Infrared Thermography for DIEP Flap Breast Reconstruction Part I: Measurements †

Steenackers, Gunther; Verstockt, Jan; Cloostermans, Ben; Thiessen, Filip; Ribbens, Bart; Tjalma, Wiebren A.A.

doi:10.3390/proceedings2019027048

Cited by 2 publications

(5 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The measurements are divided into three sections: pre-, per-, and postoperative. Each section of measurement has a different purpose as shown in the list below [43].…”

Section: Measurements On Diep Flaps: Methodsmentioning

confidence: 99%

“…2(e)]. The blue crosses are the perforators that were clamped off in the peroperative measurements [43].…”

Section: A Preoperative Measurements: External Coolingmentioning

confidence: 99%

“…Thus, there is room for optimization in determining which part of the flap is well perfused through the selected perforator and which part of the flap is safe to use. The surgeons do not exactly and with certainty know the maximum surface area perfused by the chosen perforators when examining the CTA images [43]. Before transplantation, the best-suited perforator that most likely perfuses the largest part of the abdominal flap is chosen to be anastomosed.…”

Section: B Peroperative Measurementsmentioning

confidence: 99%

See 2 more Smart Citations

DIEP flap breast reconstructions: thermographic assistance as a possibility for perforator mapping and improvement of DIEP flap quality

Verstockt¹,

Thiessen²,

Cloostermans³

et al. 2020

Appl. Opt.

Self Cite

View full text Add to dashboard Cite

In the modern world, one-third or more of breast cancer patients still undergo uni-or bilateral mastectomy. Breast cancer patients, in general, have a good prognosis and long-term survival. Therefore, the treatment must not only focus on survival but also on the quality of life. Breast reconstruction with an autologous free deep inferior epigastric artery perforator (DIEP) flap is one of the preferred options after mastectomy. A challenging step in this procedure is the selection of a suitable perforator that provides sufficient blood supply for the flap to prevent necrosis after anastomosis. In this pilot study, the possibilities for dynamic infrared thermography (DIRT) are investigated to select the best suitable perforator. The measurements are done with external cooling in the preoperative stage to accurately predict the location of the dominant perforators. During the surgery, in the peroperative stage, measurements are done for mapping the influence of a specific perforator on the perfused areas of the abdominal flap. Perforators are sequentially closed and opened again to map the influence of that perforator on the vascularization of the flap, visualized with the help of the thermographic camera. The acquired steady-state thermal images could help decide which parts of the abdominal flap to use for the reconstruction so that the chance of (partial) necrosis is reduced. In the postoperative stage, DIRT could visualize the arterial and or venous thrombosis before they become clinically obvious as (partial) necrosis. At present DIRT seems to be a valuable investigation for the pre-, per-, and postoperative phases of DIEP-flap reconstructions. Large, high-quality clinical studies are needed to determine its definitive role.

show abstract

“…The measurements are divided into three sections: pre-, per-, and postoperative. Each section of measurement has a different purpose as shown in the list below [43].…”

Section: Measurements On Diep Flaps: Methodsmentioning

confidence: 99%

“…2(e)]. The blue crosses are the perforators that were clamped off in the peroperative measurements [43].…”

Section: A Preoperative Measurements: External Coolingmentioning

confidence: 99%

Section: B Peroperative Measurementsmentioning

confidence: 99%

See 1 more Smart Citation

DIEP flap breast reconstructions: thermographic assistance as a possibility for perforator mapping and improvement of DIEP flap quality

Verstockt¹,

Thiessen²,

Cloostermans³

et al. 2020

Appl. Opt.

Self Cite

View full text Add to dashboard Cite

show abstract

“…The measurements are divided into 3 sections: pre-, intra-and postoperative. Each section of a measurement has a different purpose, as shown in the list below [2].…”

Section: Measurements On Diep Flaps: Methodsmentioning

confidence: 99%

“…Thus there is room for optimization in determining which part of the flap is well perfused through the selected perforator and which part of the flap is safe to use. The surgeons do not exactly and with certainty know the maximum surface area perfused by the chosen perforators when examining the CTA images [2]. Before transplantation, the best-suited perforator which perfuses most likely the largest part of the abdominal flap is chosen to be anastomosed.…”

Section: Peroperative Measurementsmentioning

confidence: 99%

DIEP flap perforator mapping by infrared thermography: state of the art and researchprogression

Steenackers¹,

Verstockt²,

Verspeek³

et al. 2022

Proceedings of the 2022 International Conference on Quantitative InfraRed Thermography

View full text Add to dashboard Cite

Dynamic infrared thermography (DIRT) has been used to locate perforating vessels and to assist in reconstructive breast surgery. Qualitative information on the perforating vessels is obtained by analyzing the rate and pattern of rewarming of hot spots which are easily registered with an infrared camera. Thermal measurements are made before and during surgery and are compared with the CT images available before the operation. The thermal images can provide the individual influence of each perforator on the flap, as well as the dimensions of the perfused area. It will be investigated if the thermal image sequence locating the different dominant perforators will prove to be a useful tool for reconstructive DIEP-flap surgery

show abstract

Infrared Thermography for DIEP Flap Breast Reconstruction Part I: Measurements †

Cited by 2 publications

References 2 publications

DIEP flap breast reconstructions: thermographic assistance as a possibility for perforator mapping and improvement of DIEP flap quality

DIEP flap breast reconstructions: thermographic assistance as a possibility for perforator mapping and improvement of DIEP flap quality

DIEP flap perforator mapping by infrared thermography: state of the art and researchprogression

Contact Info

Product

Resources

About