Department of Health Sciences, Physical and Rehabilitative Medicine, University of Eastern Piedmont, "A. Avogadro", Novara, Italy.
Eur Rev Med Pharmacol Sci. 2020 Apr;24(8):4476-4485. doi: 10.26355/eurrev_202004_21030.
In this study, we aimed to assess the reproducibility and reliability of a three-dimensional laser scanner (3DLS) in measuring the upper limb volume of BRCL women undergoing a 2-week complete decongestive therapy (CDT).
3DLS and CM were used to measure the upper limb volume in a cohort of BCRL women before (T0) and after (T1) a 2-week CDT. We evaluated: a) correlation between 3DLS and CM at both time points; b) level of agreement and the consistency of the different measurements at both time points; c) correlation between the inter-rater operator analysis in terms of total limb volume differences before and after rehabilitative treatment of both circumferential method and laser scanning 3D in breast cancer related lymphedema patients.
Taken together, 43 BCRL women (age 51.1 ± 5.4 years) were included. Both 3DLS and CM showed a significant inter and intra-operator correlation in the arm volume measurement at both time-points (T0: r2=0.99, p<0.0001; T1: r2=0.99, p<0.0001). 3DLS showed a strong correlation with CM (r2=0.99, p<0.0001) in terms of volume measurement and provided greater intra-operator correlation (r2=0.92 vs. 0.62) in detecting volume variations after the treatment (T1-T0).
3DLS confirmed to be highly sensitive, cheap and easy-to-use in the evaluation of the upper limb volume in BCRL women before and after a rehabilitative treatment. These findings suggest that augmented reality technologies might be very useful in oncological rehabilitation.
本研究旨在评估三维激光扫描仪（3DLS）在测量接受为期 2 周完整消肿治疗（CDT）的 BRCL 女性上肢体积方面的可重复性和可靠性。
使用 3DLS 和 CM 在接受 2 周 CDT 前后测量 BCRL 女性上肢体积。我们评估了：a）在两个时间点，3DLS 和 CM 之间的相关性；b）在两个时间点，不同测量值的一致性和一致性；c）在乳腺癌相关淋巴水肿患者接受康复治疗前后，两种周长法和激光扫描 3D 的总肢体体积差异方面，两个操作者之间的分析的相关性。
共纳入 43 名 BCRL 女性（年龄 51.1±5.4 岁）。在两个时间点（T0：r2=0.99，p<0.0001；T1：r2=0.99，p<0.0001），3DLS 和 CM 均显示出上肢体积测量的显著的内和外操作者相关性。3DLS 在体积测量方面与 CM 具有很强的相关性（r2=0.99，p<0.0001），并且在检测治疗后（T1-T0）的体积变化方面提供了更高的内操作者相关性（r2=0.92 与 0.62）。
3DLS 在评估接受康复治疗前后的 BCRL 女性上肢体积方面被证实具有高度敏感性、廉价且易于使用。这些发现表明，增强现实技术在肿瘤康复中可能非常有用。
