Dynamic contrast-enhanced MRI as a valuable non-invasive tool to evaluate tissue perfusion of free flaps: Preliminary results

Clinical Hemorheology and Microcirculation

Volumn 46, Issue 2-3, 2010, Pages 77-87

  Fellner, Claudia ^a   Jung, Ernst M ^a   Prantl, Lukas ^a  

^a UNIVERSITY HOSPITAL REGENSBURG   (Germany)

Author keywords

DCE; free flaps; MRI; plastic surgery; tissue perfusion

Indexed keywords

ADOLESCENT; ADULT; AGED; ANASTOMOSIS; ARTICLE; CLINICAL ARTICLE; CONTRAST ENHANCEMENT; FASCIOCUTANEOUS FLAP; FEMALE; FREE TISSUE GRAFT; HUMAN; LATISSIMUS DORSI FLAP; MALE; NUCLEAR MAGNETIC RESONANCE IMAGING; THREE DIMENSIONAL IMAGING; TISSUE PERFUSION;

ADOLESCENT; ADULT; AGED; CONTRAST MEDIA; FEMALE; FREE TISSUE FLAPS; HUMANS; MAGNETIC RESONANCE IMAGING; MALE; MICROCIRCULATION; MIDDLE AGED; RECONSTRUCTIVE SURGICAL PROCEDURES; VASCULAR PATENCY; YOUNG ADULT;

EID: 78650433221     PISSN: 13860291     EISSN: None     Source Type: Journal    
DOI: 10.3233/CH-2010-1335     Document Type: Article

References (32)

1. D.T. Bui, P.G. Cordeiro, Q.Y. Hu, J.J. Disa, A. Pusic and B.J. Mehrara, Free flap reexploration: Indications, treatment, and outcomes in 1193 free flaps, Plast Reconstr Surg 119 (2007), 2092-2100.
2. K.T. Chen, S. Mardini, D.C. Chuang, C.H. Lin, M.H. Cheng, Y.T. Lin, W.C. Huang, C.K. Tsao and F.C. Wei, Timing of presentation of the first signs of vascular compromise dictates the salvage outcome of free flap transfers, Plast Reconstr Surg 120 (2007), 187-195.
3. B.C. Cho, D.P. Shin, J.S. Byun, J.W. Park and B.S. Baik, Monitoring flap for buried free tissue transfer: Its importance and reliability, Plast Reconstr Surg 110 (2002), 1249-1258.
4. J.J. Disa, P.G. Cordeiro and D.A. Hidalgo, Efficacy of conventional monitoring techniques in free tissue transfer: An 11-year experience in 750 consecutive cases, Plast Reconstr Surg 104 (1999), 97-101.
5. P. Durnig, M. Meier and B. Reichert, Monitoring of free flaps and replantations. Status quo in German-speaking microsurgery units, Handchir Mikrochir Plast Chir 40 (2008), 392-399.
6. B. Fagrell and G. Lundberg, A simplified evaluation of vital capillary microscopy for predicting skin viability in patients with severe arterial insufficiency, Clin Physiol 4 (1984), 403-411.
7. R.E. Ferguson Jr and P. Yu, Techniques of monitoring buried fasciocutaneous free flaps, Plast Reconstr Surg 123 (2009), 525-532.
8. E.L. Gasparetto, M.A. Pawlak, S.H. Patel, J. Huse, J.H. Woo, J. Krejza, M.R. Rosenfeld, D.M. O'Rourke, R. Lustig, E.R. Melhemm and R.L. Wolf, Posttreatment recurrence of malignant brain neoplasms: Accuracy of relative cerebral blood volume fraction in discriminating low from high malignant histologic volume fraction, Radiology 250 (2009), 887-896.
9. R.G. Gonzales, Image-guided acute ischemic stroke therapy: From "time is brain" to "physiology is brain", AJNR Am J Neuroradiol 27 (2006), 728-735.
10. J.F. Griffith, D.K. Yeung, P.H. Tsang, K.C. Choi, T.C. Kwok, A.T. Ajhujy, K.S. Leung and P.C. Leung, Compromised bone marrow perfusion in osteoporosis, J Bone Miner Res 23 (2008), 1068-1075.
11. H.M. Häfner, K. Bräuer, C. Radke, M. Eichner and A. Strölin, Wavelet analysis of laser doppler flux time series of tumor and inflammatory associated neoangiogenesis. Differences in rhythmical behavior, Clin Hemorheol Microcirc 43 (2009), 191-201.
12. T. Hirai, R. Murakami, H. Nakamura, M. Kitajima, H. Fukuoka, A. Sasao, M. Akter, Y. Hayashida, R. Toya, N. Oya, K. Awai, K. Iyama, J.I. Kuratsu and Y. Yamashita, Prognostic value of perfusion MR imaging of high-grade astrocytomas: Long-term follow-up study, AJNR Am J Neuroradiol 29 (2008), 1505-1510.
13. M.B. Hirigoyen, M.L. Urken and H. Weinberg, Free flap monitoring: A review of current practice, Microsurgery 16 (1995), 723-726.
14. K. Hui, G.K. Lee, F. Zhang, K. Li, L. Cheung and W.C. Lineaweaver, Magnetic resonance imaging detection of vascular occlusion of a pedicled muscle flap, Microsurgery 17 (1996), 306-312.
15. S.M. Hussain, P.E. Zondervan, J.N. Ijzermans, S.W. Schalm, R.A. de Man and G.P. Krestin, Benign versus malignant hepatic nodules: MR imaging findings with pathologic correlation, Radiographics 22 (2002), 1023-1036.
16. C. Kuhl, The current status of breast MR imaging. Part I. Choice of technique, image interpretation, diagnostic accuracy, and transfer to clinical practice, Radiology 244 (2007), 356-378.
17. P. Lamby, L. Prantl, S. Gais, M. Walter, M. Bachthaler, M. Nerlich, S. Feuerbach and E.M. Jung, Evaluation of the vascular integrity of free flaps based on microcirculation imaging techniques, Clin Hemorheol Microcirc 39 (2008), 253-263.
18. P. Lang, G. Honda, T. Roberts, M. Vahlensieck, J.O. Johnston, W. Rosenau, A. Mathur, C. Peterfy, C.A. Gooding and H.K. Genant, Musculoskeletal neoplasm: Perineoplastic edema versus tumor on dynamic postcontrast MR images with spatial mapping of instantaneous enhancement rates, Radiology 197 (1995), 831-839.
19. M.Libicher, C.Kasperk, M. Daniels, W. Hosch, H.U. Kauczor and S. Delorme, Dynamic contrast-enhanced MRIin Paget's disease of bone - correlation of regional microcirculation and bone turnover, Eur Radiol 18 (2008), 1005-1011.
20. K.J. Macura, R. Ouwerkerk, M.A. Jacobs and D.A. Bluemke, Patterns of enhancement on breast MR images: Interpretation and imaging pitfalls, Radiographics 26 (2006), 1719-1734.
21. D.R. Martin and R.C. Semelka, Magnetic resonance imaging of the liver: Review of techniques and approach to common diseases, Semin Ultrasound CT MR 26 (2005), 116-131.
22. P.C. Neligan, Monitoring techniques for the detection of flow failure in the postoperative period, Microsurgery 14 (1993), 162-164.
23. J.A. Pickett, M.S. Thorniley, N. Carver and D.P. Jones, Free flap monitoring in plastic and reconstructive surgery, Adv Exp Med Biol 530 (2003), 717-724.
24. L. Prantl, K. Pfister, R. Kubale, S. Schmitt, V. Stockhammer, W. Jung, N. Zorger, T. Herold, M. Nerlich, A. Stehr and E.M. Jung, Value of high resolution ultrasound and contrast enhanced US pulse inversion imaging for the evaluation of the vascular integrity of free-flap grafts, Clin Hemorheol Microcirc 36 (2007), 203-216.
25. L. Prantl, P. Babilas, C. Roll, M. Jung, M. Nerlich, B. Kinner, S. Schreml and B. Fuechtmeier, The use of 'fasciocutaneous' and 'osteofasciocutaneous' parascapular flaps for lower limb reconstruction: A retrospective study of 20 patients, J Plast Reconstr Aesthet Surg 62 (2009), 973-980.
26. L. Prantl, S. Schmitt, S. Geis, T.Y. Tsui, P. Lamby, M. Nerlich, R. Kubale, N. Zorger, T. Herold, S. Feuerbach and E.M. Jung, Contrast harmonic ultrasound and indocyanine-green fluorescence video angiography for evaluation of dermal and subdermal microcirculation in free parascapular flaps, Clin Hemorheol Microcirc 38 (2008), 105-118.
27. L. Prantl, S. Schreml, M. Walter, P. Kasprzak, A. Stehr, M. Nerlich, S. Feuerbach and E.M. Jung, Evaluation of microcir-culation of free flaps of the lower leg by contrast harmonic imaging (CHI) with time intensity curve (TIC) analysis, Clin Hemorheol Microcirc 39 (2008), 343-350.
28. W.H. Reinhart, B. Pleisch, L.G. Harris and M. Lütolf, Influence of contrast media (iopromide, ioxaglate, gadolinium-DOTA) on blood viscosity, erythrocyte morphology and platelet function, Clin Hemorheol Microcirc 32 (2005), 227-239.
29. J.J. Rosenberg, B.D. Fornage and P.M. Chevray, Monitoring buried free flaps: Limitations of the implantable Doppler and use of color duplex sonography as a confirmatory test, Plast Reconstr Surg 118 (2006), 109-113.
30. P.D. Schellinger, G. Thomalla, J. Fiehler, M. Köhrmann, C.A. Molina, T. Neumann-Haefelin, M. Ribo, O.C. Singer, O. Zaro-WeberandJ.Sobesky, MRI-basedandCT-basedthrombolytic therapyinacutestrokewithinandbeyondestablished time windows: An analysis of 1210 patients, Stroke 38 (2007), 2640-2645.
31. A. Schrey, T. Niemi, I. Kinnunen, H. Minn, T. Vahlberg, K. Kallioski, E. Suominen, R. Grénman and K. Aitasalo, The limitations of tissue-oxygen measurement and positron emission tomography as additional methods for postoperative breast reconstruction free-flap monitoring, J Plast Reconstr Aesthet Surg 63 (2010), 314-321.
32. Y.K. Tu, C.Y. Yen, C.H. Ma, S.W. Yu, Y.C. Chou, M.S. Lee and S.W. Ueng, Soft-tissue injury management and flap reconstruction for mangled lower extremities, Injury 39(Suppl 4) (2008), 75-95.