在使用基于智能手机的温度计设备进行自身腹部片基础的乳房重建时,进行穿孔血管的术前检测
Andrea Sm Alberti1,2, Davide Brucato1,3, Corrado Parodi1,4
1Department of Plastic, Reconstructive and Aesthetic Surgery, Lugano Regional Hospital, Ente Ospedaliero Cantonale (EOC), Lugano, Switzerland.
智能手机热图提供了一种快速,非侵入性的方法,用于识别乳房重建中的穿孔器热点. 然而,它的精度低于50%,并且取决于皮下厚度,使其成为标准成像的辅助,而不是替代品.
科学领域:
- 整形外科 整形外科 整形外科
- 医疗成像医学成像
- 生物医学工程 生物医学工程
背景情况:
- 腹腔穿孔板是自主乳房重建的标准.
- 精确的手术前识别穿孔血管对于手术成功至关重要.
- 目前的成像方法包括双重声学,CT血管学和MR血管学.
研究的目的:
- 为了评估基于智能手机的温度计设备用于识别穿孔器容器热点.
- 在乳腺重建患者中,比较热图与CT血管图和MR血管图的准确性.
- 评估皮下组织厚度对温度学与放射学发现的相关性的影响.
主要方法:
- 一项横截面观察性研究包括60名接受基于腹部组织的乳房重建的患者.
- 在经过受控的冷却和重新加热后,使用温度计评估了手术前的皮肤 perfusion.
- 热图热点被定义并与CT/MR血管学识别的穿孔器相关联.
主要成果:
- 热像显示与放射性穿孔器的相关性在42%的患者<30mm皮下厚度 (在3分钟) 和43%的患者>30mm厚度 (在30分钟).
- 总体相关性在所有时间点和患者群体中从0%到75%不等.
- 该设备识别了热点,但没有显示血管口径或肌肉内流程.
结论:
- 基于智能手机的温度计是一种快速,非侵入性的工具,用于检测皮肤表面的热点.
- 它与CT/MR血管造影的相关性低于50%,并且受到皮下脂肪厚度的显著影响.
- 热像可以作为标准成像方法的辅助,但不能替代它们进行手术前的穿孔器血管映射.
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