Image Overlay of Deep Inferior Epigastric Artery in Breast Reconstruction

We applied those tech-nologies to preoperative planning of breast recon-struction and describe a quicker-to-perform method of marking perforators on real patient’s abdominal skin before surgery by using image overlay technique.CTA studies were prospectively performed in pa-tients before undergoing breast reconstructive surgery, using 64-multidetector computed tomography scanner (Siemens Healthcare SOMATOM Definition AS+, Sie-mens Japan, Japan). A MacBook Air 1.7 GHz dual-core Intel Core i7 Processor was used, and axial source DI-COM data were transferred to OsiriX (Pixmeo, Geneva, Switzerland), a free, open-source medical application (available for only MacOS X) to convert into maximum intensity projection image in coronal plane (Fig. 1). The