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- Title
Imaging in Autologous Breast Reconstruction.
- Authors
Coleman-Belin, Janet C.; Barnett, Joshua; Khavanin, Nima; Nelson, Jonas A.; Stern, Carrie S.; Allen Jr., Robert J.
- Abstract
Simple Summary: As breast cancer rates rise, more patients choose breast reconstruction. Autologous breast reconstruction (ABR) may be more cost-effective and offer superior patient quality of life compared to prosthetic implant-based reconstruction but it involves heightened surgical complexity and extended operative time. Imaging facilitates surgical planning, patient selection, and reduces the time spent in the operating room, thereby enhancing the likelihood of surgical success and decreasing complication rates. Advanced imaging has also spurred innovative surgical techniques aimed at improving aesthetic outcomes and minimizing donor-site morbidity, including robotic-assisted deep inferior epigastric flap perforator (DIEP) flap harvest and stacked microsurgical flaps. The evolution of imaging actively shapes clinical management in the field. Ultrasonography (US), computed tomography angiography (CTA), and magnetic resonance angiography (MRA) stand out as the most extensively researched imaging modalities for ABR. Ongoing advancements include "real-time" angiography and three-dimensional (3D) surface imaging, and future prospects incorporate augmented or virtual reality (AR/VR) and artificial intelligence (AI). These technologies may further enhance perioperative efficiency, reduce donor-site morbidity, and improve surgical outcomes in ABR.
- Subjects
PREVENTION of surgical complications; MAMMAPLASTY; AUTOGRAFTS; MICROSURGERY; DIAGNOSTIC imaging; THREE-dimensional imaging; BREAST tumors; BLOOD vessels; COMPUTED tomography; ARTIFICIAL intelligence; TREATMENT effectiveness; ULTRASONIC imaging; DECISION making in clinical medicine; SURGICAL flaps; MAGNETIC resonance angiography; QUALITY of life; ACCURACY; PATIENT satisfaction; AUGMENTED reality; PERIOPERATIVE care
- Publication
Cancers, 2024, Vol 16, Issue 16, p2851
- ISSN
2072-6694
- Publication type
Article
- DOI
10.3390/cancers16162851