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The Correlation Between Body Mass Index and Computed Tomography Angiography on Vascular Positioning in Anterolateral Thigh Flap Transplantation Cover

The Correlation Between Body Mass Index and Computed Tomography Angiography on Vascular Positioning in Anterolateral Thigh Flap Transplantation

By: Yan Jiang,  Qilong Chen,  Wentao Xu and  Min Cao  
Open Access
|Nov 2022

Figures & Tables

jbsr-106-1-2762-g1.jpg
Figure 1

CTA Data Processing. a. The abdominal aorta bifurcation level; b. The mid-level of the left FA; c. The first perforating branch of the descending branch of the left lateral circumflex femoral artery (CFA), penetrated by 1 cm; d. The first perforating branch of the descending branch of the left lateral CFA, with 10 times magnified.

jbsr-106-1-2762-g2.jpg
Figure 2

Comparison between preoperative and intraoperative body surface simulation positioning of CTA. a. Simulation and positioning of the body table; b. VR projection of perforating vessels; c. Preoperative surgical plan design; d. Intraoperative positioning of perforator.

Table 1

Image quality control related to the three.

VARIABLEGROUPP
ABC
BMI17.61 ± 0.9121.62 ± 1.2222.76 ± 3.440.20
Gender(n)Male31650.10
Female154038
Age48.06 ± 15.9442.80 ± 13.4542.72 ± 9.160.25
CTA positioning6.67 ± 1.945.50 ± 2.173.35 ± 1.310.001
IA432.42 ± 88.17426.67 ± 87.84419.00 ± 81.990.82
SIA65.99 ± 7.5266.99 ± 6.8363.95 ± 7.200.11
SNRIA153.53 ± 22.58155.61 ± 24.33159.89 ± 29.360.61
SNRSIA23.81 ± 3.8024.77 ± 3.6024.57 ± 4.280.66
CNRIA129.73 ± 22.36130.84 ± 23.26135.32 ± 27.130.60
FA152.83 ± 15.79162.36 ± 13.73160.02 ± 13.970.05
SFA65.76 ± 6.3067.76 ± 5.2068.32 ± 6.360.29
SNRFA52.04 ± 6.9551.40 ± 7.6851.45 ± 5.220.94
SNRSFA22.39 ± 2.7721.40 ± 2.5922.00 ± 2.750.31
CNRFA29.64 ± 6.0530.00 ± 6.0029.44 ± 4.820.89
CFA463.78 ± 83.81420.70 ± 68.01434.35 ± 76.140.10
SCFA65.00 ± 5.7065.55 ± 3.6767.31 ± 5.400.10
SNRCFA156.46 ± 39.23146.85 ± 31.66155.46 ± 23.720.29
SNRCFA22.07 ± 4.2223.17 ± 5.5624.39 ± 3.710.19
CNRCFA134.39 ± 37.41123.67 ± 28.09131.07 ± 22.580.25

[i] BMI, CTA positioning difference between CTA positioning and intraoperative positioning. IA, FA, and CFA referred to the average CT values of the three groups of blood vessels. SIA, SFA, and SCF referred to the average CT values of the three groups of para-arterial soft tissues. SNRIA, SNRFA, and SCFA, referred to SNR of the three groups of blood vessels. SNRSIA, SNRSFA, and SNRCFA referred to the soft tissue SNR of the three groups. CNRIA, CNRFA, and CNRCFA referred to CNRs of the three groups of arteries.

Table 2

Correlation analysis of BMI and CT values of arteries in various parts. There was no statistically obvious difference between BMI and related image quality control indicators. There was a correlation between BMI and CTA positioning.

VARIABLEx̄ ± srP
CAT positioning4.89 ± 2.22–0.610.001
IA424.74 ± 81.990.010.95
SIA65.71 ± 7.15–0.130.18
SNRIA156.86 ± 25.950.080.39
SNRSIA24.55 ± 3.87–0.040.67
CNRIA132.32 ± 24.530.090.33
FA160.03 ± 14.390.080.39
SFA67.66 ± 5.840.080.37
SNRFA51.51 ± 6.710.080.39
SNRSFA21.78 ± 2.68–0.040.68
CNRFA29.74 ± 5.56–0.030.74
CFA432.34 ± 74.45–0.050.58
SCFA66.11 ± 4.750.130.14
SNRCFA151.49 ± 30.410.040.66
SNRCFA23.45 ± 4.780.140.12
CNRCFA128.04 ± 27.980.020.83
jbsr-106-1-2762-g3.jpg
Figure 3

Correlation between BMI and CTA positioning. There was an obvious negative correlation between BMI and CTA positioning. The larger the BMI, the smaller the CTA positioning difference.

jbsr-106-1-2762-g4.jpg
Figure 4

Comparison of CTA positioning of BMI in the three groups. There were notable differences in CTA positioning among the three groups.

Table 3

Comparison of CTA positioning of BMI in the three groups.

GROUPCTA POSITIONING (mm)tP
A6.667 ± 1.9404.2740.001
B4.500 ± 2.166a2.9850.004
C3.349 ± 1.307ab8.8920.000
F20.344
P0.000

[i] Compared with group A, P < 0.05.

Compared with group B, P < 0.05.

DOI: https://doi.org/10.5334/jbsr.2762 | Journal eISSN: 2514-8281
Language: English
Submitted on: Jan 13, 2022
Accepted on: Oct 13, 2022
Published on: Nov 8, 2022
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2022 Yan Jiang, Qilong Chen, Wentao Xu, Min Cao, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.