Accurate Assessment of Breast Volume: A Study Comparing the Volumetric Gold Standard (Direct Water Displacement Measurement of Mastectomy Specimen) With a 3D Laser Scanning Technique

Preoperative assessment of breast volume could contribute significantly to the planning of breast-related procedures. The availability of 3D scanning technology provides us with an innovative method for doing this. We performed this study to compare measurements by this technology with breast volume measurement by water displacement. A total of 30 patients undergoing 39 mastectomies were recruited from our center. The volume of each patient's breast(s) was determined with a preoperative 3D laser scan. The volume of the mastectomy specimen was then measured in the operating theater by water displacement. There was a strong linear association between breast volumes measured using the 2 different methods when using a Pearson correlation (r = 0.95, P < 0.001). The mastectomy mean volume was defined by the equation: mastectomy mean volume = (scan mean volume × 1.03) −70.6. This close correlation validates the Cyberware WBX Scanner as a tool for assessment of breast volume.

[1]  F G Bouman,et al.  Volumetric measurement of the human breast and breast tissue before and during mammaplasty. , 1970, British journal of plastic surgery.

[2]  Kirianoff Tg,et al.  Volume measurements of unequal breasts. , 1974 .

[3]  T G Kirianoff,et al.  Volume measurements of unequal breasts. , 1974, Plastic and reconstructive surgery.

[4]  R. Smith,et al.  Menstrual variations in thermal properties of the human breast. , 1975, Journal of applied physiology.

[5]  A. Morris.  Volumetric estimation in breast surgery. , 1978, British journal of plastic surgery.

[6]  R. Tegtmeier.  A quick, accurate mammometer. , 1978, Annals of plastic surgery.

[7]  R. Ellenbogen.  A new device to assist in sizing breasts. , 1978, Annals of plastic surgery.

[8]  V L Katch,et al.  Measurement of breast volume in females: description of a reliable method. , 1979, Annals of human biology.

[9]  V L Katch,et al.  Contribution of breast volume and weight to body fat distribution in females. , 1980, American journal of physical anthropology.

[10]  Prophylactic mastectomy and reconstruction. , 1983, IMJ. Illinois medical journal.

[11]  J. Wilmore,et al.  Alterations in breast morphology consequent to a 21-day bust developer program. , 1985, Medicine and science in sports and exercise.

[12]  E O Smith,et al.  Measurement of Breast Volume by Ultrasound During Normal Menstrual Cycles and With Oral Contraceptive Use , 1985, Obstetrics and gynecology.

[13]  R. C. Schultz,et al.  Further Applications of Archimedes' Principle in the Correction of Asymmetrical Breasts , 1986, Annals of plastic surgery.

[14]  J A von Fraunhofer,et al.  Measurement of Breast Volume: Comparison of Techniques , 1986, Plastic and reconstructive surgery.

[15]  V L Katch,et al.  Breast Volume and Anthropomorphic Measurements: Normal Values , 1986, Plastic and reconstructive surgery.

[16]  W. M. Morek,et al.  Breast volume measurement of 248 women using biostereometric analysis. , 1987, Plastic and reconstructive surgery.

[17]  C B Cutting,et al.  Three-dimensional Input of Body Surface Data Using a Laser Light Scanner , 1988, Annals of plastic surgery.

[18]  W. M. Morek,et al.  Breast Volume Measurement of 598 Women Using Biostereometric Analysis , 1989, Annals of plastic surgery.

[19]  P A Fowler,et al.  Cyclic changes in composition and volume of the breast during the menstrual cycle, measured by magnetic resonance imaging , 1990, British journal of obstetrics and gynaecology.

[20]  J. Yarnold,et al.  Correlation of breast dose heterogeneity with breast size using 3D CT planning and dose-volume histograms. , 1995, Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology.

[21]  M. Wickman,et al.  Measurement of breast volume with thermoplastic casts. , 1996, Scandinavian journal of plastic and reconstructive surgery and hand surgery.

[22]  M Westreich,et al.  Anthropomorphic breast measurement: protocol and results in 50 women with aesthetically perfect breasts and clinical application. , 1997, Plastic and reconstructive surgery.

[23]  N. Bulstrode,et al.  Breast volume assessment: comparing five different techniques. , 2001, Breast.

[24]  Michael Chiaramonte,et al.  Clinical Applications of Three‐Dimensional Photography in Breast Surgery , 2002, Plastic and reconstructive surgery.

[25]  Bendix Carstensen,et al.  Comparing and predicting between several methods of measurement. , 2004, Biostatistics.

[26]  Albert Losken,et al.  Validating Three-Dimensional Imaging of the Breast , 2005, Annals of plastic surgery.

[27]  Richard S. Varga,et al.  Validity and reliability of biostereometric measurement of the human female breast , 2006, Annals of Biomedical Engineering.

[28]  Katja Schwenzer-Zimmerer,et al.  New Aspects of Breast Volume Measurement Using 3-Dimensional Surface Imaging , 2006, Annals of plastic surgery.

[29]  Hiroki Inui,et al.  Quantitative Analysis of the Reconstructed Breast Using a 3-Dimensional Laser Light Scanner , 2006, Annals of plastic surgery.

[30]  Katja Schwenzer-Zimmerer,et al.  Comparison between breast volume measurement using 3D surface imaging and classical techniques. , 2007, Breast.

[31]  Nolan S. Karp,et al.  An Innovative Three-Dimensional Approach to Defining the Anatomical Changes Occurring after Short Scar-Medial Pedicle Reduction Mammaplasty , 2008, Plastic and reconstructive surgery.

[32]  O. Tepper,et al.  Three‐Dimensional Imaging Provides Valuable Clinical Data to Aid in Unilateral Tissue Expander‐Implant Breast Reconstruction , 2008, The breast journal.

[33]  G. Catanuto,et al.  Three-dimensional digital evaluation of breast symmetry after breast conservation therapy. , 2009, Journal of the American College of Surgeons.