Clinical Assessment of Breast Volume

Can 3D Imaging Be the Gold Standard?

Renee C. Killaars, MD; Myriam L. G. Preuβ, MD; Nathalie J. P. de Vos, MD; Camille C. J. L. Y. van Berlo, MD; Marc B. I. Lobbes, MD, PhD; René R. W. J. van der Hulst, MD, PhD; Andrzej A. Piatkowski, MD, PhD


Plast Reconstr Surg Glob Open. 2020;8(11):e3236 

In This Article


The 3D imaging system used in this study shows excellent reliability for measurements of breast volume, which is even higher than reproducibility of measurements made with MRI, the current gold standard. However, 3D breast volumes are significantly lower, but show a strong correlation to MRI volumes from which a linear regression line can be derived. This makes 3D imaging an objective and reproducible measuring method suitable for clinical practice. Breast volume measured by 3D imaging seems comparable to the assessment of the breast by a plastic surgeon, but further research is needed to compare reliability of these two methods. Since 3D imaging is not variable to individual experience, this could represent an important step towards a standardized approach of breast evaluation and surgery.