1. Comparative analysis of volumetric changes between resection volume of oral tongue cancer and post operative volume of radial forearm flaps.
- Author
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Zirk, Matthias, Niknazemi, Mina, Riekert, Maximilian, Kreppel, Matthias, Linz, Christian, and Lentzen, Max-Philipp
- Abstract
Objectives: This study investigates the relationship between the total volume of oral tongue cancer pre-operatively and the RFFF volume post-operatively. Materials and methods: A total of 52 DICOM imaging datasets (CT or MRI) of 26 patients were included in this study. The volume of the desired structure was quantified using semi-automatic segmentation using the software ITK-SNAP. All extracted measurements were validated by two further clinicians at separate instances. Results: The variation of MeanVolTu can be predicted by MeanVolFlap moderately reliable with 59.1% confidence (R-Qua: 0.591). ANOVA Testing to represent how well the regression line fits the data, resulted in the overall regression model being statistically significant in predicting the MeanVolTu (p < 0.001). The flap volume may be predicted using the following algorithm: MeanVolFlap0 = 3241,633 + 1, 322 * MeanVolTu. Conclusion: The results of this study show positive correlation between tumor volume and flap volume, highlighting the significance of efficient flap planning with increasing tumor volume. A larger extraction volume of the radial forearm free flap from the donor site compromises the forearm more, thus increasing the probability of post-operative complications. Clinical relevance: Radial forearm free flap design in accordance with its corresponding 3D tumor volume. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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