ArticleGland surgery2015
Comparative analysis of fluorescent angiography, computed tomographic angiography and magnetic resonance angiography for planning autologous breast reconstruction.
Article in Gland surgery, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
What it found
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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.
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.
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Who cites it
20 citing papers in PubMed, 44 citations in OpenAlex.
- State-of-the-Art Medical Imaging Supporting Supermicrosurgery: A Scoping Review, Practical Guidelines, and Illustrative Case Report.Archives of plastic surgery · 2026Article
- National Trends and Impact of Preoperative CT-Angiography on Autologous Breast Reconstruction.Annals of surgical oncology · 2025Article
- Pushing the boundaries in autologous breast reconstruction: innovations from imaging to artificial intelligence.Frontiers in surgery · 2025Article
- Morphology and arterial supply of the pyramidalis muscle in an Australian female population using computed tomography angiography.Surgical and radiologic anatomy : SRA · 2024Article
- Three-Dimensional Printing in Breast Reconstruction: Current and Promising Applications.Journal of clinical medicine · 2024Review
- The Impact of Technical Innovations and Donor-Site Mesh Repair on Autologous Abdominal-Based Breast Reconstruction-A Retrospective Analysis.Journal of clinical medicine · 2024Article
- Current status of autologous breast reconstruction in Europe: how to reduce donor site morbidity.Gland surgery · 2023Review
- Improving Visualization of Intramuscular Perforator Course: Augmented Reality Headsets for DIEP Flap Breast Reconstruction.Plastic and reconstructive surgery. Global open · 2023Article
- A History of Innovation: Tracing the Evolution of Imaging Modalities for the Preoperative Planning of Microsurgical Breast Reconstruction.Journal of clinical medicine · 2023Review
- Vascular Mapping for Abdominal-Based Breast Reconstruction: A Comprehensive Review of Current and Upcoming Imaging Modalities.Eplasty · 2023Review
- Complications of Immediate versus Delayed DIEP Reconstruction: A Meta-Analysis of Comparative Studies.Cancers · 2022Review
- Imaging for thinned perforator flap harvest: current status and future perspectives.Burns & trauma · 2021Review
- How to assess a CTA of the abdomen to plan an autologous breast reconstruction.Gland surgery · 2019Article
- A review of visualized preoperative imaging with a focus on surgical procedures of the breast.Gland surgery · 2019Review
- Enhancing Safety in Reconstructive Microsurgery Using Intraoperative Indocyanine Green Angiography.Frontiers in surgery · 2019Article
- Review
- [Application of indocyanine green-based fluorescent angiography in autologous tissue breast reconstruction].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2018Article
- Comparative study of software techniques for 3D mapping of perforators in deep inferior epigastric artery perforator flap planning.Gland surgery · 2016Article
- Advances in imaging technologies for planning breast reconstruction.Gland surgery · 2016Review
- Indocyanine green-based fluorescent angiography in breast reconstruction.Gland surgery · 2016Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe high incidence of breast cancer and growing number of breast cancer patients undergoing mastectomy has led to breast reconstruction becoming an important part of holistic treatment for these patients. In planning autologous reconstructions, preoperative assessment of donor site microvascular anatomy with advanced imaging modalities has assisted in the appropriate selection of flap donor site, individual perforators, and lead to an overall improvement in flap outcomes. In this review, we compare the accuracy of fluorescent angiography, computed tomographic angiography (CTA), and magnetic resonance angiography (MRA) and their impact on clinical outcomes.
methodsA review of the published English literature dating from 1950 to 2015 using databases, such as PubMed, Medline, Web of Science, and EMBASE was undertaken.
resultsFluorescent angiography is technically limited by its inability to evaluate deep-lying perforators and hence, it has a minimal role in the preoperative setting. However, it may be useful intraoperatively in evaluating microvascular anastomotic patency and the mastectomy skin perfusion. CTA is currently widely considered the standard, due to its high accuracy and reliability. Multiple studies have demonstrated its ability to improve clinical outcomes, such as operative length and flap complications. However, concerns surrounding exposure to radiation and nephrotoxic contrast agents exist. MRA has been explored, however despite recent advances, the image quality of MRA is considered inferior to CTA.
conclusionsPreoperative imaging is an essential component in planning autologous breast reconstruction. Fluorescent angiography presents minimal role as a preoperative imaging modality, but may be a useful intraoperative adjunct to assess the anastomosis and the mastectomy skin perfusion. Currently, CTA is the gold standard preoperatively. MRA has a role, particularly for women of younger age, iodine allergy, and renal impairment.
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Registered trials
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.