Abstract
Computed tomography angiography (CTA) has been proven as the most accurate imaging modality available to provide vascular mapping in the perforating arteries of the deep inferior epigastric artery (DIEA) for preoperative flap surgery. It is more expensive than Doppler-US, expose the patient to considerable radiation dose and iodinated contrast; nevertheless it reduces operating time with subsequent reduction in costs and provides additional benefits, for instance potential decrease in complication rate. Proper patient positioning and pristine scanning technique, especially concerning timing, are important to obtain a volume than can be later reformatted in three dimensional imaging. Post-processing in 3D volume rendering (3DVR) and multiplanar maximum intensity projection (MIP) will serve to better visualize different anatomical aspects.
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Pellegrin, A., Belgrano, M., Cova, M.A. (2016). Preoperative Vascular Mapping with Multislice CT of Deep Inferior Epigastric Artery Perforators in Planning Breast Reconstruction After Mastectomy. In: Shiffman, M. (eds) Breast Reconstruction. Springer, Cham. https://doi.org/10.1007/978-3-319-18726-6_12
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DOI: https://doi.org/10.1007/978-3-319-18726-6_12
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