Aesthet Surg J. 2011 Nov;31(8):925-38. doi: 10.1177/1090820X11424147.
No publications exist describing the impact of three-dimensional imaging on the consultation process for breast augmentation, nor have existing software products claiming simulation features been validated.
The authors describe the application of four-dimensional technology during patient consultation to assist in planning implant size and type.
Forty-six primary breast augmentation patients underwent preoperative consultation with 4D simulation software; 35 out of 46 also received follow-up imaging. At six months postoperatively, simulated measurements were compared to actual measurements and questionnaires were mailed to patients asking them to assess the imaging experience. A follow-up phone survey 18 months postoperatively examined the persistence of patient attitudes about implant size and imaging. Practice productivity was evaluated by comparing specific parameters (such as scheduling rates) between three separate time periods for the same clinic.
Across all parameters, breast augmentation simulations correlated highly with positive surgical outcomes (R-value = 0.68). The majority (95%) of patients believed the simulations were accurate; 89% also expressed that it enhanced trust in the surgeon and 74% reporting that it helped in choosing an implant size. Despite 48% also indicating that they would select a larger implant if they were to undergo surgery again, no patients have undergone reoperations of any kind. Compared to historical controls, scheduling rates in the practice increased from 40% to 77% after addition of simulation software.
4D breast imaging appears to be an accurate system for analysis, planning, simulation, and patient education for women considering primary breast augmentation, and application of this technology during the consultation process was correlated with a high degree of patient satisfaction and practice productivity.
目前尚无文献描述三维成像对隆胸咨询过程的影响，也没有经过验证的声称具有模拟功能的现有软件产品。
作者描述了在患者咨询过程中应用四维技术来协助规划植入物的大小和类型。
46 例原发性隆胸患者在术前接受了 4D 模拟软件的咨询；其中 35 例接受了随访成像。术后 6 个月，将模拟测量值与实际测量值进行比较，并向患者邮寄问卷调查，以评估他们对成像体验的看法。术后 18 个月的电话随访检查了患者对植入物大小和成像的态度持续时间。通过比较同一诊所三个不同时间段的特定参数（如预约率）来评估实践生产力。
在所有参数中，隆胸模拟与积极的手术结果高度相关（R 值=0.68）。大多数（95%）患者认为模拟结果准确；89%的患者表示这增强了对医生的信任，74%的患者表示这有助于选择植入物大小。尽管 48%的患者还表示，如果再次接受手术，他们会选择更大的植入物，但没有患者接受过任何类型的再次手术。与历史对照相比，在添加模拟软件后，该实践的预约率从 40%增加到 77%。
4D 乳房成像似乎是一种用于分析、规划、模拟和对考虑原发性隆胸的女性进行教育的准确系统，并且在咨询过程中应用该技术与患者满意度和实践生产力的高度相关。
