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01-03-2009 | Original Article

Magnetic Resonance Images and Linear Measurements in the Surgical Treatment of Breast Asymmetry

Authors: Adriana V. Pozzobon, Miguel Sabino Neto, Daniela F. Veiga, Luís Eduardo F. Abla, Juliana B. Pereira, Thiago L. Biasi, Lydia M. Ferreira, Ligia A. Yamashita, Fernando Kawano, Edson M. Nakano, David C. Shigueoka

Published in: Aesthetic Plastic Surgery | Issue 2/2009

Abstract

Background

Objective evaluation of breast asymmetry surgical treatment should consider not only breast shape but also breast volume.

Methods

For this study, 22 patients with primary breast asymmetry were evaluated by magnetic resonance imaging (MRI) as well as linear measurements preoperatively and 6 months postoperatively. The mean difference between the pre- and postoperative linear measurements was graduated from excellent to poor. Breast volume was estimated by MRI from axial reconstruction for three-dimensional application using the Cavalieri formula and specific software.

Results

A strong correlation (r = 0.817) was found between the pre- and postoperative breast volumes, as increased or decreased by the surgical procedure. Patients with less postoperative volume differences tended to have the best ratings with linear measurements. When the same surgical procedure was performed bilaterally or when only one breast was treated by surgery, greater volume symmetry was observed.

Conclusions

Linear measurements and MRI are objective methods for evaluating postoperative symmetry, and when used in association, can help plastic surgeons to achieve favorable results in mammary asymmetry treatment.

Akbas H, Sahin B, Eroglu L, Odaci E, Bilgic S, Kaplan S, Uzun A, Ergur H, Bek Y (2004) Estimation of breast prosthesis volume by the Cavalieri principle using magnetic resonance images. Aesth Plast Surg 28:275–280CrossRef

Bostwick J (1990) Breast asymmetry. Plast Reconstr Surg 496–512

Bouman FG (1970) Volumetric measurement of the human breast and breast tissue before and during mammaplasty. Br J Plast Surg 23:263–264PubMedCrossRef

Bulstrode N, Bellamy E, Shrotria S (2001) Breast volume assessment: comparing five different techniques. Breast 10:117–123PubMedCrossRef

Caruso MK, Guillot TS, Nguyen T, Greenway FLG (2006) The cost effectiveness of three different measures of breast volume. Aesth Plast Surg 30:16–20CrossRef

Fowler P, Casey CE, Cameron GG (1990) Cyclic changes in composition and volume of the breast during the menstrual cycle, measured by magnetic resonance imaging. Br J Obstet Gynecol 97:595–602

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

Hussain Z, Roberts N, Whitehouse GH, Garcia-Fiñana M, Percy D (1999) Estimation of breast volume and its variation during the menstrual cycle using MRI and stereology. Br J Radiol 72:236–245PubMed

Kalbhen CL, McGill JJ, Fendley PM (1999) Mammographic determination of breast volume: comparing different methods. AJR Am J Roentgenol 173:1643–1649PubMed

10.

Katch VL, Compaigne B, Freedson P, Sady S, Katch FI, Behnke AR (1980) Contribution of breast volume and weight to body fat distribution in females. Am J Phys Anthropol 53:93–100PubMedCrossRef

11.

Kirianoff TG (1974) Volume measurements of unequal breasts. Plast Reconstr Surg 54:616PubMedCrossRef

12.

Kovacs L, Eder M, Hollweck R, Dipl-Stat Zimmermann A, Settles M, Schneider A, Dipl-Ing Udosic K, Schwenzer-Zimmerer K, Papadopulos NA, Biemer E (2006) New aspects of breast volume measurement using 3-dimensional surface imaging. Ann Plast Surg 57:602–610PubMedCrossRef

13.

Kovacs L, Eder M, Hollweck R, Zimmermann A, Settles M, Scneider A, Endlich M, Mueller A, Scwenzer-Zimmere K, Papadopulos NA, Biemer E (2007) Comparison between breast volume measurement using 3D surface imaging and classical techniques. J Breast 16:137–145CrossRef

14.

Malata CM, Boot JC, Bradbury ET, Ramli ARB, Sharpe DT (1994) Congenital breast asymmetry: subjective and objective assessment. Br J Plast Surg 47:95–102PubMedCrossRef

15.

Malini S, Smith EO, Goldzieher JW (1985) Measurement of breast volume by ultrasound during normal menstrual cycles and with oral contraceptive use. Obstet Gynecol 66:538–541PubMed

16.

Mineyev M, Kramer D, Kaufman L, Carlson J, Frankel S (1995) Measurement of breast implant volume with magnetic resonance imaging. Ann Plast Surg 34:348–351PubMedCrossRef

17.

Neal AJ, Torr M, Helyer S (1995) Correlation of breast dose heterogeneity with breast size using 3D CT planning and dose-volume histograms. Radiother Oncol 34:210–218PubMedCrossRef

18.

Schultz RC, Dolezal RF, Nolan J (1986) Further application of Archimedes’ principle in the corretion of asymmetrical breast. Ann Plast Surg 16:98–101PubMedCrossRef

19.

Smith DJ Jr, Palin WE Jr, Katch V, Bennett JE (1986) Surgical treatment of congenital breast asymmetry. Ann Plast Surg 17:92–101PubMedCrossRef

20.

Stark B, Oliviari N (1991) Breast asymmetry: An objective analysis of postoperative results. Eur J Plast Surg 14:173–176CrossRef

Title: Magnetic Resonance Images and Linear Measurements in the Surgical Treatment of Breast Asymmetry
Authors: Adriana V. Pozzobon
Miguel Sabino Neto
Daniela F. Veiga
Luís Eduardo F. Abla
Juliana B. Pereira
Thiago L. Biasi
Lydia M. Ferreira
Ligia A. Yamashita
Fernando Kawano
Edson M. Nakano
David C. Shigueoka
Publication date: 01-03-2009
Publisher: Springer-Verlag
Published in: Aesthetic Plastic Surgery / Issue 2/2009
Print ISSN: 0364-216X
Electronic ISSN: 1432-5241
DOI: https://doi.org/10.1007/s00266-008-9224-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Magnetic Resonance Images and Linear Measurements in the Surgical Treatment of Breast Asymmetry

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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