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MRI-based breast volumetry-evaluation of three different software solutions
Christian Herold1, A Reichelt, L H Stieglitz
1Department of Plastic, Hand, and Reconstructive Surgery, Medizinische Hochschule Hannover, Carl-Neuberg-Str., 130625 Hannover, Germany. christianherold@gmx.de
Journal of Digital Imaging
|January 13, 2010
Summary
Magnetic resonance imaging (MRI) accurately measures silicone breast implant volumes using various software. This technology aids in surgical planning and objective assessment of breast augmentation results.
Area of Science:
- Plastic Surgery
- Medical Imaging
- Radiology
Background:
- Lipofilling and silicone implant augmentation are increasingly common in breast plastic surgery.
- Accurate assessment of breast volume is crucial for controlling postoperative outcomes.
- Magnetic resonance imaging (MRI) is utilized for evaluating breast volume post-surgery.
Purpose of the Study:
- To evaluate the accuracy of MRI-based breast volumetry software tools.
- To compare MRI-derived measurements of augmented breasts with actual silicone implant volumes.
- To assess the reliability of different software programs for breast implant volumetry.
Main Methods:
- MRI-based volume analysis was conducted on eight bilaterally augmented patients.
- Three software programs were used: Brainlab©, Medis©, and OsiriX©.
- Measurements were compared against manufacturer-specified silicone implant volumes.
Main Results:
- All tested software demonstrated high accuracy in measuring silicone implant volumes.
- Mean deviations ranged from 2.2% (Brainlab©) to 3.1% (Medis©).
- High correlation (r=0.99) was observed between MRI-derived and actual implant volumes.
Conclusions:
- MRI-based volumetry is a reliable tool for calculating native breast and silicone implant volumes.
- The evaluated software solutions (Brainlab©, Medis©, OsiriX©) performed well in accuracy and speed.
- MRI breast volumetry can assist in surgical planning, determining implant size, and objectively assessing postoperative results.

