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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Autores principales:	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
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	breast implant reconstruction breast implant size volume estimation breast-V conversion from weight to volume of mastectomy specimen breast imaging Medicine R
Acceso en línea:	https://doaj.org/article/6ea379ec4c17487d9f8919575ebb11e0
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spelling	oai:doaj.org-article:6ea379ec4c17487d9f8919575ebb11e02021-11-25T18:00:33ZA Prospective Investigation of Predictive Parameters for Preoperative Volume Assessment in Breast Reconstruction10.3390/jcm102252162077-0383https://doaj.org/article/6ea379ec4c17487d9f8919575ebb11e02021-11-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/22/5216https://doaj.org/toc/2077-0383Preoperative 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.Nicola ZingarettiGiovanni MiottiCarlo Alberto MaroneseMiriam IsolaGianni Franco GuarneriRoberta AlbaneseFrancesco De FrancescoMichele RiccioLorenzo CereserChiara ZuianiPier Camillo ParodiMDPI AGarticlebreast implant reconstructionbreast implant sizevolume estimationbreast-Vconversion from weight to volume of mastectomy specimenbreast imagingMedicineRENJournal of Clinical Medicine, Vol 10, Iss 5216, p 5216 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	breast implant reconstruction breast implant size volume estimation breast-V conversion from weight to volume of mastectomy specimen breast imaging Medicine R
spellingShingle	breast implant reconstruction breast implant size volume estimation breast-V conversion from weight to volume of mastectomy specimen breast imaging Medicine R 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
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.
format	article
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
title	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_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_sort	prospective investigation of predictive parameters for preoperative volume assessment in breast reconstruction
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/6ea379ec4c17487d9f8919575ebb11e0
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A Prospective Investigation of Predictive Parameters for Preoperative Volume Assessment in Breast Reconstruction

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