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Nicklaus KM, Wang H, Bordes MC, Zaharan A, Sampathkumar U, Cheong AL, Reece GP, Hanson SE, Merchant FA, Markey MK. Potential of Intraoperative 3D Photography and 3D Visualization in Breast Reconstruction. PLASTIC AND RECONSTRUCTIVE SURGERY-GLOBAL OPEN 2021; 9:e3845. [PMID: 34646718 PMCID: PMC8500585 DOI: 10.1097/gox.0000000000003845] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2021] [Accepted: 07/28/2021] [Indexed: 11/26/2022]
Abstract
Although pre- and postoperative three-dimensional (3D) photography are well-established in breast reconstruction, intraoperative 3D photography is not. We demonstrate the process of intraoperative acquisition and visualization of 3D photographs for breast reconstruction and present clinicians' opinions about intraoperative visualization tools. METHODS Mastectomy specimens were scanned with a handheld 3D scanner during breast surgery. The 3D photographs were processed to compute morphological measurements of the specimen. Three visualization modalities (screen-based viewing, augmented reality viewing, and 3D printed models) were created to show different representations of the 3D photographs to plastic surgeons. We interviewed seven surgeons about the usefulness of the visualization methods. RESULTS The average time for intraoperative acquisition of 3D photographs of the mastectomy specimen was 4 minutes, 8 seconds ± 44 seconds. The average time for image processing to compute morphological measurements of the specimen was 54.26 ± 40.39 seconds. All of the interviewed surgeons would be more inclined to use intraoperative visualization if it displayed information that they are currently missing (eg, the target shape of the reconstructed breast mound). Additionally, the surgeons preferred high-fidelity visualization tools (such as 3D printing) that are easy-to-use and have minimal disruption to their current workflow. CONCLUSIONS This study demonstrates that 3D photographs can be collected intraoperatively within acceptable time limits, and quantitative measurements can be computed timely to be utilized within the same procedure. We also report surgeons' comments on usability of visualization methods and of measurements of the mastectomy specimen, which can be used to guide future surgical practice.
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Affiliation(s)
- Krista M. Nicklaus
- From the Department of Biomedical Engineering, The University of Texas at Austin, Austin, Tex
- Department of Plastic Surgery, The University of Texas MD Anderson Cancer Center, Houston, Tex
| | - Haoqi Wang
- From the Department of Biomedical Engineering, The University of Texas at Austin, Austin, Tex
- Department of Plastic Surgery, The University of Texas MD Anderson Cancer Center, Houston, Tex
| | - Mary Catherine Bordes
- Department of Plastic Surgery, The University of Texas MD Anderson Cancer Center, Houston, Tex
| | - Alex Zaharan
- Department of Electrical and Computer Engineering, University of Pittsburgh, Pittsburgh, Pa
| | | | - Audrey L. Cheong
- Department of Electrical and Computer Engineering, University of Houston, Houston, Tex
| | - Gregory P. Reece
- Department of Plastic Surgery, The University of Texas MD Anderson Cancer Center, Houston, Tex
| | - Summer E. Hanson
- Section of Plastic and Reconstructive Surgery, University of Chicago Medicine and Biological Sciences, Chicago, Ill
| | - Fatima A. Merchant
- From the Department of Biomedical Engineering, The University of Texas at Austin, Austin, Tex
- Department of Computer Science, University of Houston, Houston, Tex
- Department of Electrical and Computer Engineering, University of Houston, Houston, Tex
- Department of Engineering Technology, University of Houston, Houston, Tex
| | - Mia K. Markey
- From the Department of Biomedical Engineering, The University of Texas at Austin, Austin, Tex
- Department of Imaging Physics, The University of Texas MD Anderson Cancer Center, Houston, Tex
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Demirkan F, Gurbuz O, Tutuncu N, Akca T, Aydn S. Use of Wise Pattern for Achieving Symmetry in One Stage in Immediate Reconstructions With Deep Inferior Epigastric Artery Perforator Flap. Ann Plast Surg 2006; 56:359-63; discussion 364. [PMID: 16557061 DOI: 10.1097/01.sap.0000202145.44913.10] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Affiliation(s)
- Ferit Demirkan
- Department of Plastic and Reconstructive Surgery, University of Mersin, School of Medicine, Mersin, Turkey.
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