Automated Breast Volume Assessment Derived From Digital Breast Tomosynthesis Images Compared to Mastectomy Specimen Weight and Its Applications in Cosmetic Optimisation

Munir, Asma; Huws, Anita; Khawaja, Saira; Khan, Sohail Q.; Holt, Simon; Sharaiha, Yousef

doi:10.7759/cureus.19642

Cited by 1 publication

(1 citation statement)

References 28 publications

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“…The accurate and reliable assessment of breast volume is essential for achieving satisfactory surgical outcomes [4]. Various methods have been developed to measure breast volume, including mammography, magnetic resonance imaging (MRI), and 3D volumetric analysis [5][6][7].…”

Section: Introductionmentioning

confidence: 99%

How Reliable Is Breast Volume Assessment When the Patient Is Lying Flat?—Volumetric Assessment of Breast Volume Using a Vectra H2 Handheld Device in Different Positions

Macek,

Leitsch,

Koban

et al. 2024

JCM

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(1) Background: Three-dimensional (3D) volumetric assessment is receiving increased recognition in breast surgery. It is commonly used for preoperative planning and postoperative control with the patient standing in an upright position. Recently, intraoperative use was evaluated with patients in the supine position. The aim of this prospective study was to evaluate the volumetric changes in 3D surface imaging depending on the patient’s position. (2) Methods: 3D volumetric analysis was performed using a Vectra-H2 device with patients in standing, sitting, and supine positions. A total of 100 complete datasets of female breasts were included in the study. The measured volumes of each evaluated breast (n = 200) were compared between the three positions. (3) Results: The mean difference between the 3D volumetric assessments of the sitting and standing positions per breast was 7.15 cc and, thus, statistically insignificant (p = 0.28). However, the difference between supine and standing positions, at 120.31 cc, was significant (p < 0.01). (4) Conclusions: The 3D volumetric assessment of breasts in the supine position did not statistically correlate with the validated assessment of breast volume in the standing position while breast volume in the sitting position is reliable and correlates with the assessment of a standing patient. We conclude that intraoperative volumetric assessment should be performed with patients in an upright sitting position.

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