Method for assessing women's perceptions of their appearance in the context of breast cancer care

评估乳腺癌护理背景下女性对其外表的看法的方法

• 批准号: 10196213
• 负责人: Mia K Markey
• 金额: $ 43.3万
• 依托单位: UNIVERSITY OF TEXAS AT AUSTIN
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-16 至 2024-09-15
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10196213
• 关键词: 3-Dimensional; Address; Algorithms; Appearance; Beneficence; Biomedical Engineering; Breast; Breast Cancer Treatment; Breast Cancer survivor; Caring; Cicatrix; Dimensions; Disease; Environment; Esthesia; Ethics; Ethnic Origin; Excision; Experimental Designs; Feeling; Fostering; Goals; Health Care Ethics; Informed Consent; Intervention; Justice; Lactation; Mammaplasty; Measures; Methods; Nonmaleficence; Operative Surgical Procedures; Participant; Patients; Perception; Persons; Procedures; Process; Psychometrics; Psychophysics; Quality of life; Race; Reconstructive Surgical Procedures; Research; Research Personnel; Resources; Sampling; Self Perception; Stimulus; Subgroup; Techniques; Texas; Thinking; Trauma; Universities; University of Texas M D Anderson Cancer Center; Visual; Woman; analog; austin; base; cancer care; expectation; experimental study; functional restoration; innovation; malignant breast neoplasm; multidisciplinary; psychosocial adjustment; reconstruction; response; shared decision making; surgery outcome

The goals of reconstructive surgery are to restore function and minimize differences in form (appearance) resulting from congenital conditions, disease, or trauma. There are substantial and sustained quality of life benefits of mitigating form differences through reconstructive surgery. Many women choose to undergo breast reconstruction to mitigate the form changes resulting from breast cancer and its treatment. Breast reconstruction is the most common reconstructive procedure that is performed exclusively to ameliorate form differences, as opposed to a combination of functional and form intents. Contemporary surgical techniques cannot restore normal breast sensation or lactation, but can recreate a breast form that is satisfying to the patient, facilitating her psychosocial adjustment to living as a breast cancer survivor. The core principles of healthcare ethics are autonomy, justice, beneficence, and non-maleficence. A particular challenge in the ethical delivery of reconstructive surgery is the difficulty of informed consent about appearance change. Shared decision-making about reconstructive surgery requires that patients have realistic expectations about how their bodily form will be changed. But, it is difficult for patients to articulate their expectations of how their appearance will be changed by reconstructive surgery, and likewise difficult to evaluate the impact of interventions intended to foster realistic expectations of surgical outcomes. The overarching goal of this exploratory study is to develop a method for assessing a woman's perception of the current appearance of her torso and how her appearance will be changed by breast cancer treatment despite mitigating reconstructive procedures. Our approach is inspired by the psychophysical tenet that internal representations of stimuli can be inferred from experiments in which physical stimuli are controlled and observers' responses to the stimuli are measured. We propose a systematic method for representing a woman's perception of her appearance based on how similar she perceives herself to be to a set of 3D reference photographs.

重建手术的目标是恢复功能并最大程度地减少形式的差异（外观） 先天性疾病，疾病或创伤导致。生活质量很高 通过重建手术来缓解形式差异的好处。 许多女性选择进行乳房重建，以减轻乳腺癌导致的形式变化 及其处理。乳房重建是执行的最常见的重建程序 与功能和形式意图的组合相反，专门用于改善形式差异。 当代手术技术无法恢复正常的乳房感觉或泌乳，但可以重现乳房 对患者满意的形式，促进了她作为乳腺癌幸存者生活的社会心理调整。 医疗保健道德的核心原则是自治，正义，福利和非遗憾。一个特殊的 重建手术的道德交付中的挑战是对外观的知情同意的困难 改变。关于重建手术的共同决策要求患者有现实的期望 关于他们的身体形式将如何改变。但是，患者很难表达他们对如何的期望 它们的外观将通过重建手术而改变，并且同样难以评估 干预措施旨在促进对手术结果的现实期望。 这项探索性研究的总体目标是开发一种评估女性对女性的看法的方法 尽管 缓解重建程序。我们的方法受到内部心理物理宗旨的启发 可以从控制物理刺激并观察者的实验中推断出刺激的表示。 测量对刺激的反应。我们提出了一种代表女人看法的系统方法 她的外表是基于她对自己与一组3D参考照片相似的相似之处。