How Reliable Is Breast Volume Assessment When the Patient Is Lying Flat?-Volumetric Assessment of Breast Volume Using a Vectra H2 Handheld Device in Different Positions
(1) : Three-dimensional (3D) volumetric assessment is receiving increased recognition in breast surgery. It is commonly used for preoperative planning and postoperative control with the patient standing in an upright position. Recently, intraoperative use was evaluated with patients in the supine po...
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Published in | Journal of clinical medicine Vol. 13; no. 3; p. 709 |
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Main Authors | , , , , , |
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Language | English |
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Abstract | (1)
: Three-dimensional (3D) volumetric assessment is receiving increased recognition in breast surgery. It is commonly used for preoperative planning and postoperative control with the patient standing in an upright position. Recently, intraoperative use was evaluated with patients in the supine position. The aim of this prospective study was to evaluate the volumetric changes in 3D surface imaging depending on the patient's position. (2)
: 3D volumetric analysis was performed using a Vectra-H2 device with patients in standing, sitting, and supine positions. A total of 100 complete datasets of female breasts were included in the study. The measured volumes of each evaluated breast (
= 200) were compared between the three positions. (3)
: The mean difference between the 3D volumetric assessments of the sitting and standing positions per breast was 7.15 cc and, thus, statistically insignificant (
= 0.28). However, the difference between supine and standing positions, at 120.31 cc, was significant (
< 0.01). (4)
: The 3D volumetric assessment of breasts in the supine position did not statistically correlate with the validated assessment of breast volume in the standing position while breast volume in the sitting position is reliable and correlates with the assessment of a standing patient. We conclude that intraoperative volumetric assessment should be performed with patients in an upright sitting position. |
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AbstractList | (1) Background: Three-dimensional (3D) volumetric assessment is receiving increased recognition in breast surgery. It is commonly used for preoperative planning and postoperative control with the patient standing in an upright position. Recently, intraoperative use was evaluated with patients in the supine position. The aim of this prospective study was to evaluate the volumetric changes in 3D surface imaging depending on the patient’s position. (2) Methods: 3D volumetric analysis was performed using a Vectra-H2 device with patients in standing, sitting, and supine positions. A total of 100 complete datasets of female breasts were included in the study. The measured volumes of each evaluated breast (n = 200) were compared between the three positions. (3) Results: The mean difference between the 3D volumetric assessments of the sitting and standing positions per breast was 7.15 cc and, thus, statistically insignificant (p = 0.28). However, the difference between supine and standing positions, at 120.31 cc, was significant (p < 0.01). (4) Conclusions: The 3D volumetric assessment of breasts in the supine position did not statistically correlate with the validated assessment of breast volume in the standing position while breast volume in the sitting position is reliable and correlates with the assessment of a standing patient. We conclude that intraoperative volumetric assessment should be performed with patients in an upright sitting position. (1) : Three-dimensional (3D) volumetric assessment is receiving increased recognition in breast surgery. It is commonly used for preoperative planning and postoperative control with the patient standing in an upright position. Recently, intraoperative use was evaluated with patients in the supine position. The aim of this prospective study was to evaluate the volumetric changes in 3D surface imaging depending on the patient's position. (2) : 3D volumetric analysis was performed using a Vectra-H2 device with patients in standing, sitting, and supine positions. A total of 100 complete datasets of female breasts were included in the study. The measured volumes of each evaluated breast ( = 200) were compared between the three positions. (3) : The mean difference between the 3D volumetric assessments of the sitting and standing positions per breast was 7.15 cc and, thus, statistically insignificant ( = 0.28). However, the difference between supine and standing positions, at 120.31 cc, was significant ( < 0.01). (4) : The 3D volumetric assessment of breasts in the supine position did not statistically correlate with the validated assessment of breast volume in the standing position while breast volume in the sitting position is reliable and correlates with the assessment of a standing patient. We conclude that intraoperative volumetric assessment should be performed with patients in an upright sitting position. |
Audience | Academic |
Author | Macek, Aljosa Koban, Konstantin Christoph Holzbach, Thomas Loucas, Rafael Mayer, Julius Michael Leitsch, Sebastian |
Author_xml | – sequence: 1 givenname: Aljosa surname: Macek fullname: Macek, Aljosa organization: Department of Hand and Plastic Surgery, Thurgau Hospital Group, 8500 Frauenfeld, Switzerland – sequence: 2 givenname: Sebastian surname: Leitsch fullname: Leitsch, Sebastian organization: Department of Hand and Plastic Surgery, Thurgau Hospital Group, 8500 Frauenfeld, Switzerland – sequence: 3 givenname: Konstantin Christoph orcidid: 0000-0003-0387-0821 surname: Koban fullname: Koban, Konstantin Christoph organization: Division of Hand, Plastic and Aesthetic Surgery, University Hospital LMU Munich, 80339 Munich, Germany – sequence: 4 givenname: Julius Michael orcidid: 0000-0002-9379-7869 surname: Mayer fullname: Mayer, Julius Michael organization: Department of Plastic and Hand Surgery, Inselspital, University Hospital Bern, 3010 Bern, Switzerland – sequence: 5 givenname: Rafael surname: Loucas fullname: Loucas, Rafael organization: Department of Hand and Plastic Surgery, Thurgau Hospital Group, 8500 Frauenfeld, Switzerland – sequence: 6 givenname: Thomas orcidid: 0000-0003-2324-9813 surname: Holzbach fullname: Holzbach, Thomas organization: Department of Hand and Plastic Surgery, Thurgau Hospital Group, 8500 Frauenfeld, Switzerland |
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Cites_doi | 10.3390/jpm13081262 10.1093/asj/sjv210 10.1007/s10278-012-9487-1 10.1007/s10549-018-4843-6 10.1016/j.breast.2006.08.001 10.1097/PRS.0000000000000485 10.1016/j.bjps.2022.10.023 10.1016/j.breast.2011.07.016 10.1007/s00266-021-02241-3 10.3389/fmed.2022.833487 10.1111/j.1524-4741.2008.00645.x 10.1097/GOX.0000000000003236 10.1007/s00266-011-9708-x 10.1007/s10549-014-3028-1 10.1159/000516357 10.1016/j.medengphy.2015.01.011 10.1097/01.sap.0000235455.21775.6a 10.3233/CH-229101 10.1097/PRS.0000000000009873 10.4174/astr.2021.100.6.313 10.5999/aps.2016.43.5.430 |
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: Three-dimensional (3D) volumetric assessment is receiving increased recognition in breast surgery. It is commonly used for preoperative planning and... (1) Background: Three-dimensional (3D) volumetric assessment is receiving increased recognition in breast surgery. It is commonly used for preoperative... |
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SubjectTerms | 3-D volumetric assessment Breast breast operation Breast surgery breast volume breast volumetry Datasets Evaluation Medical screening Outpatient care facilities Patients Software Surgeons Surgery Surgical outcomes Symmetry Vectra Vectra H2 handheld device Volumetric analysis |
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Title | How Reliable Is Breast Volume Assessment When the Patient Is Lying Flat?-Volumetric Assessment of Breast Volume Using a Vectra H2 Handheld Device in Different Positions |
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