Volumetric measurement of the human breast and breast tissue before and during mammaplasty

Bouman, F. G.

doi:10.1016/s0007-1226(70)80053-4

Cited by 71 publications

(27 citation statements)

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“…[28][29][30][31][32][33][34] Most surgeons rely on their own techniques of assessment for identifying preoperative asymmetries, and it has become clear that selecting appropriate implants can be challenging. 35,36 Preoperative planning worksheets with questions and measurements can become complicated; they also have their limitations. 37,38 In fact, so many approaches to measuring volume in the female breast have been described that a review of the literature might lead one to categorize it as a medical obsession for the last half century.…”

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confidence: 99%

“…37,38 In fact, so many approaches to measuring volume in the female breast have been described that a review of the literature might lead one to categorize it as a medical obsession for the last half century. [35][36][37][38][39][40][41][42][43][44][45][46][47][48] Several authors have recently examined the validity of three-dimensional (3D) imaging in measuring breast volume compared to more classical methods as controls. 49,50 While others have relied on internal controls, 51 magnetic resonance imaging (MRI) has emerged as the accepted standard for noncontact volume measurement 41,48,50 against which 3D imaging systems are judged.…”

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confidence: 99%

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Four-Dimensional Breast Imaging, Part I: Introduction of a Technology-Driven, Evidence-Based Approach to Breast Augmentation Planning

Creasman¹,

Mordaunt²,

Liolios³

et al. 2011

Aesthetic Surgery Journal

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Although there are many three-dimensional imaging systems currently available on the market, all of them require a high degree of interaction on the part of the user, making them clinically impractical. Moreover, though claims have been made regarding the validity of these systems for imaging the breast form, there have been no previous reports validating any commercially-available implant simulation models in the plastic surgery literature. In this article, the authors describe the development and evaluate the efficacy of a novel four-dimensional (automated three-dimensional) breast imaging system, validating it as an evidence-based simulation tool for patient consultation, surgical planning, and outcomes analysis in cosmetic breast augmentation. This report, based on a series of longitudinal correlation studies with several patient cohorts, found a highly statistically significant degree of correlation and reliability between the automated measurements obtained with the four-dimensional system and manual measurements.

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Four-Dimensional Breast Imaging, Part I: Introduction of a Technology-Driven, Evidence-Based Approach to Breast Augmentation Planning

Creasman¹,

Mordaunt²,

Liolios³

et al. 2011

Aesthetic Surgery Journal

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“…Although correct breast implant selection defines the aesthetically pleasing surgical result and a large variety of different prosthesis sizes and shapes are available on the market, surgeons still rely on visual assessment and other subjective approaches for operative planning because of lacking objective evaluation tools [3], [4]. Classical methods for breast augmentation planning and implant selection as ordinary 2D digital photography [5], anthropomorphic evaluations [6], water displacement [7], plaster casting [8], radiological assessments [9], [10], [11] volume measurement devices [12], [13] and the commonly performed method of placing varying implant sizes in the patients bras to select the proper prosthesis [14] are subjective, observer dependant, unreliable, cumbersome, time consuming, cost intensive and and mostly of limited help for the surgeon [4], [15], [16], [17], [18].…”

Section: Introductionmentioning

confidence: 99%

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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“…When performing aesthetic or reconstructive breast surgery, the plastic surgeon relies mostly on his/her aesthetic opinions and artistic skills as well as his/her experience [7]. Various methods to measure breast volume have been reported: Archimedian methods based on the water displacement principle [8][9][10], 3D thermoplastic casting [11][12][13], direct (from body surface) [14][15][16][17][18] or indirect (from 2D imaging such as photographs, mammograms or ultrasounds) [19][20][21] anthropometric measures, modern radiologic procedures (CT and MRI) and 3D body surface reconstruction obtained from biplanar images such as stereo photography, laser or phase shifted interferometry 3D surface scanning [22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40][41]. To date, MRI measurements show the highest level of precision and are considered the gold standard for breast volume measurement [32,[42][43][44].…”

Section: Introductionmentioning

confidence: 99%

Is Breast Asymmetry Present in Girls with Adolescent Idiopathic Scoliosis?

et al. 2014

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Cet article a été l'objet d'une présentation orale à la 19è conférence internationale IMAST le 11 juillet 2013 à Vancouver, CB, Canada.Le manuscrit de l'article a également été soumis à la revue scientifique de la SRS, Spine Deformity en décembre 2013. La version soumise, conforme aux normes de présentation de cette revue, est présentée aux pages suivantes. 104 ABSTRACT Study design: Cross-Sectional Descriptive StudyObjectives: To characterize breast asymmetry (BA), as defined by breast volume difference, in girls with significant Adolescent Idiopathic Scoliosis (AIS), using MRI. Summary and background:BA is a frequent concern among girls with AIS. It is commonly believed that this results from chest wall deformity. While many women exhibit physiological BA, the prevalence is not known in adolescents and it remains unclear if it is more frequent in AIS. Breasts vary in shape and size and many attempts at measuring them have been explored.MRI shows the highest precision at defining breast tissue.Methods: 30 patients were enrolled on the basis of their thoracic curvature, skeletal and breast maturity, without regard to their perception on their BA. MRI acquisitions were performed in prone with a 1.5 Tesla system using a 16-channel breast coil. Segmentation was achieved using the ITK-SNAP 2.4.0 software and subsequently manually refined. Results:The mean left breast volume (528.32 cc ± 205.96) was greater compared to the mean right breast volume (495.18 cc ± 170.16) with a significant difference between them. The mean BA was found to be 8.32% ± 6.43 (p< .0001). A weak positive correlation was observed between BA and thoracic Cobb angle (0.177 p=0.349) as well as thoracic gibbosity angle (0.289, p=0.122). The left breast was consistently larger in 65.5% of the patients. 20 patients (66.7%) displayed BA ≥ 5%. Conclusions:We have described BA in patients with significant AIS using MRI. This method is feasible, objective and very precise. The majority of patients had a larger left breast, which could compound the apparent BA secondary to trunk rotation. In many cases, BA is present independently of thoracic deformity. This knowledge will assist in counselling AIS patients in regards to their concerns with BA.

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Volumetric measurement of the human breast and breast tissue before and during mammaplasty

Cited by 71 publications

References 1 publication

Four-Dimensional Breast Imaging, Part I: Introduction of a Technology-Driven, Evidence-Based Approach to Breast Augmentation Planning

Four-Dimensional Breast Imaging, Part I: Introduction of a Technology-Driven, Evidence-Based Approach to Breast Augmentation Planning

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

Is Breast Asymmetry Present in Girls with Adolescent Idiopathic Scoliosis?

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