University of Twente Student Theses
Optimizing breast symmetry analysis using three-dimensional stereophotogrammetry images of Deep Inferior Epigastric Perforator flap reconstruction patients
Troost, J.B. (2022) Optimizing breast symmetry analysis using three-dimensional stereophotogrammetry images of Deep Inferior Epigastric Perforator flap reconstruction patients.
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| Abstract: | The Deep Inferior Epigastric Perforator (DIEP) flap reconstruction is the preferred autologous breast reconstruction in most hospitals. A secondary correction is often required to reshape one or both breasts to improve symmetry and patient satisfaction. A 3D breast mold could improve breast symmetry during breast reconstruction, and therefore reduce the number of secondary corrections required. Level I evidence is required to prove the added value of the breast mold. This thesis contributes to the set-up of the efficiency study required to gather the level I evidence. This thesis focused on 1) the validation of the current breast mold design, 2) the development and validation of an objective algorithm that quantitatively scores breast symmetry, and 3) the exploration of the predictive value of patient satisfaction and multiple symmetry scores for the wish of a secondary correction. Based on the small group sizes of these studies, the breast mold may be used in a clinical setting based on its current design. The developed objective breast symmetry algorithm is found promising to quantify the aesthetic result after reconstruction. Although the study parameters of the observational study must be further explored with larger groups, preparations can be made to set up a randomized control trial to gather the required evidence of the effectiveness of the breast mold. |
| Item Type: | Essay (Master) |
| Faculty: | TNW: Science and Technology |
| Subject: | 44 medicine |
| Programme: | Technical Medicine MSc (60033) |
| Link to this item: | https://purl.utwente.nl/essays/89808 |
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