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Evaluation of Usefulness of Image by Using New Compression Paddle for Mammoplasty Patient During Mammography

유방촬영 시 유방보형물 환자에 대한 새로운 압박대 적용의 유용성 평가

  • Received : 2015.08.12
  • Accepted : 2015.09.17
  • Published : 2015.09.30

Abstract

Mammoplasty is currently increasing not only for cosmetic surgery, but as well as for the recovery after breast cancer surgery. The prostheses inserted into the breasts of women who have undergone mammoplasty, hide the breast substances and it is becoming increasingly difficult to diagnose breast disease, and fear is growing by the concern of the prostheses bursting by the strap. So we want to develop a strap applicable to women with prostheses inserted, to determine the usefulness, and we also want to compare the utility by comparing the total area of the Inner and Outer parts of the breast and Posterior Nipple Line (PNL), after obtaining video by applying the existing strap and the developed strap to phantom of the prostheses inserted patient shape. When the pressure by the developed pressure, the total area increased by 10.09% from CC view to $9,813.797mm^2$, 3.88% from CC-ID view to $7,621.531mm^2$, PNL increased by 3.41% from CC view to $90.916mm^2$, 1.64% from CC-ID view to$75.357mm^2$. And the breast tissue of the thorax side increased 3.53% from CC view to $177.725mm^2$, and 6.57% from CC-ID view to $152.510mm^2$, and we could verify that the prostheses were completely eliminated in the CC-ID images of developed strap, compared with the existing strap.

유방확대수술이 미용을 위한 성형뿐만 아니라 유방암 절제술 후 재건의 목적으로 받는 등의 증가 추세이다. 유방확대수술을 받은 여성은 유방에 삽입한 보형물이 유방실질을 가려 유방질환을 진단하기 어려운 경우가 점점 증가하고 있고, 압박대로인한 보형물 파열 우려로 환자의 두려움은 증가하고 있다. 그러므로 유방보형물 삽입 여성에게 적용 가능한 압박대를 개발하여 그 유용성을 알아보고자 하며, 기존의 압박대와 새롭게 개발한 압박대를 유방보형물 삽입 환자모형의 phantom에 적용시켜 영상을 얻은 후 유방의 Inner, Outer 부분과 유두후방길이(Posterior Nipple Line; PNL), 전체적인 포함면적을 비교하여 그 유용성을 비교해보고자 한다. 개발한 압박대로 압박 시 전체 면적은 CC view에서 $9,813.797mm^2$로 10.09% 증가하였고, CC-ID view에서 $7,621.531mm^2$로 3.88% 증가하였으며, PNL은 CC view에서 90.916mm로 3.41% 증가, CC-ID view에서 75.357mm로 1.64% 증가하였다. 또한 흉벽 측 유방조직은 CC view에서 177.725mm로 3.53% 증가하였고, CC-ID view에서 152.510mm로 6.57% 증가되는 것으로 나타났으며, 기존의 압박대에 비해 개발한 압박대의 CC-ID 영상에서는 보형물이 완전히 제거된 것을 확인할 수 있었다.

Keywords

References

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