The Utility of Smartphone-Based Thermal Imaging in the Management and Monitoring of Microvascular Flap Procedures

医学 荟萃分析 外科 梅德林 放射科 内科学 政治学 法学
作者
Todd E. Hudson,Elizabeth Hogue,Donna Mullner,Fernando A. Herrera,Isis Scomação
出处
期刊:Annals of Plastic Surgery [Lippincott Williams & Wilkins]
卷期号:90 (6S): S420-S425 被引量:4
标识
DOI:10.1097/sap.0000000000003343
摘要

Background Smartphone-based thermal imaging (SBTI) has been reported in the literature to be an easy-to-use, contactless, cost-friendly alternative to standard imaging modalities in identifying flap perforators, monitoring flap perfusion, and detecting flap failure. Our systematic review and meta-analysis aimed to evaluate SBTI's accuracy in perforator identification and secondarily evaluate SBTI's utility in flap perfusion monitoring as well as ability to predict flap compromise, failure, and survival. Methods Following Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines, a systematic review was performed using PubMed from inception to 2021. Articles were uploaded into Covidence and, following duplicate deletion, were initially screened for use of SBTI in flap procedures through title and abstract screening followed by full-text review. The following data points, if provided, were extracted from each included study: study design, number of patients, patient demographics, perforator number and location, flap number and location, room temperature, cooling method, imaging distance, time from cloth removal, primary (SBTI's accuracy in perforator identification), and secondary outcomes (prediction of flap compromise/failure/survival and cost analysis). Meta-analysis was performed using RevMan v.5. Results The initial search yielded 153 articles. Eleven applicable studies with a total of 430 flaps from 416 patients were ultimately included. The SBTI device assessed in all included studies was FLIR ONE. Four studies assessed the SBTI's perforated detection ability and were included in meta-analysis. Smartphone-based thermal imaging correctly identified 378 (93.3%; n = 405) perforators, and computed tomography angiography (CTA) correctly identified 402 (99.2%; n = 402), although in one study SBTI found additional perforators not detected on CTA. A random-effects model was used ( I 2 = 65%), and no significant difference in perforator detection ability was found between SBTI and CTA ( P = 0.27). Conclusions This systematic review and meta-analysis supports SBTI as user- and cost-friendly ($229.99), contactless imaging modality with perforator detection ability comparable to current criterion-standard CTA. Postoperatively, SBTI outperformed Doppler ultrasound in early detection of microvascular changes causing flap compromise, allowing for prompt tissue salvage. With a minimal learning curve, SBTI seems to be a promising method of postoperative flap perfusion monitoring able to be used by all hospital ranks. Smartphone-based thermal imaging could thus increase flap monitoring frequency and lower complication rates, although further study is warranted.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
隐形曼青应助现代的雪糕采纳,获得10
刚刚
嘿咻完成签到 ,获得积分10
2秒前
辛未完成签到 ,获得积分10
2秒前
3秒前
牛牛眉目发布了新的文献求助10
5秒前
Dada完成签到,获得积分10
6秒前
RichardBillyham完成签到 ,获得积分10
7秒前
9秒前
kk完成签到 ,获得积分10
9秒前
迷途的羔羊完成签到 ,获得积分10
10秒前
13秒前
阔达芾完成签到,获得积分10
14秒前
14秒前
15秒前
机智的乌完成签到,获得积分10
18秒前
阿里院士完成签到,获得积分10
18秒前
19秒前
牛牛眉目发布了新的文献求助10
21秒前
在写了完成签到,获得积分10
22秒前
爱科研的小多肉完成签到,获得积分10
23秒前
23秒前
cijing发布了新的文献求助10
23秒前
26秒前
李li完成签到,获得积分10
26秒前
holi完成签到 ,获得积分10
27秒前
背后如彤完成签到 ,获得积分10
27秒前
脏zang完成签到,获得积分10
29秒前
1234完成签到,获得积分10
32秒前
Orange应助公孙世往采纳,获得10
32秒前
32秒前
科研通AI2S应助李li采纳,获得10
32秒前
33秒前
煦白发布了新的文献求助30
33秒前
zxy关闭了zxy文献求助
34秒前
34秒前
34秒前
wlgjr发布了新的文献求助10
36秒前
36秒前
37秒前
耍酷的觅荷完成签到 ,获得积分10
39秒前
高分求助中
A new approach to the extrapolation of accelerated life test data 1000
Cognitive Neuroscience: The Biology of the Mind 1000
Technical Brochure TB 814: LPIT applications in HV gas insulated switchgear 1000
Immigrant Incorporation in East Asian Democracies 500
Nucleophilic substitution in azasydnone-modified dinitroanisoles 500
不知道标题是什么 500
A Preliminary Study on Correlation Between Independent Components of Facial Thermal Images and Subjective Assessment of Chronic Stress 500
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3966366
求助须知:如何正确求助?哪些是违规求助? 3511778
关于积分的说明 11159739
捐赠科研通 3246353
什么是DOI,文献DOI怎么找? 1793415
邀请新用户注册赠送积分活动 874427
科研通“疑难数据库(出版商)”最低求助积分说明 804374