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首页> 外文期刊>Aesthetic plastic surgery >Customized planning of augmentation mammaplasty with silicon implants using three-dimensional optical body scans and biomechanical modeling of soft tissue outcome.
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Customized planning of augmentation mammaplasty with silicon implants using three-dimensional optical body scans and biomechanical modeling of soft tissue outcome.

机译：使用三维光学体扫描和软组织结局生物力学建模，对硅植入物进行乳房增大成形术的定制计划。

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摘要

The aesthetic results of augmentation mammaplasty are essentially determined by the size and the shape of the implant as well as its position on the chest. To achieve successful aesthetic results, customized surgery planning based on a reliable visual concept of the prospective surgery outcome and quantitative methods for assessment of three-dimensional (3D) breast shape could be of considerable additional value. This report evaluates a novel method for customized planning and quantitative optimization of breast augmentation based on 3D optical body scanning of the patient's breast and computational modeling of soft tissue mechanics. This method allows a 3D photo-realistic appearance of postsurgery breasts to be simulated for different surgical scenarios. It also allows the result of a virtual simulation to be implemented using measurements derived from a computationally predicted breast model. A series of clinical studies are presented that demonstrate the feasibility and accuracy of the proposed approach for customized 3D planning of breast augmentation, including direct comparison between simulated and postsurgery results. Our experimental results show that for 89% of the breast surface, the average difference between the simulated and postsurgery breast models amounts to less than 1 mm. The presented method for customized planning of augmentation mammaplasty enables realistic prediction and quantitative optimization of postsurgery breast appearance. Based on individual 3D data and physical modeling, the described approach enables more accurate and reliable predictions of surgery outcomes than conventionally used photos of prior patients, drawings, or ad hoc data manipulation. Moreover, it provides precise quantitative data for bridging the gap between virtual simulation and real surgery.
机译：隆乳术的美学效果基本上取决于植入物的大小和形状以及其在胸部的位置。为了获得成功的美学效果，基于可靠的预期手术结果的视觉概念和用于评估三维（3D）乳房形状的定量方法的定制手术计划可能会具有相当大的附加价值。本报告评估了一种新的方法，用于基于患者乳房的3D光学人体扫描和软组织力学的计算模型来进行个性化的乳房增大计划和定量优化。此方法允许针对不同的手术场景模拟术后乳房的3D逼真外观。它还允许使用从计算得出的乳房模型得出的测量结果来实现虚拟仿真的结果。提出了一系列临床研究，这些研究证明了所提出的方法用于定制的3D隆乳计划的可行性和准确性，包括模拟结果和术后结果的直接比较。我们的实验结果表明，对于89％的乳腺表面，模拟乳腺模型和术后乳腺模型之间的平均差小于1毫米。所提出的用于定制乳房增大成形术的方法使手术后乳房外观的现实预测和定量优化成为可能。基于单独的3D数据和物理模型，与以前使用的先前患者的照片，图纸或临时数据操作相比，所描述的方法能够更准确，可靠地预测手术结果。而且，它提供了精确的定量数据，以弥合虚拟仿真与实际手术之间的差距。

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