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Volumetric Mammogram Assessment: A Helpful Tool in the Treatment of Breast Asymmetries

  • Original Article
  • Breast Surgery
  • Published:
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Abstract

The surgical approach to breast asymmetry depends on several factors, including the surgeon’s experience, the anatomy of the patient, and several methods that may help to choose a technique and define the size of the implant or the amount of breast tissue to be excised. The aim of this study is to assist in evaluation of breast volumes with the Quantra™ software application, intended for use with Hologic™ digital mammography systems. Twenty-eight women were studied with full-field digital mammography (FFDM) with the Quantra™ software application, for use with Hologic™ digital mammography systems preoperatively. The case diagnoses were as follows: breast hypertrophy, ptosis, hypoplasia, and reconstruction, and the surgeries included breast reduction, mastopexy, mastopexy and breast reduction, mastoplasty and breast augmentation, breast augmentation, and immediate or delayed breast reconstruction. Patients were evaluated from 6 to 18 months after surgery. Volumetric mammogram studies help to decide the amount of tissue to be excised, the size of the implants, and the combination of both. The results of this study were evaluated by surgeons and patients and found to be highly satisfactory. The use of full-field digital mammography with adequate software should be considered as another tool to assist in making decisions regarding the correction of breast asymmetries.

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References

  1. Galdino GM, Nahabedian M, Chiaramonte M, Geng JZ, Klatsky S, Mansonn P (2002) Clinical applications of three-dimensional photography in breast surgery. Plast Reconstr Surg 110:58–70

    Article  PubMed  Google Scholar 

  2. BodyLogic® (2016) System user guide, Mentor

  3. MENTOR® (2015) Breast implant selection tool for Iphone/Ipad, by Mentor Worldwide LLC

  4. MENTOR® (2015) Breast implant selection tool for android, by Mentor Worldwide LLC

  5. Tebbetts JB, Adams WP Jr (2006) Five critical decisions in breast augmentation using five measurements in 5 minutes: The high five decision support process. Plast Reconstr Surg 118(7S):35S

    Article  CAS  PubMed  Google Scholar 

  6. Edstrom LE, Robson MC, Wright JK (1977) A method for the evaluation of minor degrees of breast asymmetry. Plast Reconstr Surg 60:812–814

    Article  CAS  PubMed  Google Scholar 

  7. Gorney M, Harries T (1974) The preoperative and postoperative consideration of natural facial asymmetry. Plast Reconstr Surg 54:187–191

    Article  CAS  PubMed  Google Scholar 

  8. Chang JB, Small KH, Choi M, Karp NS (2015) Three-dime plastic surgery: practical applications and beyond. Plast Reconstr Surg 135:1295–1304

    Article  CAS  PubMed  Google Scholar 

  9. Tzou CH, Artner NM, Pona I et al (2014) Comparison of three-dimensional surface-imaging systems. J Plast Reconstr Aesthet Surg 67:489–497

    Article  PubMed  Google Scholar 

  10. Kin H, Mun G-H, Wiraatmadja ES et al (2015) Preoperative magnetic resonance imaging-based volumetry for immediate breast reconstruction. Aesth Plast Surg 39:369–376

    Article  Google Scholar 

  11. Hologic Company (2010) R2 Cenova 1.3. DICOM conformance statement. Digital Mammography, pp 40 (private code definition)

  12. Pawluczyk O, Augustine BJ, Yaffe MJ et al (2003) A volumetric method for estimation of breast density on digitized screen-film mammograms. Med Phys 30:352–364

    Article  PubMed  Google Scholar 

  13. Lokate M, Kallenberg MGJ, Karssemeijer N et al (2010) Volumetric breast density from full-field digital mammograms and its association with breast cancer risk factors: a comparison with a threshold method. Cancer Epidemiol Biomark Prev 19:3096

    Article  CAS  Google Scholar 

  14. Rohrich RJ, Hartley W, Brown S (2006) Incidence of breast and chest wall asymmetry in breast augmentation: a retrospective analysis of 100 patients. Plast Reconstr Surg 118(7S):7S

    CAS  PubMed  Google Scholar 

  15. Zimman OA (2013) Volumetric mammogram assessment. A helpful tool in the treatment of breast asymmetries. In: Presented at the 17th IPRAS world congress, Santiago, Chile

  16. Jurado J (1976) Plásticas mamárias de redução baseadas em retalho dérmico vertical monopediculado. Anais XII Congresso Brasileiro de Cirurgia Plástica, pp 29

  17. Adams WP Jr, McKee D (2016) Matching the implant to the breast: a systematic review of implant size selection systems for breast augmentation. Plast Reconstr Surg 138:987–994

    Article  CAS  PubMed  Google Scholar 

  18. Tepper OM, Small KH, Unger JG et al (2009) 3D analysis of breast augmentation defines operative changes and their relationship to implant dimensions. Ann Plast Surg 62:570–575

    Article  CAS  PubMed  Google Scholar 

  19. Liu C, Luan J, Mu L, Ji K (2010) The role of three-dimensional scanning technique in evaluation of breast asymmetry in breast augmentation: a 100-case study. Plast Reconstr Surg 126:2125–2132

    Article  CAS  PubMed  Google Scholar 

  20. Tepper OM, Small K, Rudolph L, Choi M, Karp N (2006) Virtual 3-dimensional modeling as a valuable adjunct to aesthetic and reconstructive breast surgery. Am J Surg 192:548–551

    Article  PubMed  Google Scholar 

  21. Choi M, Small K, Levovitz C, Lee C, Fadl A, Karp NS (2013) The volumetric analysis of fat graft survival in breast reconstruction. Plast Reconstr Surg 131:185–191

    Article  CAS  PubMed  Google Scholar 

  22. Donfrancesco A, Montemurro P, Hedén P (2013) Three-dimensional simulated images in breast augmentation surgery: an investigation of patients’ satisfaction and the correlation between prediction and actual outcome. Plast Reconstr Surg 132:810–822

    Article  CAS  PubMed  Google Scholar 

  23. Pallara T, Signoretti M, Cagli B, Cogliandro A, Marangi GF, Persichetti P (2013) The volumetric analysis of fat graft survival in breast reconstruction. Plast Reconstr Surg 132:668e–669e

    Article  CAS  PubMed  Google Scholar 

  24. Baskin B (2015) Invited commentary for “Preoperative magnetic resonance imaging-based volumetry for immediate breast reconstruction”. Aesth Plast Surg 39:377–378

    Article  Google Scholar 

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Authors and Affiliations

  1. Centro Zimman de Cirugía Plástica and Division of Plastic Surgery, Hospital de Clínicas, University of Buenos Aires, Juncal 2437, 1A, (1425), Buenos Aires, Argentina

    Oscar A. Zimman

  2. Division of Plastic Surgery, Hospital de Clínicas, University of Buenos Aires, Buenos Aires, Argentina

    Carlos D. Butto

  3. Grupo Médico Rostagno, Buenos Aires, Argentina

    Román Rostagno & Camila Rostagno

Authors
  1. Oscar A. Zimman
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  2. Carlos D. Butto
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  3. Román Rostagno
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  4. Camila Rostagno
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Correspondence to Oscar A. Zimman.

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Zimman, O.A., Butto, C.D., Rostagno, R. et al. Volumetric Mammogram Assessment: A Helpful Tool in the Treatment of Breast Asymmetries. Aesth Plast Surg 41, 1261–1274 (2017). https://doi.org/10.1007/s00266-017-0940-x

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  • DOI: https://doi.org/10.1007/s00266-017-0940-x

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