ArticlePlastic and reconstructive surgery. Global open2025
Preoperative Estimation of Deep Inferior Epigastric Perforator Flap Weight Using Synapse Vincent 3-dimensional Analysis: A Feasibility Study.
Article in Plastic and reconstructive surgery. Global open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Automated Fat-tissue Extraction for Preoperative Estimation of Profunda Artery Perforator Flap Weight in Breast Reconstruction: A Three-dimensional Computed Tomography-Based Analysis.Plastic and reconstructive surgery. Global open · 2026Article
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3 authors.
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Abstract
Accurate preoperative estimation of flap weight is essential for successful breast reconstruction using the deep inferior epigastric perforator (DIEP) flap. However, current methods relying on physical examination or experience are often subjective. We developed a simple objective method for predicting DIEP flap weight using Synapse Vincent, a widely available 3-dimensional image analysis software program. This prospective study included 40 patients who underwent autologous breast reconstruction using DIEP flaps between January 2020 and September 2023. A semicylindrical 3-dimensional model of the abdominal subcutaneous tissue was constructed from preoperative computed tomography images using Synapse Vincent. The volume of the model was converted to the predicted flap weight by assuming a fat density of 1.0 g/cm³. The predicted and actual intraoperative flap weights were compared using Pearson correlation and linear regression analyses. The mean predicted flap weight was 732 ± 306 g, and the mean actual flap weight was 754 ± 310 g. A strong correlation was observed between predicted and actual weights (
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