Breast Cancer
Conditions
Keywords
breast reconstruction, breast cancer, near infrared imaging
Brief summary
To perform a pilot study of the S-FLARE imaging system, which uses low levels of safe, invisible, near-infrared light to measure tissue oxygenation during breast reconstructive surgery and to compare S-FLARE measurements to the gold standard, FDA-approved, the ViOptix optical probe.
Detailed description
This pilot study will enroll three patients who have chosen to proceed with deep inferior epigastric perforator (DIEP) flap breast reconstruction. This type of reconstruction uses skin and fat from the abdomen to reconstruct a new breast shape. The construct is vascularized through perforating arteries and veins that provide a blood supply to this tissue. Current techniques to evaluate vessel selection rely on a handheld Doppler used for confirmation of blood flow and perfusion; however, this modality is limited as it only assesses a specific point within the flap. The S-FLARE imaging system will be used to visualize vascularization in the DIEP flaps, and this study will compare measurements by the S-FLARE imaging system and the standard-of-care ViOptix point probe.
Interventions
DEVICEImaging with S-FLARE imaging system
Tissue oxygenation measurements during plastic surgery using the S-FLARE system.
Sponsors
Beth Israel Deaconess Medical Center
Study design
Allocation
NON_RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
DIAGNOSTIC
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
21 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Women or men above the age of 21 who are undergoing unilateral breast reconstruction after mastectomy. * Women of childbearing age must have a negative pregnancy test as confirmed by anesthesiologist.
Exclusion criteria
* BMI \> 30.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Optimization of Ergonomics and Functioning of the S-FLARE Imaging System during Breast Reconstructive Surgery | 10 minute imaging procedure | Due to patient-to-patient anatomic variation, the vascular perfusion to the skin in DIEP flaps is unpredictable and of great concern to the surgeon planning the flap design. We propose a method of imaging tissue oxygenation within a DIEP flap base on the use of invisible near-infrared light. This pilot study is a comparison study of oxygenation measurements taken by the ViOptix optical probe as the standard of care and the S-FLARE imaging system, with the intention of optimizing the ergonomics and functionality of the S-FLARE imaging system for use during breast reconstructive surgery. |
Countries
United States
Outcome results
None listed