Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
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Augmented reality and dynamic infrared thermography for perforator mapping in the anterolateral thigh

  • Cifuentes, Ignacio Javier (Section of Plastic and Reconstructive Surgery, School of Medicine, Pontificia Universidad Catolica de Chile) ;
  • Dagnino, Bruno Leonardo (Section of Plastic and Reconstructive Surgery, School of Medicine, Pontificia Universidad Catolica de Chile) ;
  • Salisbury, Maria Carolina (Section of Plastic and Reconstructive Surgery, School of Medicine, Pontificia Universidad Catolica de Chile) ;
  • Perez, Maria Eliana (Department of Epidemiology and Public Health, Universidad de los Andes) ;
  • Ortega, Claudia (Department of Radiology, School of Medicine, Pontificia Universidad Catolica de Chile) ;
  • Maldonado, Daniela (Department of Surgery, School of Medicine, Universidad Catolica de Chile)
  • Received : 2017.08.23
  • Accepted : 2018.02.13
  • Published : 2018.05.22
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Abstract

Dynamic infrared thermography (DIRT) has been used for the preoperative mapping of cutaneous perforators. This technique has shown a positive correlation with intraoperative findings. Our aim was to evaluate the accuracy of perforator mapping with DIRT and augmented reality using a portable projector. For this purpose, three volunteers had both of their anterolateral thighs assessed for the presence and location of cutaneous perforators using DIRT. The obtained image of these "hotspots" was projected back onto the thigh and the presence of Doppler signals within a 10-cm diameter from the midpoint between the lateral patella and the anterior superior iliac spine was assessed using a handheld Doppler device. Hotspots were identified in all six anterolateral thighs and were successfully projected onto the skin. The median number of perforators identified within the area of interest was 5 (range, 3-8) and the median time needed to identify them was 3.5 minutes (range, 3.3-4.0 minutes). Every hotspot was correlated to a Doppler sound signal. In conclusion, augmented reality can be a reliable method for transferring the location of perforators identified by DIRT onto the thigh, facilitating its assessment and yielding a reliable map of potential perforators for flap raising.

Keywords

References

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