Detailed Information on Publication Record
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.Basic information
Original name
Surgeon-conducted color Doppler ultrasound deep inferior epigastric artery perforator mapping: A cohort study and learning curve assessment
Authors
BAJUS, Adam (203 Czech Republic, belonging to the institution), Tomáš KUBEK (203 Czech Republic, belonging to the institution), Luboš DRAŽAN (203 Czech Republic, belonging to the institution), Jiří VESELÝ (203 Czech Republic, belonging to the institution), Adam NOVÁK (203 Czech Republic, belonging to the institution), Andrej BERKEŠ (703 Slovakia, belonging to the institution) and Libor STREIT (203 Czech Republic, guarantor, belonging to the institution)
Edition
Journal of Plastic, Reconstructive & Aesthetic Surgery, OXFORD, ELSEVIER, 2023, 1748-6815
Other information
Language
English
Type of outcome
Článek v odborném periodiku
Field of Study
30212 Surgery
Country of publisher
United Kingdom of Great Britain and Northern Ireland
Confidentiality degree
není předmětem státního či obchodního tajemství
References:
Impact factor
Impact factor: 2.700 in 2022
RIV identification code
RIV/00216224:14110/23:00130355
Organization unit
Faculty of Medicine
UT WoS
000988325300001
Keywords in English
DIEP flap perforator mapping; Learning curve; Color Doppler ultrasound; computed tomographic angiography
Tags
International impact, Reviewed
Změněno: 6/3/2024 09:30, Mgr. Tereza Miškechová
Abstract
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.
Links
MUNI/A/1360/2022, interní kód MU |
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MUNI/A/1457/2021, interní kód MU |
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MUNI/A/1494/2019, interní kód MU |
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MUNI/A/1668/2020, interní kód MU |
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