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Published in: Journal of Digital Imaging 5/2010

01-10-2010

MRI-Based Breast Volumetry—Evaluation of Three Different Software Solutions

Authors: Christian Herold, A. Reichelt, L. H. Stieglitz, S. Dettmer, K. Knobloch, J. Lotz, P. M. Vogt

Published in: Journal of Imaging Informatics in Medicine | Issue 5/2010

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Abstract

As lipofilling of the female breast is becoming more popular in plastic surgery, the use of MRI to assess breast volume has been employed to control postoperative results. Therefore, we sought to evaluate the accuracy of magnetic resonance imaging (MRI)-based breast volumetry software tools by comparing the measurements of silicone implant augmented breasts with the actual implant volume specified by the manufacturer. MRI-based volume analysis was performed in eight bilaterally augmented patients (46 ± 9 years) with three different software programs (Brainlab© I plan 2.6 neuronavigation software; mass analysis, version 5.3, Medis©; and OsiriX© v.3.0.2. 32-bit). The implant volumes analysed by the BrainLab© software had a mean deviation of 2.2 ± 1.7% (r = 0.99) relative to the implanted prosthesis. OsiriX© software analysis resulted in a mean deviation of 2.8 ± 3.0% (r = 0.99) and the Medis© software had a mean deviation of 3.1 ± 3.0% (r = 0.99). Overall, the volumes of all analysed breast implants correlated very well with the real implant volumes. Processing time was 10 min per breast with each system and 30 s (OsiriX©) to 5 min (BrainLab© and Medis©) per silicone implant. MRI-based volumetry is a powerful tool to calculate both native breast and silicone implant volume in situ. All software solutions performed well and the measurements were close to the actual implant sizes. The use of MRI breast volumetry may be helpful in: (1) planning reconstructive and aesthetic surgery of asymmetric breasts, (2) calculating implant size in patients with missing documentation of a previously implanted device and (3) assessing post-operative results objectively.
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Metadata
Title
MRI-Based Breast Volumetry—Evaluation of Three Different Software Solutions
Authors
Christian Herold
A. Reichelt
L. H. Stieglitz
S. Dettmer
K. Knobloch
J. Lotz
P. M. Vogt
Publication date
01-10-2010
Publisher
Springer-Verlag
Published in
Journal of Imaging Informatics in Medicine / Issue 5/2010
Print ISSN: 2948-2925
Electronic ISSN: 2948-2933
DOI
https://doi.org/10.1007/s10278-009-9264-y

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