculation, a peer-reviewed international scientific journal, serves as an aid to understanding the flow properties of blood and the relationship to normal and abnormal physiology. The rapidly expanding science of hemorheology concerns blood, its components and the blood vessels with which blood interacts. It includes perihemorheology, i.e., the rheology of fluid and structures in the perivascular and interstitial spaces as well as the lymphatic system. The clinical aspects include pathogenesis, symptomatology and diagnostic methods, and the fields of prophylaxis and therapy in all branches of medicine and surgery, pharmacology and drug research. The endeavour of the Editors-in-Chief and publishers of Clinical Hemorheology and Microcirculation is to bring together contributions from those working in various fields related to blood flow all over the world. The editors of Clinical Hemorheology and Microcirculation are from those countries in Europe, Asia, Australia and America where appreciable work in clinical hemorheology and microcirculation is being carried out. Each editor takes responsibility to decide on the acceptance of a manuscript. He is required to have the manuscript appraised by two referees and may be one of them himself. The executive editorial office, to which the manuscripts have been submitted, is responsible for rapid handling of the reviewing process. Clinical Hemorheology and Microcirculation accepts original papers, brief communications, mini-reports and letters to the Editors-in-Chief. Review articles, providing general views and new insights into related subjects, are regularly invited by the Editors-in-Chief. Proceedings of international and national conferences on clinical hemorheology (in original form or as abstracts) complete the range of editorial features.
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