Article: 3D Optical Imaging as a New Tool for the Objective Evaluation of Body Shape Changes After Bariatric Surgery

Introduction: Bariatric surgery is the most effective treatment option for obesity. It results in massive weight loss and improvement of obesity-related diseases. At the same time, it leads to a drastic change in body shape. These body shape changes are mainly measured by two-dimensional measurement methods, such as hip and waist circumference. These measurement methods suffer from significant measurement errors and poor reproducibility. Here, we present a three-dimensional measurement tool of the torso that can provide an objective and reproducible source for the detection of body shape changes after bariatric surgery.

Material And Methods: In this study, 25 bariatric patients were scanned with Artec EVA®, an optical three-dimensional mobile scanner up to 1 week before and 6 months after surgery. Data were analyzed, and the volume of the torso, the abdominal circumference and distances between specific anatomical landmarks were calculated. The results of the processed three-dimensional measurements were compared with clinical data concerning weight loss and waist circumference.

Results: The volume of the torso decreased after bariatric surgery. Loss of volume correlated strongly with weight loss 6 months after the operation (r = 0.6425, p = 0.0005). Weight loss and three-dimensional processed data correlated better (r = 0.6121, p = 0.0011) than weight loss and waist circumference measured with a measuring tape (r = 0.3148, p = 0.1254).

Conclusion: Three-dimensional imaging provides an objective and reproducible source for the detection of body shape changes after bariatric surgery. We recommend its use for the evaluation of central obesity, particularly for research issues and body imaging before and after bariatric surgery.

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References

1.

Schauer P, Kashyap S, Wolski K, Brethauer S, Kirwan J, Pothier C . Bariatric surgery versus intensive medical therapy in obese patients with diabetes. N Engl J Med. 2012; 366(17):1567-76. PMC: 3372918. DOI: 10.1056/NEJMoa1200225. View

2.

Alberti K, Eckel R, Grundy S, Zimmet P, Cleeman J, Donato K . Harmonizing the metabolic syndrome: a joint interim statement of the International Diabetes Federation Task Force on Epidemiology and Prevention; National Heart, Lung, and Blood Institute; American Heart Association; World Heart Federation;.... Circulation. 2009; 120(16):1640-5. DOI: 10.1161/CIRCULATIONAHA.109.192644. View

3.

Rosen D . Growing up: health care for adolescents and young adults with chronic conditions. Am J Dis Child. 1992; 146(8):901-2. DOI: 10.1001/archpedi.1992.02160200023012. View

4.

Ayoub A, Xiao Y, Khambay B, Siebert J, Hadley D . Towards building a photo-realistic virtual human face for craniomaxillofacial diagnosis and treatment planning. Int J Oral Maxillofac Surg. 2007; 36(5):423-8. DOI: 10.1016/j.ijom.2007.02.003. View

5.

Wermker K, Kleinheinz J, Jung S, Dirksen D . Soft tissue response and facial symmetry after orthognathic surgery. J Craniomaxillofac Surg. 2014; 42(6):e339-45. DOI: 10.1016/j.jcms.2014.01.032. View

6.

Mason C, Katzmarzyk P . Variability in waist circumference measurements according to anatomic measurement site. Obesity (Silver Spring). 2009; 17(9):1789-95. DOI: 10.1038/oby.2009.87. View

7.

Wormser D, Kaptoge S, Di Angelantonio E, Wood A, Pennells L, Thompson A . Separate and combined associations of body-mass index and abdominal adiposity with cardiovascular disease: collaborative analysis of 58 prospective studies. Lancet. 2011; 377(9771):1085-95. PMC: 3145074. DOI: 10.1016/S0140-6736(11)60105-0. View

8.

Barbe J, Guerrero R, Villaverde A . Further characterization of the expression of SOS functions in recA430 mutants of Escherichia coli. Mutat Res. 1983; 121(3-4):171-5. DOI: 10.1016/0165-7992(83)90199-9. View

9.

Khunadorn N, Kalumpaheti R . Bilateral cortical blindness from cerebral infarction. J Med Assoc Thai. 1970; 53(3):205-10. View

10.

Liu C, Luan J, Mu L, Ji K . The role of three-dimensional scanning technique in evaluation of breast asymmetry in breast augmentation: a 100-case study. Plast Reconstr Surg. 2010; 126(6):2125-2132. DOI: 10.1097/PRS.0b013e3181f46ec6. View

11.

Monpellier V, Antoniou E, Mulkens S, Janssen I, Mink van der Molen A, Jansen A . Body image dissatisfaction and depression in postbariatric patients is associated with less weight loss and a desire for body contouring surgery. Surg Obes Relat Dis. 2018; 14(10):1507-1515. DOI: 10.1016/j.soard.2018.04.016. View

3D Optical Imaging As a New Tool for the Objective Evaluation of Body Shape Changes After Bariatric Surgery