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Avoiding a Systematic Error in Assessing Fat Graft Survival in the Breast with Repeated Magnetic Resonance Imaging

Several techniques for measuring breast volume (BV) are based on examining the breast on magnetic resonance imaging. However, when techniques designed to measure total BV are used to quantify BV changes, for example, after fat grafting, a systematic error is introduced because BV changes lead to con...

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Autores principales: Glovinski, Peter V., Herly, Mikkel, Müller, Felix C., Elberg, Jens J., Kølle, Stig-Frederik T., Fischer-Nielsen, Anne, Thomsen, Carsten, Drzewiecki, Krzysztof T.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5055007/
https://www.ncbi.nlm.nih.gov/pubmed/27757341
http://dx.doi.org/10.1097/GOX.0000000000001023
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author Glovinski, Peter V.
Herly, Mikkel
Müller, Felix C.
Elberg, Jens J.
Kølle, Stig-Frederik T.
Fischer-Nielsen, Anne
Thomsen, Carsten
Drzewiecki, Krzysztof T.
author_facet Glovinski, Peter V.
Herly, Mikkel
Müller, Felix C.
Elberg, Jens J.
Kølle, Stig-Frederik T.
Fischer-Nielsen, Anne
Thomsen, Carsten
Drzewiecki, Krzysztof T.
author_sort Glovinski, Peter V.
collection PubMed
description Several techniques for measuring breast volume (BV) are based on examining the breast on magnetic resonance imaging. However, when techniques designed to measure total BV are used to quantify BV changes, for example, after fat grafting, a systematic error is introduced because BV changes lead to contour alterations of the breast. The volume of the altered breast includes not only the injected volume but also tissue previously surrounding the breast. Therefore, the quantitative difference in BV before and after augmentation will differ from the injected volume. Here, we present a new technique to measure BV changes that compensates for this systematic error by defining the boundaries of the breast to immovable osseous pointers. This approach avoids the misinterpretation of tissue included within the expanded boundaries as graft tissue. This new method of analysis may be a reliable tool for assessing BV changes to determine fat graft retention and may be useful for evaluating and comparing available surgical techniques for breast augmentation and reconstruction using fat grafting.
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spelling pubmed-50550072016-10-18 Avoiding a Systematic Error in Assessing Fat Graft Survival in the Breast with Repeated Magnetic Resonance Imaging Glovinski, Peter V. Herly, Mikkel Müller, Felix C. Elberg, Jens J. Kølle, Stig-Frederik T. Fischer-Nielsen, Anne Thomsen, Carsten Drzewiecki, Krzysztof T. Plast Reconstr Surg Glob Open Ideas and Innovations Several techniques for measuring breast volume (BV) are based on examining the breast on magnetic resonance imaging. However, when techniques designed to measure total BV are used to quantify BV changes, for example, after fat grafting, a systematic error is introduced because BV changes lead to contour alterations of the breast. The volume of the altered breast includes not only the injected volume but also tissue previously surrounding the breast. Therefore, the quantitative difference in BV before and after augmentation will differ from the injected volume. Here, we present a new technique to measure BV changes that compensates for this systematic error by defining the boundaries of the breast to immovable osseous pointers. This approach avoids the misinterpretation of tissue included within the expanded boundaries as graft tissue. This new method of analysis may be a reliable tool for assessing BV changes to determine fat graft retention and may be useful for evaluating and comparing available surgical techniques for breast augmentation and reconstruction using fat grafting. Wolters Kluwer Health 2016-09-08 /pmc/articles/PMC5055007/ /pubmed/27757341 http://dx.doi.org/10.1097/GOX.0000000000001023 Text en Copyright © 2016 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. All rights reserved. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (http://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially.
spellingShingle Ideas and Innovations
Glovinski, Peter V.
Herly, Mikkel
Müller, Felix C.
Elberg, Jens J.
Kølle, Stig-Frederik T.
Fischer-Nielsen, Anne
Thomsen, Carsten
Drzewiecki, Krzysztof T.
Avoiding a Systematic Error in Assessing Fat Graft Survival in the Breast with Repeated Magnetic Resonance Imaging
title Avoiding a Systematic Error in Assessing Fat Graft Survival in the Breast with Repeated Magnetic Resonance Imaging
title_full Avoiding a Systematic Error in Assessing Fat Graft Survival in the Breast with Repeated Magnetic Resonance Imaging
title_fullStr Avoiding a Systematic Error in Assessing Fat Graft Survival in the Breast with Repeated Magnetic Resonance Imaging
title_full_unstemmed Avoiding a Systematic Error in Assessing Fat Graft Survival in the Breast with Repeated Magnetic Resonance Imaging
title_short Avoiding a Systematic Error in Assessing Fat Graft Survival in the Breast with Repeated Magnetic Resonance Imaging
title_sort avoiding a systematic error in assessing fat graft survival in the breast with repeated magnetic resonance imaging
topic Ideas and Innovations
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5055007/
https://www.ncbi.nlm.nih.gov/pubmed/27757341
http://dx.doi.org/10.1097/GOX.0000000000001023
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