Volumetric measurement of polyacrylamide hydrogel injected for breast augmentation using magnetic resonance imaging

Hu,Jiejie; Liu,Chunjun; Chen,Lin; Xing,Wenshan; Luan,Jie

doi:10.3892/etm.2013.1452

Volumetric measurement of polyacrylamide hydrogel injected for breast augmentation using magnetic resonance imaging

Authors:
- Jiejie Hu
- Chunjun Liu
- Lin Chen
- Wenshan Xing
- Jie Luan
View Affiliations

Affiliations: Department of Aesthetic and Plastic Breast Surgery, Plastic Surgery Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100144, P.R. China
Published online on: December 17, 2013 https://doi.org/10.3892/etm.2013.1452
Pages: 681-684

Metrics: Total Views: 0 (Spandidos Publications: | PMC Statistics: )

Metrics: Total PDF Downloads: 0 (Spandidos Publications: | PMC Statistics: )

Cited By (CrossRef): 0 citations Loading Articles...

Abstract

Volumetric measurement of polyacrylamide hydrogel (PAHG) is useful for surgical planning. It is not only a significant factor in the preoperative evaluation of breast augmentation, but may also directly affect the postoperative shape of the breast. The objective of the present study was to evaluate whether magnetic resonance imaging (MRI) is able to provide precise calculations of injected PAHG volumes. MRI scans of ten randomly selected patients were imported to Mimics software. The volumes of PAHG were obtained following the reconstruction of the injected PAHG. In order to assess the precision and observer independency of the technique, the volumes of PAHG were estimated by three plastic surgeons using this method. No significant differences were identified among the PAHG injection volumes calculated by the three observers (P=0.173). The intra‑observer correlation coefficient was 0.964, which indicates the precision and feasibility of this method for calculating the volume of PAHG. The use of MRI in combination with Mimics software to calculate PAHG volumes is likely to be of significant clinical benefit in preoperative surgical planning.

View Figures

View References

1	Wang ZX, Luo DL, Dai X, Yu P, Tao L and Li SR: Polyacrylamide hydrogel injection for augmentation mammaplasty: loss of ability for breastfeeding. Ann Plast Surg. 69:123–128. 2012. View Article : Google Scholar : PubMed/NCBI
2	Christensen LH, Breiting BV, Aasted A, Jørgensen A and Kebuladze I: Long-term effects of polyacrylamide hydrogel on human breast tissue. Plast Reconstr Surg. 111:1883–1890. 2003. View Article : Google Scholar : PubMed/NCBI
3	Acartürk S, Gencel E and Tuncer I: An uncommon complication of secondary augmentation mammoplasty: bilaterally massive engorgement of breasts after pregnancy attributable to postinfection and blockage of mammary ducts. Aesthetic Plast Surg. 29:274–279; discussion 280, 2005.
4	Cheng NX, Wang YL, Wang JH, Zhang XM and Zhong H: Complications of breast augmentation with injected hydrophilic polyacrylamide gel. Aesthetic Plast Surg. 26:375–382. 2002. View Article : Google Scholar : PubMed/NCBI
5	Cheng NX, Liu LG, Hui L, Chen YL and Xu SL: Breast cancer following augmentation mammaplasty with polyacrylamide hydrogel (PAAG) injection. Aesthetic Plast Surg. 33:563–569. 2009. View Article : Google Scholar : PubMed/NCBI
6	Leung KM, Yeoh GP and Chan KW: Breast pathology in complications associated with polyacrylamide hydrogel (PAAG) mammoplasty. Hong Kong Med J. 13:137–140. 2007.PubMed/NCBI
7	Khan UD: Breast autoinflation with sterile pus as a marker of implant rupture: single-stage treatment and outcome for five consecutive cases. Aesthetic Plast Surg. 33:58–65. 2009. View Article : Google Scholar : PubMed/NCBI
8	Nachbar JM and Orrison WW Jr: Validation of quantification of breast implant capsule surface area and volume using magnetic resonance imaging. Ann Plast Surg. 27:321–326. 1991.PubMed/NCBI
9	Luo SK, Cheng GP, Sun ZS and Cheng NX: Our strategy in complication management of augmentation mammaplasty with polyacrylamide hydrogel injection in 235 patients. J Plast Reconstr Aesthet Surg. 64:731–737. 2011. View Article : Google Scholar : PubMed/NCBI
10	Akbas H, Sahin B, Eroglu L, et al: Estimation of breast prosthesis volume by the Cavalieri principle using magnetic resonance images. Aesthetic Plast Surg. 28:275–280. 2004.PubMed/NCBI
11	Mineyev M, Kramer D, Kaufman L, Carlson J and Frankel S: Measurement of breast implant volume with magnetic resonance imaging. Ann Plast Surg. 34:348–351. 1995.PubMed/NCBI
12	Tuncali D and Ozgür F: Spontaneous autoinflation of saline-filled mammary implants: postoperative volume determination by magnetic resonance imaging. Aesthetic Plast Surg. 23:437–442. 1999.
13	Rudolph R and Forcier N: Calculation of silicone breast implant volumes using breast magnetic resonance imaging. Aesthetic Surg J. 29:310–313. 2009.PubMed/NCBI
14	Cheng NX, Xu SL, Deng H, Ding XB, Zhang XM, Wu DH, Zhong H and Sun ZH: Migration of implants: a problem with injectable polyacrylamide gel in aesthetic plastic surgery. Aesthetic Plast Surg. 30:215–225. 2006. View Article : Google Scholar : PubMed/NCBI
15	Sun JM, Yuan Q, Guo K, Guo NQ, Peng C, Zhang Y and Wang JC: 3-Dimensional reconstruction of MRI in patients with polyacrylamide hydrogel injection for augmentation mammoplasty. Zhonghua Zheng Xing Wai Ke Za Zhi. 24:371–373. 2008.(In Chinese).