Accurate Assessment of Breast Volume

Yip, Jia Miin; Mouratova, Naila; Jeffery, Rebecca M.; Veitch, Daisy; Woodman, Richard; Dean, Nicola R.

doi:10.1097/sap.0b013e31820ebdd0

Cited by 85 publications

(40 citation statements)

References 30 publications

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“…Accurate volume assessment is a prerequisite in breast reconstruction and provides a guideline for implant size selection. Although breast volume assessment is undoubtedly important, it is not conducted routinely in some institutions because of the absence of a commonly accepted standard method [101213141516171819]. …”

Section: Discussionmentioning

confidence: 99%

“…Moreover, this estimation depends on the surgeon's experience, skill, and surgical ability in many cases. According to previous studies, preoperative estimation techniques include anthropometric volume estimation and volumetric analysis using ultrasonography, mammography, computed tomography, magnetic resonance imaging, and three-dimensional scanners [131819202122]. Although these exams may occur during the cancer staging workup, they require other specialized staff, including radiographers and radiologists [9].…”

Section: Discussionmentioning

confidence: 99%

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Patient Satisfaction with Implant Based Breast Reconstruction Associated with Implant Volume and Mastectomy Specimen Weight Ratio

et al. 2017

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PurposeBreast volume assessment is one of the most important steps during implant-based breast reconstruction because it is critical in selecting implant size. According to previous studies, there is a close relationship between the mastectomy specimen weight and resected breast volume. The aim of this study was to evaluate long-term patient satisfaction with implant-based breast reconstruction guided by the ratio of implant volume to mastectomy specimen weight. In doing so, we describe the ideal ratio for patient satisfaction.MethodsA total of 84 patients who underwent implant-based breast reconstruction for breast cancer were included in this study. The patients were grouped by the ratio of implant size to mastectomy specimen weight (group 1, <65%; group 2, 65%–75%; and group 3, >75%). Outcome analysis was performed using a questionnaire of patient satisfaction and the desired implant size.ResultsPatient satisfaction scores concerning the postoperative body image, size, and position of the reconstructed breast were significantly higher in group 2. The average ratio of the ideal implant volume to mastectomy specimen weight for each group was 71.9% (range, 54.5%–96.7%), with the differences across the three groups being not significant (p=0.244).ConclusionSince there is an increase in breast reconstruction, selecting the appropriate breast implant is undoubtedly important. Our novel technique using the ratio of implant volume to mastectomy specimen weight provides physicians a firm guide to intraoperative selection of the proper implant in reconstructive breast surgery.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Patient Satisfaction with Implant Based Breast Reconstruction Associated with Implant Volume and Mastectomy Specimen Weight Ratio

et al. 2017

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“…The use of 3D laser scanners for assessment of patients undergoing breast reconstruction has been validated in previous studies. 15,16 Yip et al 1 validated the 3D laser scanner that has been assisting our unit in the preoperative preparation phase, the postoperative evaluation of results, and longer term assessment of outcome. This case demonstrated a volume loss of approximately 25% in a 12-month period.…”

Section: Discussionmentioning

confidence: 99%

“…This was done using the protocol previously described in the validation study by Yip et al 1 Image capture was performed using Cyscan (Cyberware), image analysis was performed using Cyslice (Headus) (metamorphosis), and statistical analysis was performed using Stata version 11.0 (StataCorp, College Station, TX). The patient was scanned preoperatively and at 3, 6, and 12 months postoperatively.…”

Section: Methodsmentioning

confidence: 99%

Autologous Fat Grafting for Whole Breast Reconstruction

Howes¹,

Fosh²,

Watson³

et al. 2014

Plastic and Reconstructive Surgery Global Open

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Summary:This is the first reported case of a patient who had a single-stage large-volume breast reconstruction with autologous fat grafting, following rotation flap approach (RoFA) mastectomy. The purpose of this case study was to evaluate the viability of reconstruction of the breast by autologous fat grafting alone, in the context of RoFA mastectomy. The hypothesis was that there would be minimal interval loss of autologous fat on the whole breast reconstruction side. Right RoFA mastectomy was used for resection of an invasive primary breast cancer and resulted in the right breast skin envelope. Eleven months later, the patient underwent grafting of 400 ml of autologous fat into the skin envelope and underlying pectoralis major muscle. Outcome was assessed by using a validated 3D laser scan technique for quantitative breast volume measurement. Other outcome measures included the BREAST-Q questionnaire and 2D clinical photography. At 12-month follow-up, the patient was observed to have maintenance of volume of the reconstructed breast. Her BREAST-Q scores were markedly improved compared with before fat grafting, and there was observable improvement in shape, contour, and symmetry on 2D clinical photography. The 2 new techniques, RoFA mastectomy and large-volume single-stage autologous fat grafting, were used in combination to achieve a satisfactory postmastectomy breast reconstruction. Novel tools for measurement of outcome were the 3D whole-body laser scanner and BREAST-Q questionnaire. This case demonstrates the potential for the use of fat grafting for reconstruction. Outcomes in a larger patient populations are needed to confirm these findings.

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“…Traditionally, anthropometry -volume estimation with basic measurements of breast dimensions- has been the standard. In the more recent past, volumetric analysis with ultrasonography, mammography, computed tomography, magnetic resonance imaging (MRI), and 3-dimensional (3D) scanners has been on the rise [6,7]. The preoperative imaging data, obtained as part of the cancer staging workup like mammography, computed tomography (CT), or MRI, is available to reconstructive surgeons for delayed reconstruction.…”

Section: Introductionmentioning

confidence: 99%

Magnetic Resonance Imaging-Based Volumetric Analysis and Its Relationship to Actual Breast Weight

2013

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BackgroundPreoperative volume assessment is useful in breast reconstruction. Magnetic resonance imaging (MRI) and mammography are commonly available to reconstructive surgeons in the care of a patient with breast cancer. This study aimed to verify the accuracy of breast volume measured by MRI, and to identify any factor affecting the relationship between measured breast volume and actual breast weight to derive a new model for accurate breast volume estimation.MethodsFrom January 2012 to January 2013, a retrospective review was performed on a total of 101 breasts from 99 patients who had undergone total mastectomy. The mastectomy specimen weight was obtained for each breast. Mammographic and MRI data were used to estimate the volume and density. A standard statistical analysis was performed.ResultsThe mean mastectomy specimen weight was 340.8 g (range, 95 to 795 g). The mean MRI-estimated volume was 322.2 mL3. When divided into three groups by the "difference percentage value", the underestimated group showed a significantly higher fibroglandular volume, higher percent density, and included significantly more Breast Imaging, Reporting and Data System mammographic density grade 4 breasts than the other groups. We derived a new model considering both fibroglandular tissue volume and fat tissue volume for accurate breast volume estimation.ConclusionsMRI-based breast volume assessment showed a significant correlation with actual breast weight; however, in the case of dense breasts, the reconstructive surgeon should note that the mastectomy specimen weight tends to overestimate the volume. We suggested a new model for accurate breast volume assessment considering fibroglandular and fat tissue volume.

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Accurate Assessment of Breast Volume

Cited by 85 publications

References 30 publications

Patient Satisfaction with Implant Based Breast Reconstruction Associated with Implant Volume and Mastectomy Specimen Weight Ratio

Patient Satisfaction with Implant Based Breast Reconstruction Associated with Implant Volume and Mastectomy Specimen Weight Ratio

Autologous Fat Grafting for Whole Breast Reconstruction

Magnetic Resonance Imaging-Based Volumetric Analysis and Its Relationship to Actual Breast Weight

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