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FlapMap Visual Language System for Vascular Imaging Prior to Microvascular Free Tissue Transfer
Taylor J Ibelli1, Farah Sayegh1, Alexander C Kagen2
1Division of Plastic and Reconstructive Surgery, Icahn School of Medicine at Mount Sinai, New York, N.Y.
Plastic and Reconstructive Surgery. Global Open
|June 8, 2022
Summary
Preoperative vascular imaging aids free tissue transfer. A new visual system, FlapMap, standardizes imaging communication for better surgical planning in breast reconstruction.
Area of Science:
- Plastic Surgery
- Radiology
- Medical Imaging
Background:
- Preoperative vascular imaging is crucial for free tissue transfer, particularly in deep inferior epigastric perforator flap breast reconstruction.
- Current imaging methods like CT angiography and MR angiogram generate extensive data without standardized analysis or communication protocols.
- This lack of standardization hinders effective preoperative planning and surgical decision-making.
Purpose of the Study:
- To introduce a novel visual language system, FlapMap, for preoperative vascular imaging.
- To standardize the recording, analysis, and communication of imaging data obtained from tomographic studies.
- To facilitate clear and actionable preoperative planning for microvascular free tissue transfer procedures.
Main Methods:
- Development of a new visual language system named "FlapMap" for preoperative imaging.
- Application of FlapMap to consolidate complex imaging data into a single, easily interpretable image.
- Focus on deep inferior epigastric perforator flap breast reconstruction as a primary use case.
Main Results:
- FlapMap enables the creation of a single, comprehensive image from preoperative vascular imaging studies.
- The system provides a standardized and easily communicated visual representation of relevant anatomical and vascular information.
- Facilitates improved understanding and communication among surgical teams.
Conclusions:
- FlapMap offers a standardized visual language for preoperative vascular imaging, enhancing clarity and communication.
- This system aids in effective preoperative planning for microvascular free tissue transfer, improving surgical outcomes.
- Standardization through FlapMap addresses the current limitations in analyzing and communicating complex imaging data.

