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サクライ ヒロユキ
Sakurai Hiroyuki
櫻井 裕之 所属 医学部 医学科（東京女子医科大学病院） 職種 教授・基幹分野長 |
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| 論文種別 | 原著 |
| 言語種別 | 英語 |
| 査読の有無 | 査読あり |
| 表題 | A trial to visualize perforators images from CTA with a tablet device: experience of operating on minipigs. |
| 掲載誌名 | 正式名：Computer assisted surgery (Abingdon, England) 略 称：Comput Assist Surg (Abingdon) ISSNコード：24699322/24699322 |
| 掲載区分 | 国外 |
| 巻・号・頁 | 27(1),pp.120-127 |
| 著者・共著者 | KONOEDA Hisato†, UEMATSU Miyuki, JUMXIAO Nie, MASAMUNE Ken, SAKURAI Hiroyuki |
| 担当区分 | 最終著者 |
| 発行年月 | 2022/12 |
| 概要 | A reliable method for precise perforator mapping can be extremely valuable in perforator flap surgery. In this study, we attempted to map perforator location using 3-dimensional computed tomography angiography (CTA), a newly developed application, and a tablet device. Preliminary examinations to test the device were conducted in mini-pigs. We used 5 female mini-pigs. Preoperative imaging of the vasculature was undertaken with CTA in the prone position, following Iopamidol (200 ml) injection via the internal jugular vein. Prior to the examination, we placed round markers on the backs of the mini-pigs. To assess accuracy, we compared the perforator positions acquired with an optical position measurement device with the perforator positions acquired with the tablet device. Furthermore, we compared the perforator positions with the tablet navigation device, which we measured directly. We measured 12 perforators with the optical position measurement device. The mean difference was 10 mm (minimum, 2 mm; maximum, 20 mm). We measured these perforators with the tablet navigation device. The mean difference was 5.4 mm (minimum, 0 mm; maximum, 20 mm). The perforator flaps were elevated safely. The perforator flaps could be elevated safely using our device, as the mean difference was only 10 mm, which is acceptable for navigating perforator flap operations. Pig backs are triangular in shape; therefore, we were unable to place markers on the contralateral side. Thus, for clinical applications of the device, we should determine the ideal marker locations. |
| DOI | 10.1080/24699322.2022.2104172 |
| PMID | 35930262 |