Breast Decisions: Recommender System for Appearance Counseling about Breast Reconstruction
Background:. Appearance counseling is an important component of the consent process for breast reconstruction. The purpose of appearance counseling is to help the patient form realistic expectations of what she might look like after breast reconstruction. In this article, we introduce a recommender...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2022-11-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004615 |
| _version_ | 1811216706189656064 |
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| author | Krista M. Nicklaus, PhD Audrey Cheong, PhD Urmila Sampathkumar, MS Jun Liu, PhD Deepti Chopra, MBBS, MPH Aubri Hoffman, PhD Fatima A. Merchant, PhD Summer E. Hanson, MD, PhD Mia K. Markey, PhD Gregory P. Reece, MD |
| author_facet | Krista M. Nicklaus, PhD Audrey Cheong, PhD Urmila Sampathkumar, MS Jun Liu, PhD Deepti Chopra, MBBS, MPH Aubri Hoffman, PhD Fatima A. Merchant, PhD Summer E. Hanson, MD, PhD Mia K. Markey, PhD Gregory P. Reece, MD |
| author_sort | Krista M. Nicklaus, PhD |
| collection | DOAJ |
| description | Background:. Appearance counseling is an important component of the consent process for breast reconstruction. The purpose of appearance counseling is to help the patient form realistic expectations of what she might look like after breast reconstruction. In this article, we introduce a recommender system, “BreastDecisions,” for appearance counseling that suggests photographs of previous patients that are tailored to a specific patient to help her form realistic expectations of her own reconstruction.
Methods:. We present user specifications and algorithm parameters needed to incorporate the recommender system into the appearance counseling workflow. We demonstrate the system for a common counseling scenario using a knowledgebase of previous breast reconstruction patients. The medical appropriateness of the recommended photographs for use in appearance counseling was evaluated by experts using a four-point rating system.
Results:. The recommender system presents photographs that are medically appropriate for counseling a specific patient, depicts typical outcomes, and adapts to a variety of clinical workflows. For each of 33 patients taken as examples of breast reconstruction patients, we used the system to identify photographs for appearance counseling. The baseline average medical appropriateness of the recommended photographs was between mostly appropriate (some explanation needed) and medically appropriate (minimal explanation needed). We demonstrate filtering and ranking steps to reduce the number of recommended photographs and increase the average medical appropriateness.
Conclusions:. Our recommender system automatically suggests photographs of previous breast reconstruction patients for use in counseling a patient about appearance outcomes. The system is patient-specific and customizable to a particular surgeon’s practice. |
| first_indexed | 2024-04-12T06:43:16Z |
| format | Article |
| id | doaj.art-f56b85bee2fd44a8a109987c242fb60f |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-04-12T06:43:16Z |
| publishDate | 2022-11-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-f56b85bee2fd44a8a109987c242fb60f2022-12-22T03:43:39ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742022-11-011011e461510.1097/GOX.0000000000004615202211000-00010Breast Decisions: Recommender System for Appearance Counseling about Breast ReconstructionKrista M. Nicklaus, PhD0Audrey Cheong, PhD1Urmila Sampathkumar, MS2Jun Liu, PhD3Deepti Chopra, MBBS, MPH4Aubri Hoffman, PhD5Fatima A. Merchant, PhD6Summer E. Hanson, MD, PhD7Mia K. Markey, PhD8Gregory P. Reece, MD9From the * Department of Biomedical Engineering, The University of Texas at Austin, Austin, Tex.‡ Department of Electrical and Computer Engineering, University of Houston, Houston, Tex.§ Department of Computer Science, University of Houston, Houston, Tex.† Department of Plastic Surgery, The University of Texas MD Anderson Cancer Center, Houston, Tex.¶ Department of Psychiatry, The University of Texas MD Anderson Cancer Center, Houston, Tex.‖ The Value Institute for Health and Care, Dell Medical School, The University of Texas at Austin, Austin, Tex.From the * Department of Biomedical Engineering, The University of Texas at Austin, Austin, Tex.†† Section of Plastic and Reconstructive Surgery, University of Chicago Medicine and Biological Sciences, Chicago, Illi.From the * Department of Biomedical Engineering, The University of Texas at Austin, Austin, Tex.† Department of Plastic Surgery, The University of Texas MD Anderson Cancer Center, Houston, Tex.Background:. Appearance counseling is an important component of the consent process for breast reconstruction. The purpose of appearance counseling is to help the patient form realistic expectations of what she might look like after breast reconstruction. In this article, we introduce a recommender system, “BreastDecisions,” for appearance counseling that suggests photographs of previous patients that are tailored to a specific patient to help her form realistic expectations of her own reconstruction. Methods:. We present user specifications and algorithm parameters needed to incorporate the recommender system into the appearance counseling workflow. We demonstrate the system for a common counseling scenario using a knowledgebase of previous breast reconstruction patients. The medical appropriateness of the recommended photographs for use in appearance counseling was evaluated by experts using a four-point rating system. Results:. The recommender system presents photographs that are medically appropriate for counseling a specific patient, depicts typical outcomes, and adapts to a variety of clinical workflows. For each of 33 patients taken as examples of breast reconstruction patients, we used the system to identify photographs for appearance counseling. The baseline average medical appropriateness of the recommended photographs was between mostly appropriate (some explanation needed) and medically appropriate (minimal explanation needed). We demonstrate filtering and ranking steps to reduce the number of recommended photographs and increase the average medical appropriateness. Conclusions:. Our recommender system automatically suggests photographs of previous breast reconstruction patients for use in counseling a patient about appearance outcomes. The system is patient-specific and customizable to a particular surgeon’s practice.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004615 |
| spellingShingle | Krista M. Nicklaus, PhD Audrey Cheong, PhD Urmila Sampathkumar, MS Jun Liu, PhD Deepti Chopra, MBBS, MPH Aubri Hoffman, PhD Fatima A. Merchant, PhD Summer E. Hanson, MD, PhD Mia K. Markey, PhD Gregory P. Reece, MD Breast Decisions: Recommender System for Appearance Counseling about Breast Reconstruction Plastic and Reconstructive Surgery, Global Open |
| title | Breast Decisions: Recommender System for Appearance Counseling about Breast Reconstruction |
| title_full | Breast Decisions: Recommender System for Appearance Counseling about Breast Reconstruction |
| title_fullStr | Breast Decisions: Recommender System for Appearance Counseling about Breast Reconstruction |
| title_full_unstemmed | Breast Decisions: Recommender System for Appearance Counseling about Breast Reconstruction |
| title_short | Breast Decisions: Recommender System for Appearance Counseling about Breast Reconstruction |
| title_sort | breast decisions recommender system for appearance counseling about breast reconstruction |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004615 |
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