4.5 Article

Evolution, current challenges, and future possibilities in the objective assessment of aesthetic outcome of breast cancer locoregional treatment

期刊

BREAST
卷 49, 期 -, 页码 123-130

出版社

CHURCHILL LIVINGSTONE
DOI: 10.1016/j.breast.2019.11.006

关键词

Breast conserving therapy; Breast aesthetics; Objective evaluation; Artificial intelligence

资金

  1. Portuguese funding agency, FCT - Fundacao para a Ciencia e Tecnologia [SFRH/BD/139468/2018]
  2. Fundação para a Ciência e a Tecnologia [SFRH/BD/139468/2018] Funding Source: FCT

向作者/读者索取更多资源

The Breast Cancer overall survival rate has raised impressively in the last 20 years mainly due to improved screening and effectiveness of treatments. This increase in survival paralleled the awareness over the long-lasting impact of the side effects of treatments on patient quality of life, emphasizing the motto a longer but better life for breast cancer patients. In breast cancer more strikingly than in other cancers, besides the side effects of systemic treatments, there is the visible impact of surgery and radiotherapy on patients' body image. This has sparked interest on the development of tools for the aesthetic evaluation of Breast Cancer locoregional treatments, which evolved from manual, subjective approaches to computerized, automated solutions. However, although studied for almost four decades, past solutions were not mature enough to become a standard. Recent advancements in machine learning have inspired trends toward deep-learning-based medical image analysis, also bringing new promises to the field of aesthetic assessment of locoregional treatments. In this paper, a review and discussion of the previous state-of-the-art methods in the field is conducted and the extracted knowledge is used to understand the evolution and current challenges. The aim of this paper is to delve into the current opportunities as well as motivate and guide future research in the aesthetic assessment of Breast Cancer locoregional treatments. (C) 2019 Elsevier Ltd.

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