3D Breast Imaging for Cosmetic and Reconstructive Breast Surgery

NCT ID: NCT01964105

Last Updated: 2017-12-26

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-11-30

Study Completion Date

2017-05-16

Brief Summary

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The purpose of this trial is to evaluate the impact of incorporating three-dimensional (3D)imaging during preoperative consultation on patient reported outcomes in primary breast augmentation surgery. 3D imaging is an innovative technology that allows the surgeon to share with images how one could look after one's procedure. The patient's assessment will be collected using the Breast Q, an objective questionnaire that captures patient satisfaction with breast augmentation.

Detailed Description

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Consultation for primary breast augmentation involves clear communication between patient and surgeon to select the implant and manage expectations. Tissue-based planning strategies rely on tissue characteristics and measurements to produce safe and reproducible aesthetic outcomes. The implementation of sizers in the preoperative consultation and a greater emphasis on patient aesthetic goals have also proven to be favorable strategies. Recently, many plastic surgeons have started to incorporate three-dimensional (3D) photography and computer simulation into their preoperative consultation process. The accuracy of computer simulation for volume assessment of breast augmentation is reportedly ≥90%, and patients demonstrate a preference for consultations involving simulation.Support for computer simulation, however, is not unanimous.

Quantitative analyses, prospective study designs, and utilization of validated health-related quality of life metrics have been recommended to more thoroughly scrutinize implant selection systems and outcomes in aesthetic surgery.Mammometrics yields numerical data useful for quantifying changes in breast morphology after breast reduction, reconstruction with implants, and augmentation. The BREAST-Q represents the most comprehensive and quantitative method for patient self-assessment following breast surgery, and has gained traction as a patient-reported outcomes instrument for breast augmentation. To date, there are no studies that focus on the impact of simulation on patient-reported outcomes in breast augmentation, as measured with the validated BREAST-Q. Furthermore, there is minimal data examining correlations between patient-reported outcomes and mammometrics.

The purpose of this study was to conduct a prospective, clinical trial to evaluate the impact of 3D imaging and simulation used during the preoperative consultation on postoperative patient-reported outcomes and quantitative changes in breast morphology. We hypothesized that computer simulation would facilitate patient education and surgical planning, thus leading to quantitatively higher patient-reported outcomes.

Conditions

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Hypomastia Primary Breast Augmentation

Keywords

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Hypomastia Augmentation Breast 3D Breast Q

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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3D Imaging Simulation

Intervention Group: 3D Image Simulation + Standard Preoperative Evaluation Goal: 50 patients

Group Type EXPERIMENTAL

3D Imaging

Intervention Type DEVICE

Standard Preoperative Evaluation

Control Group: Patients will receive standard preoperative evaluation (2D imaging).

Goal: 50 patients

Group Type NO_INTERVENTION

No interventions assigned to this group

Non-Randomized Cohort: 3D Imaging

Patients who refuse the option of randomization but otherwise meet the inclusion and exclusion criteria will be offered participation in this study as part of a non-randomized cohort.

Goal: 50 Patients

Group Type OTHER

3D Imaging

Intervention Type DEVICE

Interventions

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3D Imaging

Intervention Type DEVICE

Other Intervention Names

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Vectra 3D

Eligibility Criteria

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Inclusion Criteria

* Age 18 years or older
* Scheduled for elective breast augmentation cosmetic procedure.

Exclusion Criteria

* Breast reconstruction for malignancy
* Cognitively unable to provide informed consent.
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Allergan

INDUSTRY

Sponsor Role collaborator

Washington University School of Medicine

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Terence M Myckatyn, MD, FACS

Role: PRINCIPAL_INVESTIGATOR

Washington University School of Medicine

Locations

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West County Plastic Surgeons of Washington University

St Louis, Missouri, United States

Site Status

Countries

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United States

References

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Tepper OM, Unger JG, Small KH, Feldman D, Kumar N, Choi M, Karp NS. Mammometrics: the standardization of aesthetic and reconstructive breast surgery. Plast Reconstr Surg. 2010 Jan;125(1):393-400. doi: 10.1097/PRS.0b013e3181c4966e. No abstract available.

Reference Type BACKGROUND
PMID: 20048631 (View on PubMed)

Pusic AL, Klassen AF, Scott AM, Klok JA, Cordeiro PG, Cano SJ. Development of a new patient-reported outcome measure for breast surgery: the BREAST-Q. Plast Reconstr Surg. 2009 Aug;124(2):345-353. doi: 10.1097/PRS.0b013e3181aee807.

Reference Type BACKGROUND
PMID: 19644246 (View on PubMed)

Overschmidt B, Qureshi AA, Parikh RP, Yan Y, Tenenbaum MM, Myckatyn TM. A Prospective Evaluation of Three-Dimensional Image Simulation: Patient-Reported Outcomes and Mammometrics in Primary Breast Augmentation. Plast Reconstr Surg. 2018 Aug;142(2):133e-144e. doi: 10.1097/PRS.0000000000004601.

Reference Type DERIVED
PMID: 30045174 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Informed Consent Form

View Document

Document Type: Statistical Analysis Plan

View Document

Related Links

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http://westcountyplasticsurgeons.wustl.edu/

Click here for Washington University's study location.

Other Identifiers

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201210065

Identifier Type: -

Identifier Source: org_study_id