Evidence map›Paper›PMID 23945533›Full record

Trial reportAnnals of plastic surgery2013

A novel pilot study using spatial frequency domain imaging to assess oxygenation of perforator flaps during reconstructive breast surgery.

John T Nguyen, Samuel J Lin, Adam M Tobias, Sylvain Gioux, Amaan Mazhar, David J Cuccia, Yoshitomo Ashitate, Alan Stockdale, Rafiou Oketokoun, Nicholas J Durr and 5 more

Open access · greenAbstract readClinical Trial
In one paragraph

Trial report in Annals of plastic surgery, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
2.9field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 51 citations in OpenAlex.

  1. Trial
  2. Article
  3. Flap Monitoring Techniques: A Review.Journal of clinical medicine · 2024
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Review
  19. Article
  20. Review of structured light in diffuse optical imaging.Journal of biomedical optics · 2018
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 5 institutions in 2 countries.

John T NguyenDivision of Plastic and Reconstructive Surgery, Department of Surgery, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Samuel J Lin
Adam M Tobias
Sylvain Gioux
Amaan Mazhar
David J Cuccia
Yoshitomo Ashitate
Alan Stockdale
Rafiou Oketokoun
Nicholas J Durr
Lorissa A Moffitt
Anthony J Durkin
Bruce J Tromberg
John V Frangioni
Bernard T Lee
Beth Israel Deaconess Medical Center · USBeckman Laser Institute and Medical Clinic · USHokkaido University · JPModulim (United States) · USUniversity of California, Irvine · US

Funding

Univ.of Calif., Irvine Cancer Center Support GrantP30CA062203 · NCI · UNIVERSITY OF CALIFORNIA-IRVINE · PI Melanie Funes · 1994 to 2026
$57.9M
WOUND MIGRATION FORCE MONITORINGP41RR001192 · NCRR · UNIVERSITY OF CALIFORNIA-IRVINE · PI CHOI, BERNARD · 1985 to 2011
$14.2M
Intraoperative Near-Infrared Fluorescence ImagingR01CA115296 · NCI · CURADEL, LLC · PI FRANGIONI, JOHN V · 2005 to 2014
$13.9M
Virtual Photonocs TechnologiesP41EB015890 · NIBIB · UNIVERSITY OF CALIFORNIA-IRVINE · PI TROMBERG, BRUCE J. · 2012 to 2017
$7.0M
Real-Time Flap Viability Monitoring during Facial Transplantation using SFDIR01DE022820 · NIDCR · CURADEL, LLC · PI FRANGIONI, JOHN V, LEE, BERNARD TRAVIS · 2013 to 2017
$3.0M
Objective Flap Assessment During Reconstructive SurgeryR01EB005805 · NIBIB · BETH ISRAEL DEACONESS MEDICAL CENTER · PI FRANGIONI, JOHN V · 2006 to 2009
$1.5M
Spatially Modulated Near-Infrared Light for Image-Guided Cancer SurgeryR21CA129758 · NCI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI FRANGIONI, JOHN V · 2007 to 2009
$1.1M
NCI NIH HHS P30 CA062203NCI NIH HHS R01 CA115296NCI NIH HHS R01-CA-115296NCI NIH HHS R21 CA129758NCI NIH HHS R21-CA-129758NCRR NIH HHS P41 RR001192NCRR NIH HHS P41-RR01192NIBIB NIH HHS P41 EB015890NIBIB NIH HHS R01 EB005805NIBIB NIH HHS R01-EB-005805NIDCR NIH HHS R01 DE022820
6 · The paper itself

Abstract

introductionAlthough various methods exist for monitoring flaps during reconstructive surgery, surgeons primarily rely on assessment of clinical judgment. Early detection of vascular complications improves rate of flap salvage. Spatial frequency domain imaging (SFDI) is a promising new technology that provides oxygenation images over a large field of view. The goal of this clinical pilot study is to use SFDI in perforator flap breast reconstruction.

methodsThree women undergoing unilateral breast reconstruction after mastectomy were enrolled for our study. The SFDI system was deployed in the operating room, and images acquired over the course of the operation. Time points included images of each hemiabdominal skin flap before elevation, the selected flap after perforator dissection, and after microsurgical transfer.

resultsSpatial frequency domain imaging was able to measure tissue oxyhemoglobin concentration (ctO2Hb), tissue deoxyhemoglobin concentration, and tissue oxygen saturation (stO2). Images were created for each metric to monitor flap status and the results quantified throughout the various time points of the procedure. For 2 of 3 patients, the chosen flap had a higher ctO2Hb and stO2. For 1 patient, the chosen flap had lower ctO2Hb and stO2. There were no perfusion deficits observed based on SFDI and clinical follow-up.

conclusionsThe results of our initial human pilot study suggest that SFDI has the potential to provide intraoperative oxygenation images in real-time during surgery. With the use of this technology, surgeons can obtain tissue oxygenation and hemoglobin concentration maps to assist in intraoperative planning; this can potentially prevent complications and improve clinical outcome.

Indexed as

AdultAgedBiomarkersFemaleFollow-Up StudiesHemoglobinsHumansMammaplastyMastectomyMiddle AgedMonitoring, IntraoperativeOutcome Assessment, Health CareOxygenOxyhemoglobinsPerforator FlapPilot ProjectsBiomarkersdeoxyhemoglobinHemoglobinsOxygenOxyhemoglobins

Identifiers

PMID23945533
PMCPMC3896306
OpenAlexW2170619284

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.