Comparison of BCCT.core and the JBCS scale for evaluating cosmetic outcomes after breast-conserving surgery
LAI Yangsu
LIU Li
GUAN Jiefang
CHENG Luyang
LIU Lihan
ZHANG Hongdu
Abstract：Objective To validate the agreement between BCCT.core(breast cancer conservative treatment.cosmetic results),an objective assessment tool,and the Japanese Breast Cancer Society(JBCS)subjective scale for evaluating cosmetic outcomes after breast-conserving surgery,thereby providing reliable evidence for the clinical application of BCCT.core.Methods From January 2021 to December 2024,this study included 107 patients who underwent BCS for breast cancer,consisting of 46 cases of conventional BCS(43%),34 cases of oncoplastic BCS(32%),and 27 cases of endoscopic BCS(25%).Postoperative frontal breast photographs of the patients were subjected to automated aesthetic analysis using the BCCT.core software.Simultaneously,three breast surgeons scored the cosmetic results using the JBCS scale.Intraclass correlation coefficient(ICC)was used to assess the inter-rater consistency among the surgeons'scores;Spearman's rank correlation coefficient was used to analyze the correlation between the BCCT.core software score and the surgeons'scores.Results Inter-rater reliability among the surgeons demonstrated moderate agreement(ICC=0.63).The scores from BCCT.core showed a high correlation with the mean ratings of the three surgeons(Spearman's rho=0.87,P<0.001).Compared to the evaluation using the JBCS scale by physicians,the BCCT.core software offers advantages such as user-friendly operation,high efficiency,standardized assess-ment,and reproducible results.Consequently,its clinical application can save considerable time,manpower,and material resources.Conclusion The evaluation results of the BCCT.core software are highly correlated and comparable with subjective surgeon ratings.Its objectivity and reliability support its use as an auxiliary tool for assessing cosmetic outcomes after breast-conserving surgery.
Keywords：Aesthetic evaluationBCCT.coreJBCS scaleConventional-breast conserving surgeryOncoplastic-breast conserv-ing surgeryEndoscopic-breast conserving surgery
Publication Date：2026-02-15
Online Publishing Date：2026-03-31(First online date of this platform, not the publication date of the document)
Pages：5( 89-93 )