A Free Tool for Breast Aesthetic Scale Computation.
Journal
Annals of plastic surgery
ISSN: 1536-3708
Titre abrégé: Ann Plast Surg
Pays: United States
ID NLM: 7805336
Informations de publication
Date de publication:
01 04 2021
01 04 2021
Historique:
pubmed:
23
6
2020
medline:
15
5
2021
entrez:
23
6
2020
Statut:
ppublish
Résumé
Our work describes the concept of Breast Aesthetic Scale (BAS) as a score for quick and simple objective assessment of results in cosmetic breast surgery. It is obtained by running a software program that we created, based on the previous concept of Objective Breast Cosmesis Scale (OBCS). This was previously described to be used in the context of conservative breast cancer treatment to objectively assess the degree of asymmetry. We describe the implementation of BAS algorithm and study its reproducibility in a set of images. A new multiplatform software was developed by us and named Breast Aesthetic Scale Calculator (BAS-Calc), which can be executed on Windows Mac, and Linux. A set of 25 photographs were studied with this software twice by 2 different surgeons. Intrarater and interrater variability were studied, as well as concordance with categorization by another symmetry assessment software available called Breast Analyzing Tool®. Concordance among raters was excellent (intraclass correlation coefficient = 0.953; Lin concordance and correlation coefficient = 0.950), as well as intrarater (0.952 and 0.965). Categorization of both systems (Breast Analyzing Tool and BAS-Calc) showed almost perfect concordance (Cohen κ = 0.920). Objective estimation of symmetry after breast surgery can be assessed with BAS-Calc. The "symmetric" and "asymmetric" categories are accurately discriminated by this free software, and it can be used by surgeons as a simple method for objective assessment of results in cosmetic breast surgery.
Sections du résumé
BACKGROUND
Our work describes the concept of Breast Aesthetic Scale (BAS) as a score for quick and simple objective assessment of results in cosmetic breast surgery. It is obtained by running a software program that we created, based on the previous concept of Objective Breast Cosmesis Scale (OBCS). This was previously described to be used in the context of conservative breast cancer treatment to objectively assess the degree of asymmetry. We describe the implementation of BAS algorithm and study its reproducibility in a set of images.
METHODS
A new multiplatform software was developed by us and named Breast Aesthetic Scale Calculator (BAS-Calc), which can be executed on Windows Mac, and Linux. A set of 25 photographs were studied with this software twice by 2 different surgeons. Intrarater and interrater variability were studied, as well as concordance with categorization by another symmetry assessment software available called Breast Analyzing Tool®.
RESULTS
Concordance among raters was excellent (intraclass correlation coefficient = 0.953; Lin concordance and correlation coefficient = 0.950), as well as intrarater (0.952 and 0.965). Categorization of both systems (Breast Analyzing Tool and BAS-Calc) showed almost perfect concordance (Cohen κ = 0.920).
CONCLUSIONS
Objective estimation of symmetry after breast surgery can be assessed with BAS-Calc. The "symmetric" and "asymmetric" categories are accurately discriminated by this free software, and it can be used by surgeons as a simple method for objective assessment of results in cosmetic breast surgery.
Identifiants
pubmed: 32568756
pii: 00000637-202104000-00018
doi: 10.1097/SAP.0000000000002440
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
458-462Informations de copyright
Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.
Déclaration de conflit d'intérêts
Conflicts of interest and sources of funding: none declared.
Références
Soror T, Kovács G, Kovács Á, et al. New objective method in reporting the breast cosmesis after breast-conservative treatment based on nonstandardized photographs: the Objective Breast Cosmesis Scale. Brachytherapy . 2016;15:631–636.
Soror T, Lancellotta V, Kovács G, et al. kOBCS©: a novel software calculator program of the objective breast Cosmesis scale (OBCS). Breast Cancer . 2020;27:179–185.
Krois W, Romar AK, Wild T, et al. Objective breast symmetry analysis with the breast analyzing tool (BAT): improved tool for clinical trials. Breast Cancer Res Treat . 2017;164:421–427.
Akoglu H. User's guide to correlation coefficients. Turk J Emerg Med . 2018;18:91–93.
Lancellotta V, Seipelt L, Hannoun-Levi JM, et al. Multi-institutional evaluation of the reproducibility and the accuracy of the objective breast cosmesis scale. Brachytherapy . 2018;17:944–948.
Fitzal F, Krois W, Trischler H, et al. The use of a breast symmetry index for objective evaluation of breast cosmesis. Breast . 2007;16:429–435.
Cardoso MJ, Cardoso JS, Wild T, et al. Comparing two objective methods for the aesthetic evaluation of breast cancer conservative treatment. Breast Cancer Res Treat . 2009;116:149–152.
Dilmen N. Human female breasts. 2011. Available at: https://commons.wikimedia.org/wiki/File:Breasts.svg . Accessed February 10, 2019.
Cardoso JS, Cardoso MJ. Towards an intelligent medical system for the aesthetic evaluation of breast cancer conservative treatment. Artif Intell Med . 2007;40:115–126.
Pezner RD, Patterson MP, Hill LR, et al. Breast retraction assessment: an objective evaluation of cosmetic results of patients treated conservatively for breast cancer. Int J Radiat Oncol Biol Phys . 1985;11:575–578.
Pietruski P, Paskal W, Paskal AM, et al. Analysis of the visual perception of female breast aesthetics and symmetry: an eye-tracking study. Plast Reconstr Surg . 2019;144:1257–1266.
Monton J, Perez O, Dobon MM, et al. Breast asymmetry assessment using optical flow algorithms. Cir Plast Iberolatinoam . 2019;45:13.
Cardoso MJ, Cardoso J, Amaral N, et al. Turning subjective into objective: the BCCT. Core software for evaluation of cosmetic results in breast cancer conservative treatment. Breast . 2007;16:456–461.
Tzou CHJ, Artner NM, Pona I, et al. Comparison of three-dimensional surface-imaging systems. J Plast Reconstr Aesthet Surg . 2014;67:489–497.