Xi Wenjing, Perdanasari Aurelia Trisliana, Ong Yeesiang, Han Sheng, Min Peiru, Su Weijie, Feng Shaoqing, Pacchioni Lucrezia, Zhang Yi Xin, Lazzeri Davide
Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine, Shanghai, China.
Aesthetic Plast Surg. 2014 Dec;38(6):1116-30. doi: 10.1007/s00266-014-0412-5. Epub 2014 Oct 23.
BACKGROUND: There are many methods of measuring the breast and their clinical applications are well described in the literature. However, there has been no attempt to compare these various methods to allow the user to have a broad overview of the subject. The authors have attempted to summarise all the available methods to measure the breast in this article to provide a useful reference for all. METHODS: A comprehensive literature search of PubMed was performed, and the resulting articles were screened and reviewed. The data regarding the methods' mechanism, reliability, time and cost were evaluated and compared. RESULTS: A total of 74 articles dating from 1970 to 2013 were included in this study. All of the methods can be classified into those that measure (1) volume, (2) shape and (3) surface area. Each category consists of several methods that work through different mechanisms and they vary in their reliability and feasibility. Based on their mechanism, the volume measurement methods were further grouped into the natural shape methods, the stereological method, the geometrical methods and the mathematical modelling method. CONCLUSIONS: More objective breast evaluation can be achieved if all three dimensions (volume, shape and surface area) are considered. In the volume measurements, 3D modelling and the MRI are the most reliable tools. Linear measurement (geometry) and mathematical modelling are less accurate but are more economical. In the shape measurements, besides the traditional linear measurement, 3D methods that can deliver colour-coded maps and Swanson's 2D photographic measurement system are capable of depicting and tracking breast shape changes after surgery. Although the surface area metric has not been used extensively, it has potential in clinical and research applications. LEVEL OF EVIDENCE IV: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.
背景:测量乳房的方法众多,其临床应用在文献中已有详尽描述。然而,尚未有人尝试比较这些不同方法,以便使用者能全面了解该主题。本文作者试图总结所有现有的乳房测量方法,为大家提供有用的参考。 方法:对PubMed进行全面的文献检索,对检索到的文章进行筛选和综述。评估并比较了有关这些方法的机制、可靠性、时间和成本的数据。 结果:本研究共纳入了1970年至2013年的74篇文章。所有方法可分为测量(1)体积、(2)形状和(3)表面积的方法。每一类都包含几种通过不同机制起作用的方法,它们在可靠性和可行性方面各不相同。基于其机制,体积测量方法进一步分为自然形状法、体视学法、几何法和数学建模法。 结论:如果考虑所有三个维度(体积、形状和表面积),可以实现更客观的乳房评估。在体积测量中,三维建模和磁共振成像(MRI)是最可靠的工具。线性测量(几何)和数学建模不太准确,但更经济。在形状测量中,除了传统的线性测量外,能够提供彩色编码图的三维方法和斯旺森的二维摄影测量系统能够描绘和跟踪手术后乳房形状的变化。尽管表面积指标尚未得到广泛应用,但它在临床和研究应用中具有潜力。 证据水平IV:本刊要求作者为每篇文章指定一个证据水平。有关这些循证医学评级的完整描述,请参阅目录或作者在线指南www.springer.com/00266。
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