A Prospective Investigation of Predictive Parameters for Preoperative Volume Assessment in Breast Reconstruction

Zingaretti, Nicola; Miotti, Giovanni; Maronese, Carlo Alberto; Isola, Miriam; Guarneri, Gianni Franco; Albanese, Roberta; De Francesco, Francesco; Riccio, Michele; Cereser, Lorenzo; Zuiani, Chiara; Parodi, Pier Camillo

doi:10.3390/jcm10225216

Open AccessArticle

A Prospective Investigation of Predictive Parameters for Preoperative Volume Assessment in Breast Reconstruction

by

Nicola Zingaretti

^1,2,*

,

Giovanni Miotti

¹,

Carlo Alberto Maronese

³,

Miriam Isola

⁴,

Gianni Franco Guarneri

¹,

Roberta Albanese

¹,

Francesco De Francesco

^2,5

,

Michele Riccio

^2,5,

Lorenzo Cereser

⁶,

Chiara Zuiani

⁶ and

Pier Camillo Parodi

^1,2

¹

Clinic of Plastic and Reconstructive Surgery, Academic Hospital of Udine, Department of Medical Area (DAME), University of Udine, 33100 Udine, Italy

²

Accademia del Lipofilling, Research and Training Center in Regenerative Surgery, 61025 Montelabbate, Italy

³

UOC Dermatologia, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, 20162 Milano, Italy

⁴

Division of Medical Statistic, Department of Medicine, University of Udine, 33100 Udine, Italy

⁵

Department of Reconstructive Surgery and hand Surgery, AOU “Ospedali Riuniti”, 60126 Ancona, Italy

⁶

Institute of Radiology, Department of Medicine, Academic Hospital of Udine, University of Udine, 33100 Udine, Italy

^*

Author to whom correspondence should be addressed.

J. Clin. Med. 2021, 10(22), 5216; https://doi.org/10.3390/jcm10225216

Submission received: 27 September 2021 / Revised: 28 October 2021 / Accepted: 4 November 2021 / Published: 9 November 2021

(This article belongs to the Special Issue Making and Management of Breast Reconstruction: From Theory to Clinical Practice)

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Abstract

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.

Keywords: breast implant reconstruction; breast implant size; volume estimation; breast-V; conversion from weight to volume of mastectomy specimen; breast imaging; MRI

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MDPI and ACS Style

Zingaretti, N.; Miotti, G.; Maronese, C.A.; Isola, M.; Guarneri, G.F.; Albanese, R.; De Francesco, F.; Riccio, M.; Cereser, L.; Zuiani, C.; et al. A Prospective Investigation of Predictive Parameters for Preoperative Volume Assessment in Breast Reconstruction. J. Clin. Med. 2021, 10, 5216. https://doi.org/10.3390/jcm10225216

AMA Style

Zingaretti N, Miotti G, Maronese CA, Isola M, Guarneri GF, Albanese R, De Francesco F, Riccio M, Cereser L, Zuiani C, et al. A Prospective Investigation of Predictive Parameters for Preoperative Volume Assessment in Breast Reconstruction. Journal of Clinical Medicine. 2021; 10(22):5216. https://doi.org/10.3390/jcm10225216

Chicago/Turabian Style

Zingaretti, Nicola, Giovanni Miotti, Carlo Alberto Maronese, Miriam Isola, Gianni Franco Guarneri, Roberta Albanese, Francesco De Francesco, Michele Riccio, Lorenzo Cereser, Chiara Zuiani, and et al. 2021. "A Prospective Investigation of Predictive Parameters for Preoperative Volume Assessment in Breast Reconstruction" Journal of Clinical Medicine 10, no. 22: 5216. https://doi.org/10.3390/jcm10225216

APA Style

Zingaretti, N., Miotti, G., Maronese, C. A., Isola, M., Guarneri, G. F., Albanese, R., De Francesco, F., Riccio, M., Cereser, L., Zuiani, C., & Parodi, P. C. (2021). A Prospective Investigation of Predictive Parameters for Preoperative Volume Assessment in Breast Reconstruction. Journal of Clinical Medicine, 10(22), 5216. https://doi.org/10.3390/jcm10225216

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A Prospective Investigation of Predictive Parameters for Preoperative Volume Assessment in Breast Reconstruction

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