Objective breast symmetry evaluation using 3-D surface imaging

被引:49
作者
Eder, Maximilian [1 ]
v. Waldenfels, Fee [1 ]
Swobodnik, Alexandra [1 ]
Kloeppel, Markus [3 ]
Pape, Ann-Kathrin [1 ]
Schuster, Tibor [2 ]
Raith, Stefan [1 ]
Kitzler, Elena [1 ]
Papadopulos, Nikolaos A. [1 ]
Machens, Hans-Guenther [1 ]
Kovacs, Laszlo [1 ]
机构
[1] Tech Univ Munich, Klinikum Rechts Isar, Dept Plast Surg & Hand Surg, D-81675 Munich, Germany
[2] Tech Univ Munich, Klinikum Rechts Isar, Inst Med Stat & Epidemiol, D-81675 Munich, Germany
[3] Clin Esthet Surg MediCtr Munchen Solln, D-81479 Munich, Germany
关键词
Asymmetry; Breast surgery; Outcome research; Surface imaging; 3-D; AESTHETIC EVALUATION; VOLUME ASSESSMENT; VALUABLE ADJUNCT; SHAPE;
D O I
10.1016/j.breast.2011.07.016
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
This study develops an objective breast symmetry evaluation using 3-D surface imaging (Konica-Minolta V910 (R) scanner) by superimposing the mirrored left breast over the right and objectively determining the mean 3-D contour difference between the 2 breast surfaces. 3 observers analyzed the evaluation protocol precision using 2 dummy models (n = 60), 10 test subjects (n = 300), clinically tested it on 30 patients (n = 900) and compared it to established 2-D measurements on 23 breast reconstructive patients using the BCCT.core software (n = 690). Mean 3-D evaluation precision, expressed as the coefficient of variation (VC), was 3.54 +/- 0.18 for all human subjects without significant intra- and inter-observer differences (p > 0.05). The 3-D breast symmetry evaluation is observer independent, significantly more precise (p < 0.001) than the BCCT.core software (VC = 6.92 +/- 0.88) and may play a part in an objective surgical outcome analysis after incorporation into clinical practice. (C) 2011 Elsevier Ltd. All rights reserved.
引用
收藏
页码:152 / 158
页数:7
相关论文
共 45 条
[1]  
BOUMAN F G, 1970, British Journal of Plastic Surgery, V23, P263, DOI 10.1016/S0007-1226(70)80053-4
[2]   Breast volume assessment: comparing five different techniques [J].
Bulstrode, N ;
Bellamy, E ;
Shrotria, S .
BREAST, 2001, 10 (02) :117-123
[3]   MEASUREMENT OF BREAST VOLUME IN FEMALES - DESCRIPTION OF A RELIABLE METHOD [J].
CAMPAIGNE, BN ;
KATCH, VL ;
FREEDSON, P ;
SADY, S ;
KATCH, FI .
ANNALS OF HUMAN BIOLOGY, 1979, 6 (04) :363-367
[4]   Turning subjective into objective:: The BCCT.core software for evaluation of cosmetic results in breast cancer conservative treatment [J].
Cardoso, Maria Joao ;
Cardoso, Jaime ;
Amaral, Natalia ;
Azevedo, Isabel ;
Barreau, Lise ;
Bernardo, Mario ;
Christie, David ;
Costa, Susy ;
Fitzal, Florian ;
Fougo, Jose L. ;
Johansen, Jorgen ;
Macmillan, Douglas ;
Mano, Maria Piera ;
Regolo, Lea ;
Rosa, Jose ;
Teixeira, Luis ;
Vrieling, Conny .
BREAST, 2007, 16 (05) :456-461
[5]   Comparing two objective methods for the aesthetic evaluation of breast cancer conservative treatment [J].
Cardoso, Maria Joao ;
Cardoso, Jaime S. ;
Wild, Thomas ;
Krois, Wilfried ;
Fitzal, Florian .
BREAST CANCER RESEARCH AND TREATMENT, 2009, 116 (01) :149-152
[6]   Towards an intelligent medical system for the aesthetic evaluation of breast cancer conservative treatment [J].
Cardso, Jaime S. ;
Cardos, Maria J. .
ARTIFICIAL INTELLIGENCE IN MEDICINE, 2007, 40 (02) :115-126
[7]   Experimental methodology for digital breast shape analysis and objective surgical outcome evaluation [J].
Catanuto, G. ;
Spano, A. ;
Pennati, A. ;
Riggio, E. ;
Farinella, G. M. ;
Impoco, G. ;
Spoto, S. ;
Gallo, G. ;
Nava, M. B. .
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY, 2008, 61 (03) :314-318
[8]  
Chavoin J P, 2005, Ann Chir Plast Esthet, V50, P487, DOI 10.1016/j.anplas.2005.08.020
[9]  
Eder M, 2011, J PLAST RECONST 0506
[10]  
Eder M, 2008, PLAST RECONSTR SURG, V121, P71