A Prospective Investigation of Predictive Parameters for Preoperative Volume Assessment in Breast Reconstruction
Preoperative breast volume estimation is very important for the success of the breast surgery. In this study four different breast volume determination methods were compared. The end-point of this prospective study was to evaluate the concordance between different modalities of breast volume assessm...
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| Format: | Article |
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MDPI AG
2021-11-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/10/22/5216 |
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| author | Nicola Zingaretti Giovanni Miotti Carlo Alberto Maronese Miriam Isola Gianni Franco Guarneri Roberta Albanese Francesco De Francesco Michele Riccio Lorenzo Cereser Chiara Zuiani Pier Camillo Parodi |
| author_facet | Nicola Zingaretti Giovanni Miotti Carlo Alberto Maronese Miriam Isola Gianni Franco Guarneri Roberta Albanese Francesco De Francesco Michele Riccio Lorenzo Cereser Chiara Zuiani Pier Camillo Parodi |
| author_sort | Nicola Zingaretti |
| collection | DOAJ |
| description | Preoperative breast volume estimation is very important for the success of the breast surgery. In this study four different breast volume determination methods were compared. The end-point of this prospective study was to evaluate the concordance between different modalities of breast volume assessment (MRI, BREAST-V, mastectomy specimen weight, conversion from weight to volume of mastectomy specimen) and the breast prosthetic volume implanted. The study enrolled 64 patients between 2017 and 2019, who had all been treated by the same surgeons for monolateral nipple–areola complex-sparing mastectomy and implant breast reconstruction. Only patients who had a breast reconstruction classified as “excellent” from an objective (BCCT.core software) and subjective (questionnaire) point of view at the 6-month interval after the operation were included in the study. Data analysis highlighted a strong correlation between the volumes of the chosen prostheses and the weights of mastectomy converted into volume, especially for patients with grades B and C parenchymal density. The values of the agreement between the volumes of the chosen prostheses and the assessments from MRI and BREAST -V proved to be lower than expected from the literature. None of the four studied methods presented any strong correlation with the initial breast width. Our results suggest that conversion from weight to volume of mastectomy specimen should be used to assist in determining the volume of the breast implant to be implanted. This method would help the reconstructive surgeon guide the choice of the most appropriate implant preoperatively. |
| first_indexed | 2024-03-10T05:24:42Z |
| format | Article |
| id | doaj.art-6ea379ec4c17487d9f8919575ebb11e0 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T05:24:42Z |
| publishDate | 2021-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-6ea379ec4c17487d9f8919575ebb11e02023-11-22T23:48:07ZengMDPI AGJournal of Clinical Medicine2077-03832021-11-011022521610.3390/jcm10225216A Prospective Investigation of Predictive Parameters for Preoperative Volume Assessment in Breast ReconstructionNicola Zingaretti0Giovanni Miotti1Carlo Alberto Maronese2Miriam Isola3Gianni Franco Guarneri4Roberta Albanese5Francesco De Francesco6Michele Riccio7Lorenzo Cereser8Chiara Zuiani9Pier Camillo Parodi10Clinic of Plastic and Reconstructive Surgery, Academic Hospital of Udine, Department of Medical Area (DAME), University of Udine, 33100 Udine, ItalyClinic of Plastic and Reconstructive Surgery, Academic Hospital of Udine, Department of Medical Area (DAME), University of Udine, 33100 Udine, ItalyUOC Dermatologia, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, 20162 Milano, ItalyDivision of Medical Statistic, Department of Medicine, University of Udine, 33100 Udine, ItalyClinic of Plastic and Reconstructive Surgery, Academic Hospital of Udine, Department of Medical Area (DAME), University of Udine, 33100 Udine, ItalyClinic of Plastic and Reconstructive Surgery, Academic Hospital of Udine, Department of Medical Area (DAME), University of Udine, 33100 Udine, ItalyAccademia del Lipofilling, Research and Training Center in Regenerative Surgery, 61025 Montelabbate, ItalyAccademia del Lipofilling, Research and Training Center in Regenerative Surgery, 61025 Montelabbate, ItalyInstitute of Radiology, Department of Medicine, Academic Hospital of Udine, University of Udine, 33100 Udine, ItalyInstitute of Radiology, Department of Medicine, Academic Hospital of Udine, University of Udine, 33100 Udine, ItalyClinic of Plastic and Reconstructive Surgery, Academic Hospital of Udine, Department of Medical Area (DAME), University of Udine, 33100 Udine, ItalyPreoperative breast volume estimation is very important for the success of the breast surgery. In this study four different breast volume determination methods were compared. The end-point of this prospective study was to evaluate the concordance between different modalities of breast volume assessment (MRI, BREAST-V, mastectomy specimen weight, conversion from weight to volume of mastectomy specimen) and the breast prosthetic volume implanted. The study enrolled 64 patients between 2017 and 2019, who had all been treated by the same surgeons for monolateral nipple–areola complex-sparing mastectomy and implant breast reconstruction. Only patients who had a breast reconstruction classified as “excellent” from an objective (BCCT.core software) and subjective (questionnaire) point of view at the 6-month interval after the operation were included in the study. Data analysis highlighted a strong correlation between the volumes of the chosen prostheses and the weights of mastectomy converted into volume, especially for patients with grades B and C parenchymal density. The values of the agreement between the volumes of the chosen prostheses and the assessments from MRI and BREAST -V proved to be lower than expected from the literature. None of the four studied methods presented any strong correlation with the initial breast width. Our results suggest that conversion from weight to volume of mastectomy specimen should be used to assist in determining the volume of the breast implant to be implanted. This method would help the reconstructive surgeon guide the choice of the most appropriate implant preoperatively.https://www.mdpi.com/2077-0383/10/22/5216breast implant reconstructionbreast implant sizevolume estimationbreast-Vconversion from weight to volume of mastectomy specimenbreast imaging |
| spellingShingle | Nicola Zingaretti Giovanni Miotti Carlo Alberto Maronese Miriam Isola Gianni Franco Guarneri Roberta Albanese Francesco De Francesco Michele Riccio Lorenzo Cereser Chiara Zuiani Pier Camillo Parodi A Prospective Investigation of Predictive Parameters for Preoperative Volume Assessment in Breast Reconstruction Journal of Clinical Medicine breast implant reconstruction breast implant size volume estimation breast-V conversion from weight to volume of mastectomy specimen breast imaging |
| title | A Prospective Investigation of Predictive Parameters for Preoperative Volume Assessment in Breast Reconstruction |
| title_full | A Prospective Investigation of Predictive Parameters for Preoperative Volume Assessment in Breast Reconstruction |
| title_fullStr | A Prospective Investigation of Predictive Parameters for Preoperative Volume Assessment in Breast Reconstruction |
| title_full_unstemmed | A Prospective Investigation of Predictive Parameters for Preoperative Volume Assessment in Breast Reconstruction |
| title_short | A Prospective Investigation of Predictive Parameters for Preoperative Volume Assessment in Breast Reconstruction |
| title_sort | prospective investigation of predictive parameters for preoperative volume assessment in breast reconstruction |
| topic | breast implant reconstruction breast implant size volume estimation breast-V conversion from weight to volume of mastectomy specimen breast imaging |
| url | https://www.mdpi.com/2077-0383/10/22/5216 |
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