Current Applications of Ultrasound Imaging in the Preoperative Planning of DIEP Flaps

Perez-Iglesias, Carolina Torres; Laikhter, Elizabeth; Kang, Christine O.; Nassar, Amer H.; Maselli, Amy; Cauley, Ryan; Lee, Bernard T.

doi:10.1055/s-0041-1740955

Cited by 3 publications

(2 citation statements)

References 54 publications

(96 reference statements)

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“…This is highlighted in studies that reveal the Doppler probe’s occasional inaccuracies when juxtaposed with surgical observations or more modern imaging techniques, particularly with regard to smaller, deeply located vessels [ 26 , 27 , 28 ]. Nevertheless, ultrasound remains a popular and widely utilised preoperative imaging modality for breast reconstruction planning [ 29 , 30 ].…”

Section: Early Techniquesmentioning

confidence: 99%

A History of Innovation: Tracing the Evolution of Imaging Modalities for the Preoperative Planning of Microsurgical Breast Reconstruction

Cevik

Seth

Hunter-Smith

et al. 2023

JCM

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Breast reconstruction is an essential component in the multidisciplinary management of breast cancer patients. Over the years, preoperative planning has played a pivotal role in assisting surgeons in planning operative decisions prior to the day of surgery. The evolution of preoperative planning can be traced back to the introduction of modalities such as ultrasound and colour duplex ultrasonography, enabling surgeons to evaluate the donor site’s vasculature and thereby plan operations more accurately. However, the limitations of these techniques paved the way for the implementation of modern three-dimensional imaging technologies. With the advancements in 3D imaging, including computed tomography and magnetic resonance imaging, surgeons gained the ability to obtain detailed anatomical information. Moreover, numerous adjuncts have been developed to aid in the planning process. The integration of 3D-printing technologies has made significant contributions, enabling surgeons to create complex haptic models of the underlying anatomy. Direct infrared thermography provides a non-invasive, visual assessment of abdominal wall vascular physiology. Additionally, augmented reality technologies are poised to reshape surgical planning by providing an immersive and interactive environment for surgeons to visualize and manipulate 3D reconstructions. Still, the future of preoperative planning in breast reconstruction holds immense promise. Most recently, artificial intelligence algorithms, utilising machine learning and deep learning techniques, have the potential to automate and enhance preoperative planning processes. This review provides a comprehensive assessment of the history of innovation in preoperative planning for breast reconstruction, while also outlining key future directions, and the impact of artificial intelligence in this field.

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Section: Early Techniquesmentioning

confidence: 99%

A History of Innovation: Tracing the Evolution of Imaging Modalities for the Preoperative Planning of Microsurgical Breast Reconstruction

Cevik

Seth

Hunter-Smith

et al. 2023

JCM

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show abstract

“…21 Therefore, ultrasound is the favored preoperative perforator imaging modality by many authors and is gaining on the application of computed tomography angiography, even in DIEP flaps. 22 Yet, color duplex ultrasound requires trained examiners and experience as results are observer-dependent. 23 Color duplex ultrasound ALT perforator imaging duration is dependent on examination setup and the used ultrasound device as well as examiner experience.…”

mentioning

confidence: 99%

Thermography Supported Color Duplex Ultrasound Accelerates ALT Perforator Imaging

Illg

Krauß

Rachunek

et al. 2022

J Reconstr Microsurg

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Background The anterolateral thigh flap is a versatile and dependable perforator flap and is a popular choice in the reconstruction of various body sites. The variable perforator anatomy suggests preoperative perforator imaging to improve safety and speed of dissection. An innovative perforator imaging technique is thermography, which lately gained attention in plastic surgery. Methods Thirty-two healthy participants were included in this randomized study. One thigh was examined with dynamic infrared thermography and consecutively with ultrasound, while the contralateral thigh was examined with ultrasound as standalone technology. Results The application of dynamic infrared thermography prior to ultrasound perforator identification significantly accelerated the ultrasound examination duration by 90 to 130 seconds. The mean duplex ultrasound examination duration correlated positively with the hotspot and perforator quantity per thigh. Conclusion The addition of thermographic perforator mapping can accelerate color duplex ultrasound anterolateral thigh perforator imaging. Furthermore, thermography supplements color duplex ultrasound with crucial information on angiosome location.

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Customized Soft Tissue Free Flaps in Head and Neck Reconstruction

Heredero,

Falguera,

Gómez

et al. 2024

Oral and Maxillofacial Surgery Clinics of North America

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Current Applications of Ultrasound Imaging in the Preoperative Planning of DIEP Flaps

Cited by 3 publications

References 54 publications

A History of Innovation: Tracing the Evolution of Imaging Modalities for the Preoperative Planning of Microsurgical Breast Reconstruction

A History of Innovation: Tracing the Evolution of Imaging Modalities for the Preoperative Planning of Microsurgical Breast Reconstruction

Thermography Supported Color Duplex Ultrasound Accelerates ALT Perforator Imaging

Customized Soft Tissue Free Flaps in Head and Neck Reconstruction

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