Development and Implementation of a Web-Enabled 3D Consultation Tool for Breast Augmentation Surgery Based on 3D-Image Reconstruction of 2D Pictures

Ciechomski, Pablo de Heras; Constantinescu, Mihai; Garcia, Jaime; Olariu, Radu; Dindoyal, I.; Huu, Serge Le; Reyes, Mauricio

doi:10.2196/jmir.1903

Cited by 37 publications

(25 citation statements)

References 25 publications

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“…Nevertheless, a considerable demand for clinical reliable, objective computer-assisted devices which allows pre-operative prediction of the aspired surgical result taking the the biomechanical soft-tissue behaviour into account still remains [30], [31], [32], [33].…”

Section: Discussionmentioning

confidence: 99%

“…The 3D breast augmentation surgery simulation tool is based on physical soft tissue properties and implant dimensions, and the prosthesis chest wall position is taken into consideration. Simulations are planned on individual, non-invasive 3D patient data, taking a non-deformed breast surface as a starting point overcoming 2D photo reconstructions and invasive tomography imaging [32], [33]. In addition, not only the post-operative volume change can be predicted with the presented method, also the breast contour changes after surgery will be visualized.…”

Section: Discussionmentioning

confidence: 99%

“…The commercially available 3D imaging systems and software solutions like Precision Light, Inc. (Los Gatos, California, USA), 3dMD (Atlanta, Georgia, USA), Axis Three (Boston, Massachusetts, USA) and Canfield Scientific, Inc. (Fairfield, New Jersey, USA) do not take the biomechanical soft-tissue behavior into account, suffer from a lack of sufficient clinical validation and are therefore currently limited for breast augmentation simulation [29]. Computational modeling of soft tissue mechanics solely based on 3D surface scans showed promising results, but a specific description of the used 3D breast model and the applied numerical algorithms to simulate breast implant and soft-tissue interactions for augmentation mammaplasty are still required [30], [31], [32]. Recent work presents implant simulation using Finite Element (FE) models based on CT images, which, however, limits the application due to the required radiation exposure and computation time [33].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

A Computational Tool for Preoperative Breast Augmentation Planning in Aesthetic Plastic Surgery

Georgii

Eder

Burger

et al. 2014

IEEE J. Biomed. Health Inform.

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Abstract-Breast augmentation was the most commonly performed cosmetic surgery procedure in 2011 in the United States. Although aesthetically pleasing surgical results can only be achieved if the correct breast implant is selected from a large variety of different prosthesis sizes and shapes available on the market, surgeons still rely on visual assessment and other subjective approaches for operative planning because of lacking objective evaluation tools.In this paper we present the development of a software prototype for augmentation mammaplasty simulation solely based on 3D surface scans, from which patient-specific finite element models are generated in a semi-automatic process. The finite element model is used to pre-operatively simulate the expected breast shapes using physical soft tissue mechanics. Our approach uses a novel mechanism based on so-called displacement templates, which, for a specific implant shape and position, describe the respective internal body forces. Due to a highly efficient numerical solver we can provide immediate visual feedback of the simulation results, and thus the software prototype can be integrated smoothly into the medical workflow. The clinical value of the developed 3D computational tool for aesthetic breast augmentation surgery planning is demonstrated in patientspecific use cases.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

A Computational Tool for Preoperative Breast Augmentation Planning in Aesthetic Plastic Surgery

Georgii

Eder

Burger

et al. 2014

IEEE J. Biomed. Health Inform.

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“…A web-based tool for patient-specific consultation in the clinical scenario of breast augmentation was proposed by de Heras Ciechomski et al [18]. This example shows that the current state of development allows for the creation of responsive and effective Web-based 3D medical tools, even with highly complex and time-consuming computation, by off-loading them to a dedicated high-performance data center.…”

Section: Web-based Applications Examplesmentioning

confidence: 99%

On the Use of XML in Medical Imaging Web-Based Applications

Mata

Oliver

Lalande

et al. 2017

IRBM

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The rapid growth of digital technology in medical fields over recent years has increased the need for applications able to manage patient medical records, imaging data, and chart information. Web-based applications are implemented with the purpose to link digital databases, storage and transmission protocols, management of large volumes of data and security concepts, allowing the possibility to read, analyze, and even diagnose remotely from the medical center where the information was acquired. The objective of this paper is to analyze the use of the XML protocol in web-based medical imaging applications, analyzing how this protocol allows indexing and exchanging the huge amount of information associated with each medical case. The purpose of this paper is to point out the main advantages and drawbacks of the XML technology in order to provide key ideas for future web-based applications. As already explained by the email of Dr. Alain Lalande, in this paper we review the advances that the XML exchanging information protocol has provided to web-based applications applied to the medical imaging field.As suggested, we've checked the associated editors list and we think that either Alfredo Hernandez or Frederique Frouin could manage the current submission.All authors have checked the manuscript and have agreed to the submission. We have no conflict of interest. We think the research topic the paper is dealing with perfectly fits the scope of the journal. Acknowledgements:This work was partially funded by the Spanish R+D+I grant n. TIN2012-37171-C02-01. C. Mata holds a Mediterranean Office for Youth mobility grant. Finally, the Regional Council of Burgundy under the PARI 1 scheme sponsored this work. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 On the use of XML in medical imaging web-based applications Title/Authors/Affiliations AbstractThe rapid growth of digital technology in medical fields over recent years has increased the need for applications able to manage patient medical records, imaging data, and chart information. Web-based applications are implemented with the purpose to link digital databases, storage and transmission protocols, management of large volumes of data and security concepts, allowing the possibility to read, analyze, and even diagnose remotely from the medical center where the information was acquired. The objective of this paper is to analyze the use of the XML protocol in webbased medical imaging applications, analyzing how this protocol allows indexing and exchanging the huge amount of information associated with each medical case. The purpose of this paper is to point out the main advantages and drawbacks of the XML technology in order to provide key ideas for future web-based applications.

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“…Rapid advances have been made in robotic surgery and simulation modelling for clinical case planning and outcome prediction with many applications in education and training (Figure 77.13). [82][83][84][85][86][87] The technology of simulation models is evolving further towards the creation of an interactive computerized patient mannequins simulator that recreates a complete experience of surgery in a threat-free, patient-safe digital environment with reports confirming significant improvement in surgical knowledge (Figure 77.14). 83,88 With technological advances in robotic-assisted surgery, numerous applications have been described in plastic surgery.…”

Section: Live Animalsmentioning

confidence: 99%