Surgeon-conducted color Doppler ultrasound deep inferior
epigastric artery perforator mapping: A cohort study and
learning curve assessment

J 2023

Surgeon-conducted color Doppler ultrasound deep inferior epigastric artery perforator mapping: A cohort study and learning curve assessment

BAJUS, Adam, Tomáš KUBEK, Luboš DRAŽAN, Jiří VESELÝ, Adam NOVÁK et. al.

Základní údaje

Originální název

Surgeon-conducted color Doppler ultrasound deep inferior epigastric artery perforator mapping: A cohort study and learning curve assessment

Autoři

BAJUS, Adam (203 Česká republika, domácí), Tomáš KUBEK (203 Česká republika, domácí), Luboš DRAŽAN (203 Česká republika, domácí), Jiří VESELÝ (203 Česká republika, domácí), Adam NOVÁK (203 Česká republika, domácí), Andrej BERKEŠ (703 Slovensko, domácí) a Libor STREIT (203 Česká republika, garant, domácí)

Vydání

Journal of Plastic, Reconstructive & Aesthetic Surgery, OXFORD, ELSEVIER, 2023, 1748-6815

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30212 Surgery

Stát vydavatele

Velká Británie a Severní Irsko

Utajení

není předmětem státního či obchodního tajemství

Odkazy

URL

Impakt faktor

Impact factor: 2.700 v roce 2022

Kód RIV

RIV/00216224:14110/23:00130355

Organizační jednotka

Lékařská fakulta

DOI

http://dx.doi.org/10.1016/j.bjps.2022.10.022

UT WoS

000988325300001

Klíčová slova anglicky

DIEP flap perforator mapping; Learning curve; Color Doppler ultrasound; computed tomographic angiography

Štítky

14110119, 14110128, rivok

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 6. 3. 2024 09:30, Mgr. Tereza Miškechová

Anotace

V originále

Background Perforator mapping using diagnostic methods facilitates deep inferior epigastric perforator (DIEP) flap planning. Computed tomographic angiography (CTA) is a well-proven tool for perforator mapping. However, the benefits of color Doppler ultrasonography (CDU) are as follows: 1) CDU involves dynamic real-time examination and 2) does not use radiation. Comparing the accuracies of both methods in a cohort of patients, this study aimed to evaluate the learning curve of surgeon-conducted CDU perforator mapping. Methods Twenty patients undergoing DIEP flap breast reconstruction were enrolled in a cohort study. All patients underwent CTA perforator mapping preoperatively. XY coordinates of significant perforators were subtracted by a radiologist. A single surgeon (sonographer) with minimal experience with CDU performed CDU perforator mapping, including XY coordinates subtraction. The sonographer was blinded to the CTA data. The reference coordinates of dissected perforators were measured during surgery. Deviations from reference coordinates for both methods were compared, and CDU mapping learning curve was assessed using Joinpoint Regression. Results We included 20 women (32 DIEP flaps and 59 dissected perforators). The mean deviation between mapped and reference coordinates was 1.00 (0.50–1.12) cm for CDU and 0.71 (0.50–1.12) cm for CTA. The learning curve of CDU mapping showed the breaking point after the seventh patient (≈ 21 localized perforators). After the breaking point, no significant differences between the deviations of both methods were found (p = 0.980). Conclusion A limited number of examinations were needed for the surgeon to learn CDU DIEA perforator mapping with accuracy similar to that of CTA mapping.

Návaznosti

MUNI/A/1360/2022, interní kód MU

Název: Evaluace inovativních postupů plastické a rekonstrukční chirurgie III

Investor: Masarykova univerzita, Evaluace inovativních postupů plastické a rekonstrukční chirurgie III

MUNI/A/1457/2021, interní kód MU

Název: Evaluace inovativních postupů plastické a rekonstrukční chirurgie II

Investor: Masarykova univerzita, Evaluace inovativních postupů plastické a rekonstrukční chirurgie II

MUNI/A/1494/2019, interní kód MU

Název: Klinický přínos vizualizace cévního zásobení perforátorových laloků pomocí CT angiografie a duplexní sonografie

Investor: Masarykova univerzita, Klinický přínos vizualizace cévního zásobení perforátorových laloků pomocí CT angiografie a duplexní sonografie, DO R. 2020_Kategorie A - Specifický výzkum - Studentské výzkumné projekty

MUNI/A/1668/2020, interní kód MU

Název: Evaluace inovativních postupů plastické a rekonstrukční chirurgie (Akronym: KPECH SV 2021)

Investor: Masarykova univerzita, Evaluace inovativních postupů plastické a rekonstrukční chirurgie

Citovat

BAJUS, Adam, Tomáš KUBEK, Luboš DRAŽAN, Jiří VESELÝ, Adam NOVÁK, Andrej BERKEŠ a Libor STREIT. Surgeon-conducted color Doppler ultrasound deep inferior epigastric artery perforator mapping: A cohort study and learning curve assessment. Journal of Plastic, Reconstructive & Aesthetic Surgery. OXFORD: ELSEVIER, 2023, roč. 76, January 2023, s. 105-112. ISSN 1748-6815. Dostupné z: https://dx.doi.org/10.1016/j.bjps.2022.10.022.

@article{2258319,
   author = {Bajus, Adam and Kubek, Tomáš and Dražan, Luboš and Veselý, Jiří and Novák, Adam and Berkeš, Andrej and Streit, Libor},
   article_location = {OXFORD},
   article_number = {January 2023},
   doi = {http://dx.doi.org/10.1016/j.bjps.2022.10.022},
   keywords = {DIEP flap perforator mapping; Learning curve; Color Doppler ultrasound; computed tomographic angiography},
   language = {eng},
   issn = {1748-6815},
   journal = {Journal of Plastic, Reconstructive & Aesthetic Surgery},
   title = {Surgeon-conducted color Doppler ultrasound deep inferior epigastric artery perforator mapping: A cohort study and learning curve assessment},
   url = {https://www.sciencedirect.com/science/article/pii/S1748681522005630},
   volume = {76},
   year = {2023}
}

TY  - JOUR
ID  - 2258319
AU  - Bajus, Adam - Kubek, Tomáš - Dražan, Luboš - Veselý, Jiří - Novák, Adam - Berkeš, Andrej - Streit, Libor
PY  - 2023
TI  - Surgeon-conducted color Doppler ultrasound deep inferior epigastric artery perforator mapping: A cohort study and learning curve assessment
JF  - Journal of Plastic, Reconstructive & Aesthetic Surgery
VL  - 76
IS  - January 2023
SP  - 105-112
EP  - 105-112
PB  - ELSEVIER
SN  - 17486815
KW  - DIEP flap perforator mapping
KW  - Learning curve
KW  - Color Doppler ultrasound
KW  - computed tomographic angiography
UR  - https://www.sciencedirect.com/science/article/pii/S1748681522005630
N2  - Background Perforator mapping using diagnostic methods facilitates deep inferior epigastric perforator (DIEP) flap planning. Computed tomographic angiography (CTA) is a well-proven tool for perforator mapping. However, the benefits of color Doppler ultrasonography (CDU) are as follows: 1) CDU involves dynamic real-time examination and 2) does not use radiation. Comparing the accuracies of both methods in a cohort of patients, this study aimed to evaluate the learning curve of surgeon-conducted CDU perforator mapping. Methods Twenty patients undergoing DIEP flap breast reconstruction were enrolled in a cohort study. All patients underwent CTA perforator mapping preoperatively. XY coordinates of significant perforators were subtracted by a radiologist. A single surgeon (sonographer) with minimal experience with CDU performed CDU perforator mapping, including XY coordinates subtraction. The sonographer was blinded to the CTA data. The reference coordinates of dissected perforators were measured during surgery. Deviations from reference coordinates for both methods were compared, and CDU mapping learning curve was assessed using Joinpoint Regression. Results We included 20 women (32 DIEP flaps and 59 dissected perforators). The mean deviation between mapped and reference coordinates was 1.00 (0.50–1.12) cm for CDU and 0.71 (0.50–1.12) cm for CTA. The learning curve of CDU mapping showed the breaking point after the seventh patient (≈ 21 localized perforators). After the breaking point, no significant differences between the deviations of both methods were found (p = 0.980). Conclusion A limited number of examinations were needed for the surgeon to learn CDU DIEA perforator mapping with accuracy similar to that of CTA mapping.
ER  -

BAJUS, Adam, Tomáš KUBEK, Luboš DRAŽAN, Jiří VESELÝ, Adam NOVÁK, Andrej BERKEŠ a Libor STREIT. Surgeon-conducted color Doppler ultrasound deep inferior epigastric artery perforator mapping: A cohort study and learning curve assessment. \textit{Journal of Plastic, Reconstructive \&{} Aesthetic Surgery}. OXFORD: ELSEVIER, 2023, roč.~76, January 2023, s.~105-112. ISSN~1748-6815. Dostupné z: https://dx.doi.org/10.1016/j.bjps.2022.10.022.

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