A Novel Artificial Intelligence Model for Symmetry Evaluation in Breast Cancer Patients.

Artificial intelligence Breast cancer Breast surgery Neural networks Plastic surgery

Journal

Aesthetic plastic surgery
ISSN: 1432-5241
Titre abrégé: Aesthetic Plast Surg
Pays: United States
ID NLM: 7701756

Informations de publication

Date de publication:
17 Aug 2023
Historique:
received: 18 05 2023
accepted: 23 07 2023
medline: 18 8 2023
pubmed: 18 8 2023
entrez: 17 8 2023
Statut: aheadofprint

Résumé

Artificial intelligence (AI) is a milestone for human technology. In medicine, AI is set to play an important role as we progress into a new era. In plastic surgery, AI can participate in breast symmetry assessment, which until now has been mainly subjective, allowing for inconsistencies. This study aims to improve this evaluation process by integrating a novel trained neural network with the breast symmetry calculator, BAS-Calc. We combined the BAS-Calc tool with a custom-made neural network trained to automatically detect key features of the breast. This integrated system was tested on 81 images of patients who had undergone breast reconstruction post-breast cancer treatment. Its performance was evaluated against two human observers using statistical analysis. Our model successfully detected 399/405 (98.51%) of landmarks. Spearman and Pearson correlation indicated a strong positive relationship while Cohen's kappa demonstrated moderate to strong agreement between human observers and AI model. Notably, the average calculation time for the AI was 0.92 seconds, 16 times faster than the 14.09 seconds for humans. Our AI model successfully calculated breast symmetry from images of patients who had undergone reconstructive oncological breast surgery, demonstrating high correlation with human assessments and a markedly reduced processing time. As AI continues to evolve, it is poised to become a pivotal tool in Medicine. Therefore, it is crucial for medical professionals to proactively engage in implementing AI technologies safely and effectively. Further studies are required to broaden our understanding and maximize the potential benefits in this area. Takeaway bullet points Artificial intelligence (AI) is an upcoming force to be reckoned with. AI should find its way into practical applications in plastic surgery. AI can be applied to improve patient care and evaluate aesthetic results. In this work, we present a novel AI model that automatically evaluates breast symmetry. 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 .

Identifiants

pubmed: 37592148
doi: 10.1007/s00266-023-03554-1
pii: 10.1007/s00266-023-03554-1
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2023. Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery.

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Auteurs

Nitzan Kenig (N)

Department of Plastic and Reconstructive Surgery, Albacete University Hospital, Albacete, Spain. nitzan.kenig@gmail.com.
Department of Plastic Surgery, Albacete University Hospital, Albacete, Spain. nitzan.kenig@gmail.com.

Javier Monton Echeverria (J)

Department of Plastic and Reconstructive Surgery, Albacete University Hospital, Albacete, Spain.
Department of Anatomy, Medical School of University of Castilla-La Mancha, Albacete, Spain.

Luis Chang Azancot (L)

Department of Plastic and Reconstructive Surgery, Albacete University Hospital, Albacete, Spain.

Luis De la Ossa (L)

Department of Computer Engineering, University of Castilla-La Mancha, Albacete, Spain.

Classifications MeSH