ABSTRACT
BACKGROUND AND OBJECTIVE: Cosmetic outcome of breast cancer conservative treatment (BCCT) remains without a standard evaluation method. Subjective methods, in spite of their low reproducibility, continue to be the most frequently used. Objective methods, although more reproducible, seem unable to translate all the subtleties involved in cosmetic outcome. The breast cancer conservative treatment cosmetic results (BCCT.core) software was developed in 2007 to try to overcome these pitfalls. The software is a semi-automatic objective tool that evaluates asymmetry, color differences and scar visibility using patient's digital pictures. The purpose of this work is to review the use of the BCCT.core software since its availability in 2007 and to put forward future developments. METHODS: All the online requests for BCCT.core use were registered from June 2007 to December 2014. For each request the department, city and country as well as user intention (clinical use/research or both) were questioned. A literature search was performed in Medline, Google Scholar and ISI Web of Knowledge for all publications using and citing "BCCT.core". RESULTS: During this period 102 centers have requested the software essentially for clinical use. The BCCT.core software was used in 19 full published papers and in 29 conference abstracts. CONCLUSIONS: The BCCT.core is a user friendly semi-automatic method for the objective evaluation of BCCT. The number of online requests and publications have been steadily increasing turning this computer program into the most frequently used tool for the objective cosmetic evaluation of BCCT.
Subject(s)
Breast Neoplasms/surgery , Conservative Treatment/methods , Breast Neoplasms/therapy , Computer Graphics , Databases, Factual , Esthetics , Female , Humans , Internet , Photography , Reproducibility of Results , Software , Treatment Outcome , United States , User-Computer InterfaceABSTRACT
During the Turning Subjective Into Objective seminar held in Lisbon in May 2011, experts in the topic gathered to discuss the unsolved problems of aesthetic evaluation of breast-conserving treatment (BCT). The purpose of this study is to review the main methodological issues related to the aesthetic evaluation of BCT, to discuss currently used methods of evaluation and the lack of a gold standard, and to write a set of recommendations that can be used as guidance for the aesthetic evaluation of BCT.
Subject(s)
Breast Neoplasms/surgery , Mastectomy, Segmental/methods , Diagnostic Self Evaluation , Esthetics , Female , Humans , Photography/methodsABSTRACT
CIDASC: La construcciòn de pràcticas de conservaciòn de suelos (Terrazas de banco, zanjas de infiltraciòn y otros) representa un gasto econòmico para el campesino. Por otra parte el desconocimiento de los beneficios que ocasionan las pràcticas conservacionistas contribuyen al aumento cada vez mayor de àreas si vegetaciòn. Con el objeto de analizar los costos de construcciòn de terrazas de banco, a partir de la economìa de reciprocidad y economìa de mercado. Asimismo comprobar el efecto de las pràcticas y analizar la rentabilidad y factibilidad econòmica a corto plazo. Los beneficios obtenidos con las terrazas de banco son de 163
màs en relaciòn a la parcela testigo por o que econòmicamente esfactible y rentable la ejecuciòn de la obra conservacionista. Con referencia a la evaluaciòn social el nùmero de integrantes adecuado para la construcciòn de terrazas a travès del ayni es de 5 a 8; asimismo el corte y relleno de tierra son considerados como las actividades màs laboriosas en la construcciòn de terrazas; la època seca es la màs propicia para la ejecuciòn de pràcticas conservacionistas. Por otro lado los campesinos evidenciaron un control efectivo de la erosiòn hìdrica, lavado de materia orgànica y el mejoramiento de la producciòn en las parcelas con conservaciòn.
