Interactive Design of Patient-Specific Molds for Tissue Shaping

Purpose

The goal of this study is to develop clinical decision-support algorithms for designing participants-specific breast molds for tissue shaping. Autologous breast reconstruction is an important part of breast cancer rehabilitation for many participants. Our goal is to increase the efficiency of autologous breast reconstruction by helping the surgeon design participants-specific molds for shaping tissue into an acceptable breast form.

Condition

  • Mastectomy

Eligibility

Eligible Ages
Over 18 Years
Eligible Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  1. Patients 18 years of age or older 2. Patients who are willing and able to provide informed consent 3. Patients who are scheduled to undergo breast reconstruction with free flap (Deep Interior Epigastric Artery Perforator (DIEP) flap or Transverse Rectus Abdominis Myocutaneous (TRAM) flap)

Exclusion Criteria

  1. Patients whose surgical plan includes the use of stacked flaps (DIEP + other free flap, usually from the thigh or buttock) 2. Patients whose surgical plan includes the use of DIEP flap with vascularized lymph node transfer 3. Patients undergoing neoadjuvant radiation

Study Design

Phase
N/A
Study Type
Interventional
Allocation
Randomized
Intervention Model
Crossover Assignment
Primary Purpose
Supportive Care
Masking
None (Open Label)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
Intraoperative Use of 3D Printed Breast Mold
Participants will be randomized using a 1:1 ration to 1 of 2 conditions
  • Procedure: Standard of care reconstruction
    Participants will receive standard of care reconstruction
Experimental
Standard of Care Reconstruction
Participants will be randomized using a 1:1 ration to 1 of 2 conditions
  • Procedure: Surgery, Breast Mold
    Participants will undergo surgery. The surgeon may utilize the custom breast mold in shaping the autologous tissue flap for particiapnts.

Recruiting Locations

The University of Texas M. D. Anderson Cancer Center
Houston, Texas 77030
Contact:
Ashleigh M Francis, MD
713-563-4598
amfrancis@mdanderson.org

More Details

NCT ID
NCT06711965
Status
Recruiting
Sponsor
M.D. Anderson Cancer Center

Study Contact

Ashleigh M Francis, MD
713-563-4598
amfrancis@mdanderson.org

Detailed Description

Primary Objective: To evaluate the efficiency of autologous reconstruction performed with 3D-printed participants-specific breast molds designed using our clinical decision-support algorithms. Secondary Objectives: To assess the total number of times the mold was used by the surgeons in the intervention group. To compare the intraoperative time for shaping tissue in control versus intervention group. To collect information on the type of revisions for aesthetic purposes required in control versus intervention group. To assess the number and type of complications experienced in control versus intervention group.