• Archives of Plastic Surgery
• /
• v.49 no.2
• /
• pp.166-173
• /
• 2022

The introduction of acellular dermal matrix (ADM) to breast reconstruction has allowed surgeons to reexplore the prepectoral implant placement technique in postmastectomy breast reconstruction. Our institution adopted a novel approach using meshed ADM to lessen the financial burden of increased ADM utilization with the prepectoral breast reconstruction. This is a retrospective, single-center review of two-stage prepectoral breast reconstruction using meshed human-derived ADM for anterior prosthesis coverage. Patient demographics, oncologic data, perioperative characteristics, and complications were examined and reported as means with standard deviations. Cost-saving with the meshed technique was evaluated. Forty-eight patients (72 breasts) with a mean age of 48.5 ± 15.0 years (range 26-70 years) were included in the study. The mean follow-up time was 13.2 ± 4.4 months (range 4.1-25.8 months). Nineteen breasts (24.6%) experienced complications, with seromas being the most common complication (12.5%, n = 9). Expander removal and reoperation occurred at a rate of 8.3 and 9.7%, respectively. The average time to drain removal was 18.8 ± 6.6 days (range 8-32 days). Meshed ADM provided an average cost savings of $6,601 for unilateral and $13,202 for bilateral reconstructions. Our study found that human-derived meshed ADM can be safely used in two-staged prepectoral tissue expander-based breast reconstruction and can result in significant cost savings.

• Journal of the Korea Institute of Information and Communication Engineering
• /
• v.20 no.3
• /
• pp.527-535
• /
• 2016

Statistical optimization algorithms have been variously developed to estimate the 3D shape and motion. However, statistical approaches are limited to analyze the sensitive effects of SfM(Shape from Motion) according to the camera's geometrical position or viewing angles and so on. This paper propose the quantitative estimation method about the uncertainties of an observation matrix by using camera imaging configuration factors predict the reconstruction ambiguities in SfM. This is a very efficient method to predict the final reconstruction performance of SfM algorithm. Moreover, the important point is that our method show how to derive the active guidelines in order to set the camera imaging configurations which can be expected to lead the reasonable reconstruction results. The experimental results verify the quantitative estimates of an observation matrix by using camera imaging configurations and confirm the effectiveness of our algorithm.

• Proceedings of the Korean Nuclear Society Conference
• /
• 1998.05b
• /
• pp.705-710
• /
• 1998

We describe a multigrid wavelet-based natural pixel (WNP) method for image reconstruction in emission computed tomography (ECT). The ECT is used to identify the tagged radioactive material's position in the body for detection of abnormal tissue such as tumor or cancer, as in SPECT and PET. With ECT methodology in parallel beam mode, we formulate a matrix-based reconstruction method for radionuclide sources in the human body. The resulting matrix for a practical problem is very large and nearly singular. To overcome this ill-conditioning, wavelet transform is considered in this study. Wavelets have inherent de-noising and multiscale resolution properties. Therefore, the multigrid wavelet-based natural pixel (WNP) method is very efficient to reconstruct image from projection data that is noisy and incomplete. We test this multigrid wavelet natural pixel (WNP) reconstruction method with the MCNP generated projection data for diagnosis of the simulated cancerous tumor.

• Journal of the Korean Mathematical Society
• /
• v.33 no.4
• /
• pp.717-734
• /
• 1996

For a scalar rational function, the spectral data consisting of zeros and poles with their respective multiplicities uniquely determines the function up to a nonzero multiplicative factor. But due to the richness of the spectral structure of a rational matrix function, reconstruction of a rational matrix function from a given spectral data is not that simple.

• Journal of Korea Multimedia Society
• /
• v.15 no.6
• /
• pp.770-783
• /
• 2012

In this paper, we propose a novel structure recovery algorithm in the projective space using image feature points. We use normalized image feature coordinates for the numerical stability. To acquire an initial value of the structure and motion, we decompose the scaled measurement matrix using the singular value decomposition. When recovering structure and motion in projective space, we introduce matrix decomposition constraints. In the reconstruction procedure, a nonlinear iterative optimization technique is used. Experimental results showed that the proposed method provides proper accuracy and the error deviation is small.

• Archives of Plastic Surgery
• /
• v.47 no.6
• /
• pp.567-573
• /
• 2020

Background Polyurethane implants have been used on and off in breast reconstruction since 1991 while prepectoral breast reconstruction has gained popularity in recent times. In this study, we present our outcomes from the use of acellular dermal matrix (ADM) complete wrap with polyurethane implants in prepectoral breast reconstruction. Methods This is a retrospective review of prospectively maintained database from 41 patients receiving complete ADM wrap with prepectoral polyurethane implants over a 3-year period. Selection criteria were adapted from a previous study (4135 Trust Clinical Audit Database) evaluating prepectoral reconstruction with Braxon matrices. Patient demographics, operative data, surgical complications, and outcomes were collected and analyzed. Results A total of 52 implant reconstructions were performed in 41 patients with a mean follow-up of 14.3 months (range, 6-36 months). The overall reported complication rates including early (less than 6 weeks) and late complications. Early complications included two patients (4.9%) with wound dehiscence. One of which had an implant loss that was salvageable. Another patient (2%) developed red-breast syndrome and two women (4.9%) developed with seroma treated conservatively. Late complications included one patient (2%) with grade II capsular contraction, 12 patients with grade I-II rippling and two patients (4.9%) with grade III rippling. Conclusions We present our experience of prepectoral polyurethane implant using complete ADM wrap. This is one of the few papers to report on the outcome of the prepectoral use of polyurethane in immediate implant-based breast reconstruction. Our early observational series show satisfactory outcome and long-term results are warranted by a large multicenter study.

• Journal of the Institute of Electronics Engineers of Korea SP
• /
• v.46 no.2
• /
• pp.10-23
• /
• 2009

The fundamental matrix and key frame selection are one of the most important techniques to recover full 3D reconstruction of objects from turntable sequences. This paper proposes a new algorithm that estimates a robust fundamental matrix for camera calibration from uncalibrated images taken under turn-table motion. Single axis turntable motion can be described in terms of its fixed entities. This provides new algorithms for computing the fundamental matrix. From the projective properties of the conics and fundamental matrix the Euclidean 3D coordinates of a point are obtained from geometric locus of the image points trajectories. Experimental results on real and virtual image sequences demonstrate good object reconstructions.

• Proceedings of the Korean Society of Broadcast Engineers Conference
• /
• 2009.01a
• /
• pp.737-741
• /
• 2009

This paper addresses the factorization method to estimate the projective structure of a scene from feature (points) correspondences over images with occlusions. We propose both a column and a row space approaches to estimate the depth parameter using the subspace constraints. The projective depth parameters are estimated by maximizing projection onto the subspace based either on the Joint Projection matrix (JPM) or on the the Joint Structure matrix (JSM). We perform the maximization over significant observation and employ Tardif's Camera Basis Constraints (CBC) method for the matrix factorization, thus the missing data problem can be overcome. The depth estimation and the matrix factorization alternate until convergence is reached. Result of Experiments on both real and synthetic image sequences has confirmed the effectiveness of our proposed method.

• Archives of Plastic Surgery
• /
• v.51 no.1
• /
• pp.52-61
• /
• 2024

Background Although prepectoral implant-based breast reconstruction has recently gained popularity, dual-plane reconstruction is still a better option for patients with poor-quality mastectomy skin flaps. However, shoulder morbidity is aggravated by subpectoral reconstruction, especially in irradiated patients. This study aimed to demonstrate shoulder exercise improvement in subpectoral reconstruction by delayed prepectoral conversion with an acellular dermal matrix (ADM) inlay graft technique at the time of expander-to-implant exchange after irradiation. Methods Patients with breast cancer treated for expander-to-implant exchange after subpectoral expander insertion and subsequent radiotherapy between January 2021 and June 2022 were enrolled. An ADM inlay graft was inserted between the pectoralis major muscle and the previously inserted ADM. The ADM was sutured partially overlapping the pectoralis muscle from the medial side with the transition part, to the muscle border at the lateral side. Perioperative shoulder joint active range-of-motion (ROM) for forward flexion, abduction, and external rotation was also evaluated. Results A total of 35 patients were enrolled in the study. Active shoulder ROM significantly improved from 163 degrees preoperatively to 176 degrees postoperatively in forward flexion, 153 to 175 degrees in abduction, and 69 to 84 degrees in external rotation. There was no difference in patient satisfaction regarding the final outcome between the conventional prepectoral reconstruction group and the study group. Conclusion Shoulder exercises in irradiated patients who underwent subpectoral reconstruction were improved by delayed prepectoral conversion using an ADM inlay graft. It is recommended that subpectoral reconstruction not be ruled out due to concerns regarding muscle contracture and shoulder morbidity in radiation-planned patients with poor mastectomy skin flaps.

• Archives of Plastic Surgery
• /
• v.49 no.6
• /
• pp.716-723
• /
• 2022

Background In March 2021, the United States Food and Drug Administration (FDA) safety communication cautioned against the use of acellular dermal matrix (ADM) products in breast reconstruction and reiterated that the FDA does not approve ADM use in breast surgery. This study aims to assess the safety of ADM use in breast reconstruction. Methods Women who underwent ADM and non-ADM assisted tissue expander (TE)-based breast reconstruction were identified using the National Surgical Quality Improvement Program database (2012-2019). Trends of ADM use over time, and 30-day outcomes of surgical site infection (SSI), dehiscence, and unplanned reoperation were assessed. Results Of the 49,049 TE-based breast reconstructive cases, 42.4% were ADM assisted and 57.6% non-ADM assisted. From 2012 to 2019, the use of ADM increased from 26.1 to 55.6% (relative risk [RR] =1.10; p < 0.01). Higher rates of SSI (3.9 vs. 3.4%; p = 0.003) and reoperation (7.4 vs. 6.0%; p < 0.001) were seen in the ADM cohort. There was no significant difference seen in dehiscence rates (0.7 vs. 0.7%; p = 0.73). The most common reoperation within 30 days for the ADM group (17.6%) was removal of TE without insertion of implant (current procedural terminology: 11,971). ADM-assisted breast reconstruction was associated with increased relative risk of SSI by 10% (RR = 1.10, confidence interval [CI]: 1.01-1.21; p = 0.03) and reoperation by 15% (RR = 1.15, CI: 1.08-1.23; p < 0.001). Conclusions ADM-assisted breast reconstruction more than doubled from 2012 to 2019. There are statistically higher complication rates of SSI (0.5%) and reoperation (1.4%) with ADM use in TE-based breast reconstruction, suggesting that reconstruction without ADM is safe when comparing immediate postoperative outcomes.