Abstract
Many international groups have now successfully implemented the use of preoperative imaging with computed tomographic angiography (CTA) in deep inferior epigastric artery (DIEA) perforator (DIEP) flap surgery, with several now showing reductions in operating times and improved operative outcomes. 1 Rozen W.M. Anavekar N.S. Ashton M.W. et al. Does the preoperative imaging of perforators with CT angiography improve operative outcomes in breast reconstruction?. Microsurgery. 2008; 28: 516-523 Crossref PubMed Scopus (127) Google Scholar , 2 Smit J.M. Dimopoulou A. Liss A.G. et al. Preoperative CT angiography reduces surgery time in perforator flap reconstruction. J Plast Reconstr Aesthet Surg. 2008; ([Epub ahead of print]) Google Scholar , 3 Uppal R.S. Casaer B. Van Landuyt K. et al. The efficacy of preoperative mapping of perforators in reducing operative times and complications in perforator flap breast reconstruction. J Plast Reconstr Aesthet Surg. 2008; ([Epub ahead of print]) Google Scholar However, in recent visits by the current authors to multiple international centres, it has become apparent that the quality of imaging is less than could otherwise be achieved. In particular, the three-dimensional reconstruction of scan data is essential for accurate interpretation, perforator mapping, and presentation to the surgeon.
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