摘要

Background: The authors have developed a simple and intuitive method for measuring breast volume based on three-dimensional simulated images of magnetic resonance imaging scans to accurately estimate breast volume before breast reconstruction. %26lt;br%26gt;Methods: The authors performed a retrospective review of the medical records of 18 patients (20 breasts) who had undergone breast reconstruction at Yeouido St. Mary%26apos;s Hospital from March of 2009 to July of 2012. All of the patients underwent preoperative assessment of breast volume with two methods: a plaster cast maneuver and a three-dimensional simulated magnetic resonance imaging scan. To determine the accuracy of each method, the authors compared the mastectomy volume with the plaster cast maneuver and with three-dimensional simulated magnetic resonance imaging. %26lt;br%26gt;Results: In the authors%26apos; series, the mean values of the plaster cast maneuver, three-dimensional simulated magnetic resonance imaging, and mastectomy volume were 433.85 176.65 ml, 529 193.33 ml, and 495.25 +/- 192.45 ml, respectively. In addition, the mean error between the plaster cast maneuver and mastectomy volume was 137.4 +/- 97.66 ml and that between three-dimensional simulated magnetic resonance imaging and mastectomy volume was 54.63 +/- 46.30 ml. From a linear regression curve, the correlation coefficient (r(2)) of the plaster cast maneuver was 0.629 (p = 0.003) and that of three-dimensional simulated magnetic resonance imaging was 0.945 (p %26lt; 0.001). %26lt;br%26gt;Conclusions: The authors%26apos; method for preoperatively measuring breast volume on three-dimensional simulated magnetic resonance imaging scans was both efficient and accurate. It would therefore be useful for achieving better aesthetic outcomes of breast reconstruction. %26lt;br%26gt;CLINICAL QUESTION/LEVEL OF EVIDENCE: Diagnostic, IV.

  • 出版日期2014-1