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Radiological Investigation III: Pulmonary Angiogram and PET Scan01:13

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Radiological investigations are paramount in the diagnosis and management of various pulmonary diseases. Two essential investigations are the Pulmonary Angiogram and the Positron Emission Tomography (PET) Scan.
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A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
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Updated: Dec 10, 2025

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[Postoperative radiotherapy after immediate breast reconstruction].

M Rogé1, S Thureau1, J Carrilho2

  • 1Department of radiation oncology, centre Henri-Becquerel, 1, rue d'Amiens, 76000 Rouen, France.

Cancer Radiotherapie : Journal De La Societe Francaise De Radiotherapie Oncologique
|September 5, 2020
PubMed
Summary

Immediate breast reconstruction improves quality of life for breast cancer patients after mastectomy, without affecting cancer outcomes. This review details reconstruction methods, complications, and target volume definition for post-mastectomy radiotherapy.

Keywords:
BreastCTVCancerImplantMastectomieMastectomyProthesisProthèsesRadiotherapyRadiothérapieSein

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Area of Science:

  • Oncology
  • Plastic Surgery
  • Radiotherapy

Background:

  • Immediate breast reconstruction (IBR) enhances quality of life in mastectomy patients compared to delayed reconstruction, with no adverse oncologic outcomes.
  • IBR involves either implant-based or autologous reconstruction, both altering the surgical bed and impacting radiotherapy target volume definition.
  • Post-mastectomy radiotherapy increases complication rates for both reconstruction types, necessitating clear guidelines for target delineation.

Purpose of the Study:

  • To review surgical procedures for immediate breast reconstruction.
  • To outline the complications associated with immediate breast reconstruction.
  • To define the post-mastectomy target volume in the context of different reconstruction techniques.

Main Methods:

  • Literature review of surgical techniques for immediate breast reconstruction (implant-based and autologous).
  • Analysis of complication rates reported for immediate breast reconstruction.
  • Review of current guidelines and proposed methods for post-mastectomy radiotherapy target volume definition.

Main Results:

  • Immediate breast reconstruction offers quality of life benefits without compromising oncologic safety.
  • Both implant-based and autologous reconstructions modify the surgical field, influencing radiotherapy planning.
  • Guidelines for target volume definition exist for implant-based reconstruction but are pending for autologous reconstruction.

Conclusions:

  • Immediate breast reconstruction is a viable option for improving patient quality of life post-mastectomy.
  • Accurate target volume definition is crucial for effective post-mastectomy radiotherapy, especially after autologous reconstruction.
  • Further research and guidelines are needed for radiotherapy planning in autologous immediate breast reconstruction.