Empowering patients in Decision Making Process in breastcancer surgery: PICTURE European Trial

Publish Year: 1393
نوع سند: مقاله کنفرانسی
زبان: English
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ICBCMED10_009

تاریخ نمایه سازی: 21 اردیبهشت 1397

Abstract:

Breast cancer is the most common cancer affecting women worldwide. It has become an increasingly treatable disease with a 10-year survival rateexceeding 80%. It is usually treated with surgery, often in conjunction with radiotherapy and systemic treatments. Two types of surgery are available: breast-conserving surgery (also known as lumpectomy) or mastectomy (i.e. the partial or complete removal of the breast).However, even breast-conserving surgery can affect the appearance of the breast, a prospect that can cause a great deal of stress. Therefore, a good aesthetic outcome is an important consideration in breast cancer therapies and is closely linked to the patient’s psychological recovery and self-image after treatment. Yet for an estimated 30% of women treated with breast-conserving surgery, the result is less than ideal aesthetically . Unfortunately, to date there is no objective way to assess or predict the aesthetic outcome of breast cancer treatment. We are developing tools to enable the patient s aesthetic appearance after treatment to be objectively evaluated. Current techniques use subjective methods, such as assessment by an expert panel, or computer analysis of twodimensional photography to estimate, for instance, breast asymmetry. Byadopting recent developments in low cost three-dimensional photography and depth sensing technology, we are developing a standardised, reproducible analysis tool which bases the aesthetic outcome evaluation on both the threedimensional shape of the reconstructed breast and its volume. This will establish standardised quality assurance and evaluation procedures, enabling institutions across Europe to be compared and factors that have a positive or negative impact on surgical outcome to be identified.I will present the European funded project Patient Information Combined for the Assessment of Specific Surgical Outcomes in Breast Cancer (PICTURE. The goal of the project is to create, validate, and demonstrate a system for the patient-specific planning, evaluation, prediction, and quantification of the outcome of breast-conserving surgery. The PICTURE demonstrator will support surgeons in surgical planning prior to the operation. It is also designed to aid patient-clinician communication by visualizing the foreseen outcome, and thereby empowers patients to take an active role in a Shared Decision Making process.

Authors

Mohammed R S Keshtgar

Professor of Cancer Surgery and Surgical Oncology university College London, Royal Free Hospitallondon, United Kingdom