SUN Yu, LI Guanhong, WANG Cunfu, DONG Juhong, QIAN Pengfei, WEN Guoquan, DENG Suhua
Objective: To explore the application value of breast magnetic resonance imaging (MRI) in breast reconstruction with nipple-areola complex (NAC)-preserving stage Ⅰ breast reconstruction. Methods: A total of 75 breast cancer patients in Huizhou Third People’s Hospital were selected and all underwent NAC-preserving stage Ⅰ breast reconstruction. Before surgery, breast MRI was used to evaluate the thickness of fat in the breast, the thickness of the glands, and the distance from the tumor edge to the NAC. According to the preoperative MRI measurement data, the tumor resection range was determined, the planned tissue volume was calculated, and the size of the prosthesis was guided. During the operation, the thickness of the breast fat, the thickness of the glands, and the distance from the tumor edge to the NAC were measured, the volume of the tissues removed and the volume of the prosthesis was measured during operation, and the MRI and intraoperative measurement data were compared. The Pearson correlation coefficient model was used to analyze the two groups the linear relationship of the data, the statistics of postoperative complications, and the beauty effect of breast reconstruction. Results: There was no statistically significant difference between the distance of the tumor margin from the skin in the breast measured by breast MRI and intraoperative measurement (P>0.05), and the two were positively correlated (r=0.747, P<0.05). Breast MRI measured gland thickness was compared with intraoperative measurement, and the difference was not statistically significant (P>0.05), and the two were positively correlated (r=0.744, P<0.05). The distance between the tumor edge and the NAC measured by breast MRI was not statistically significant (P>0.05), the two were positively correlated (r=0.752, P<0.05). There was no statistically significant difference between the planned resected tissue volume measured by breast MRI and the actual resected tissue volume and the implanted prosthesis volume (P>0.05). The planned resected tissue volume was positively correlated with the volume of the actual tissue removed and the volume of the implant (r=0.762, 0.776, P<0.05). The total incidence of postoperative complications was 6.67%, and the excellent rate of subjective cosmetic effect was 86.67%, and the objective cosmetic effect was excellent the rate is 82.67%. Conclusion: Before the NAC-preserving stage Ⅰ breast reconstruction, breast MRI can be used to measure the tumor location, breast fat thickness, gland thickness, and distance between tumor edge and NAC in breast cancer patients, which can guide tumor tissue resection and prosthesis size selection, which facilitates the safe preservation of part of the fatty tissue in part of the breast during the operation, so as to obtain a good beauty result of breast reconstruction and reduce postoperative complications.