J A.
Clavero1, Mitsue Miyazaki2, Faiza Admiraa-Behloul3,
X Alomar1, J Masia4, G Pons4
1Diagnostic Imaging, Clinica Creu
Blanca, Barcelona, Spain; 2Toshiba Medical Research Institute,
Vernon Hills, United States; 3Toshiba Medical Systems Europe,
Zoetermeer, Netherlands; 4Plastic Surgery, Free University of
Barcelona, Barcelona, Spain
Post-mastectomy
autologous breast reconstruction using
abdominal perforator flaps gained popularity because it offers a natural soft
breast mound, and preserves the donor site muscle and function. Because the
vascular anatomy of the abdominal wall is highly variable between
individuals, a detailed accurate preoperative vascular map of the abdomen can
significantly reduce the operating time, with a better surgical outcome.
MDCTA proved to be very useful for this purpose [1], however it requires
ionizing contrast agents and radiation. the purpose of this work was to
investigate the role of non-contrast enhanced MR angiography (NC-MRA), as
compared to MDCTA, in the preoperative evaluation of the vascular anatomy of
the abdominal wall for abdominal perforator flap surgery in post-mastectomy
breast reconstruction.
Keywords