A Reproducible Method for Donor Site Computed Tomography Measurements in Abdominally Based Autologous Breast Reconstruction
Summary:. We present an approach for evaluating abdominal computed tomography (CT) scans that generates reproducible measures relevant to donor site morbidity after abdominally based breast reconstruction. Seventeen preoperative CT metrics were measured in 20 patients with software: interanterior su...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2025-01-01
|
| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006413 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832589667988406272 |
|---|---|
| author | Damini Tandon, MD Arthur Sletten, MD, PhD Austin Ha, MD Gary B. Skolnick, BA, MBA Paul Commean, BEE Terence Myckatyn, MD |
| author_facet | Damini Tandon, MD Arthur Sletten, MD, PhD Austin Ha, MD Gary B. Skolnick, BA, MBA Paul Commean, BEE Terence Myckatyn, MD |
| author_sort | Damini Tandon, MD |
| collection | DOAJ |
| description | Summary:. We present an approach for evaluating abdominal computed tomography (CT) scans that generates reproducible measures relevant to donor site morbidity after abdominally based breast reconstruction. Seventeen preoperative CT metrics were measured in 20 patients with software: interanterior superior iliac spine distance; abdominal wall protrusion; interrectus distance; rectus abdominis width, thickness, and width-to-thickness ratio; abdominal wall thickness; subcutaneous fat volume; visceral fat volume; right/left psoas volumes and densities; and right/left rectus abdominis volumes and densities. Two operators performed measures to determine interrater reliability (n = 10). Interclass coefficients (ICCs) were calculated, and Bland–Altman plots were fashioned. Intrarater reliability was excellent (ICC > 0.9, 0.958–1) for 15 measures, and good (0.75 < ICC < 0.9, 0.815–0.853) for 2 measures. Interrater reliability was excellent (ICC > 0.9, 0.912–0.995) for 12 measures and good (0.75 < ICC < 0.9, 0.78–0.896) for 5 measures. Bland–Altman plots confirmed intra/interrater agreement. Our study meets its objective of establishing a protocol for obtaining abdominal CT measurements with high reproducibility and intrarater and interrater reliability. Although this study is not meant to weigh the particular influences of various CT measurements on clinical outcomes, we are now actively studying this with the intention of reporting our findings in the near future. Larger patient cohorts must be leveraged to determine correlations between abdominal CT scan findings and donor site outcomes using machine learning algorithms that generate models for predicting abdominal donor site complications. |
| format | Article |
| id | doaj-art-ef9081699e754f62a66e979a514a4590 |
| institution | Kabale University |
| issn | 2169-7574 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj-art-ef9081699e754f62a66e979a514a45902025-01-24T09:19:58ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742025-01-01131e641310.1097/GOX.0000000000006413202501000-00010A Reproducible Method for Donor Site Computed Tomography Measurements in Abdominally Based Autologous Breast ReconstructionDamini Tandon, MD0Arthur Sletten, MD, PhD1Austin Ha, MD2Gary B. Skolnick, BA, MBA3Paul Commean, BEE4Terence Myckatyn, MD5From the * Division of Plastic and Reconstructive Surgery, Washington University School of Medicine in Saint Louis, St. Louis, MOFrom the * Division of Plastic and Reconstructive Surgery, Washington University School of Medicine in Saint Louis, St. Louis, MO† Department of Plastic Surgery, The University of Texas MD Anderson Cancer Center, Houston, TXFrom the * Division of Plastic and Reconstructive Surgery, Washington University School of Medicine in Saint Louis, St. Louis, MO‡ Mallinckrodt Institute of Radiology, Washington University School of Medicine in Saint Louis, St. Louis, MO.From the * Division of Plastic and Reconstructive Surgery, Washington University School of Medicine in Saint Louis, St. Louis, MOSummary:. We present an approach for evaluating abdominal computed tomography (CT) scans that generates reproducible measures relevant to donor site morbidity after abdominally based breast reconstruction. Seventeen preoperative CT metrics were measured in 20 patients with software: interanterior superior iliac spine distance; abdominal wall protrusion; interrectus distance; rectus abdominis width, thickness, and width-to-thickness ratio; abdominal wall thickness; subcutaneous fat volume; visceral fat volume; right/left psoas volumes and densities; and right/left rectus abdominis volumes and densities. Two operators performed measures to determine interrater reliability (n = 10). Interclass coefficients (ICCs) were calculated, and Bland–Altman plots were fashioned. Intrarater reliability was excellent (ICC > 0.9, 0.958–1) for 15 measures, and good (0.75 < ICC < 0.9, 0.815–0.853) for 2 measures. Interrater reliability was excellent (ICC > 0.9, 0.912–0.995) for 12 measures and good (0.75 < ICC < 0.9, 0.78–0.896) for 5 measures. Bland–Altman plots confirmed intra/interrater agreement. Our study meets its objective of establishing a protocol for obtaining abdominal CT measurements with high reproducibility and intrarater and interrater reliability. Although this study is not meant to weigh the particular influences of various CT measurements on clinical outcomes, we are now actively studying this with the intention of reporting our findings in the near future. Larger patient cohorts must be leveraged to determine correlations between abdominal CT scan findings and donor site outcomes using machine learning algorithms that generate models for predicting abdominal donor site complications.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006413 |
| spellingShingle | Damini Tandon, MD Arthur Sletten, MD, PhD Austin Ha, MD Gary B. Skolnick, BA, MBA Paul Commean, BEE Terence Myckatyn, MD A Reproducible Method for Donor Site Computed Tomography Measurements in Abdominally Based Autologous Breast Reconstruction Plastic and Reconstructive Surgery, Global Open |
| title | A Reproducible Method for Donor Site Computed Tomography Measurements in Abdominally Based Autologous Breast Reconstruction |
| title_full | A Reproducible Method for Donor Site Computed Tomography Measurements in Abdominally Based Autologous Breast Reconstruction |
| title_fullStr | A Reproducible Method for Donor Site Computed Tomography Measurements in Abdominally Based Autologous Breast Reconstruction |
| title_full_unstemmed | A Reproducible Method for Donor Site Computed Tomography Measurements in Abdominally Based Autologous Breast Reconstruction |
| title_short | A Reproducible Method for Donor Site Computed Tomography Measurements in Abdominally Based Autologous Breast Reconstruction |
| title_sort | reproducible method for donor site computed tomography measurements in abdominally based autologous breast reconstruction |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006413 |
| work_keys_str_mv | AT daminitandonmd areproduciblemethodfordonorsitecomputedtomographymeasurementsinabdominallybasedautologousbreastreconstruction AT arthurslettenmdphd areproduciblemethodfordonorsitecomputedtomographymeasurementsinabdominallybasedautologousbreastreconstruction AT austinhamd areproduciblemethodfordonorsitecomputedtomographymeasurementsinabdominallybasedautologousbreastreconstruction AT garybskolnickbamba areproduciblemethodfordonorsitecomputedtomographymeasurementsinabdominallybasedautologousbreastreconstruction AT paulcommeanbee areproduciblemethodfordonorsitecomputedtomographymeasurementsinabdominallybasedautologousbreastreconstruction AT terencemyckatynmd areproduciblemethodfordonorsitecomputedtomographymeasurementsinabdominallybasedautologousbreastreconstruction AT daminitandonmd reproduciblemethodfordonorsitecomputedtomographymeasurementsinabdominallybasedautologousbreastreconstruction AT arthurslettenmdphd reproduciblemethodfordonorsitecomputedtomographymeasurementsinabdominallybasedautologousbreastreconstruction AT austinhamd reproduciblemethodfordonorsitecomputedtomographymeasurementsinabdominallybasedautologousbreastreconstruction AT garybskolnickbamba reproduciblemethodfordonorsitecomputedtomographymeasurementsinabdominallybasedautologousbreastreconstruction AT paulcommeanbee reproduciblemethodfordonorsitecomputedtomographymeasurementsinabdominallybasedautologousbreastreconstruction AT terencemyckatynmd reproduciblemethodfordonorsitecomputedtomographymeasurementsinabdominallybasedautologousbreastreconstruction |