Purpose: We conducted a case-control study in which patients were evaluated with dual energy X-ray absorptiometry (DEXA) before and after breast reduction surgery, and results were correlated with the histological examination. Our goal was to confirm the DEXA as a precise technique for the measurement of breast composition, in order to propose it for the preoperative evaluation of plastic surgery patients. Materials and methods: We prospectively recruited all women that underwent reduction mammaplasty and excluded patients with contraindications to the operation or those that previously underwent bariatric surgery to reduce their weight. Patients were evaluated with DEXA 1 week before and after surgery. Results: From February to October 2006 we recruited 25 patients. The statistical analysis found a significant reduction of weight, BMI, regional fat free mass and fat mass after the operation. The comparison between DEXA and the histological analysis produced a correlation r=0.989 (r(2) =0.978), with a predictivity of 98% and a percentage of error 8.3% (95% confidence intervals -252.6, 273.7; 95% limits of agreements of Bland and Altman -436.0, 457.1). Similar results were obtained with the analysis of fat. Conclusions: Our study demonstrated that conventional segmental DEXA is a very precise technique to measure the amount of tissue removed in breast reductions and could open future application in the preoperative assessment of patients undergoing such operations. (C) 2008 Elsevier Ireland Ltd. All rights reserved.

DE LORENZO, A., Gravante, G., Sorge, R.p., Nicoli, F., Caruso, R., Araco, A., et al. (2009). The evaluation of breast tissues removed during reductive mammaplasty with dual energy X-ray absorptiometry. EUROPEAN JOURNAL OF RADIOLOGY, 70(3), 549-554 [10.1016/j.ejrad.2008.02.002].

The evaluation of breast tissues removed during reductive mammaplasty with dual energy X-ray absorptiometry

DE LORENZO, ANTONINO;SORGE, ROBERTO PIETRO;Nicoli, F;ORLANDI, AUGUSTO;CERVELLI, VALERIO
2009-06-01

Abstract

Purpose: We conducted a case-control study in which patients were evaluated with dual energy X-ray absorptiometry (DEXA) before and after breast reduction surgery, and results were correlated with the histological examination. Our goal was to confirm the DEXA as a precise technique for the measurement of breast composition, in order to propose it for the preoperative evaluation of plastic surgery patients. Materials and methods: We prospectively recruited all women that underwent reduction mammaplasty and excluded patients with contraindications to the operation or those that previously underwent bariatric surgery to reduce their weight. Patients were evaluated with DEXA 1 week before and after surgery. Results: From February to October 2006 we recruited 25 patients. The statistical analysis found a significant reduction of weight, BMI, regional fat free mass and fat mass after the operation. The comparison between DEXA and the histological analysis produced a correlation r=0.989 (r(2) =0.978), with a predictivity of 98% and a percentage of error 8.3% (95% confidence intervals -252.6, 273.7; 95% limits of agreements of Bland and Altman -436.0, 457.1). Similar results were obtained with the analysis of fat. Conclusions: Our study demonstrated that conventional segmental DEXA is a very precise technique to measure the amount of tissue removed in breast reductions and could open future application in the preoperative assessment of patients undergoing such operations. (C) 2008 Elsevier Ireland Ltd. All rights reserved.
giu-2009
Pubblicato
Rilevanza internazionale
Articolo
Sì, ma tipo non specificato
Settore MED/49 - SCIENZE TECNICHE DIETETICHE APPLICATE
Settore MED/08 - ANATOMIA PATOLOGICA
English
Con Impact Factor ISI
Sensitivity and Specificity; Treatment Outcome; Absorptiometry, Photon; Middle Aged; Breast Neoplasms; Female; Reproducibility of Results; Mastectomy; Humans
DE LORENZO, A., Gravante, G., Sorge, R.p., Nicoli, F., Caruso, R., Araco, A., et al. (2009). The evaluation of breast tissues removed during reductive mammaplasty with dual energy X-ray absorptiometry. EUROPEAN JOURNAL OF RADIOLOGY, 70(3), 549-554 [10.1016/j.ejrad.2008.02.002].
DE LORENZO, A; Gravante, G; Sorge, Rp; Nicoli, F; Caruso, R; Araco, A; Servidio, M; Orlandi, A; Cervelli, V
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2108/11052
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