Utilizing Colour Doppler Ultrasound for the Mapping of Internal and Lateral Anterior Intercostal Artery Perforator Flaps: A Study on the Relationship Between Preoperative Imaging and Intraoperative Observations in Oncoplastic Breast Surgery - Takeaways - MDSpire

Utilizing Colour Doppler Ultrasound for the Mapping of Internal and Lateral Anterior Intercostal Artery Perforator Flaps: A Study on the Relationship Between Preoperative Imaging and Intraoperative Observations in Oncoplastic Breast Surgery

  • By

  • Georg Schmidt

  • Theresa Mayo

  • Angela von Falkenhausen

  • Marion Kiechle

  • Daniel Müller

  • April 9, 2026

  • 0 min

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  • 1

    High-frequency colour duplex ultrasound (CDUS) effectively identifies anterior chest wall perforators, reducing uncertainty in flap planning.

  • 2

    A standardized ultrasound protocol and coordinate-based mapping system enhance the correlation between preoperative imaging and intraoperative findings.

  • 3

    CDUS is a radiation-free, cost-effective alternative to computed tomography angiography (CTA) for preoperative perforator mapping.

  • 4

    The study involved 64 women undergoing breast-conserving surgery, all of whom were candidates for perforator flap-based reconstruction.

  • 5

    Standardization of pre- and intraoperative imaging may improve surgical planning and accessibility of chest wall perforator flaps.

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