skip to main content
RadInfo Logo Home

Imaging of Deep Inferior Epigastric Arteries for Surgical Planning (Breast Reconstruction Surgery)

Breast cancer is the most common cancer affecting women in the United States. A common surgical treatment option is a mastectomy (removal of the entire breast) followed by breast reconstruction. Reconstruction is achieved by using implants or body tissue.

There are two methods of harvesting healthy tissue from the body to create a flap, which is tissue containing skin, fat, muscle, or blood vessels. The transverse rectus abdominis flap procedure is the traditional method and uses abdominal muscle. A deep inferior epigastric perforator flap contains the deep inferior epigastric artery, which supplies blood to the abdominal tissue that will be used. Deep inferior epigastric perforator flaps are preferred because of fewer complications at the donor site.

Before surgery, imaging tests are performed to determine the location, size, and anatomy of the arteries for surgical planning. Imaging provides fine detail to the surgical team and has been shown to decrease surgical time, blood loss, and hospital stay and to improve patient outcomes. MR angiography of the arteries of the abdomen and pelvis without and with intravenous contrast is usually appropriate. Also usually appropriate is CT angiography of the abdomen and pelvis with contrast. These tests are complementary, and only one test is performed. MR angiography of the abdomen and pelvis without intravenous contrast may also be appropriate.

— By Alexa Silfen and Kemi Babagbemi, MD. This information originally appeared in the Journal of the American College of Radiology.

This page was reviewed on January 24, 2024

Sponsored By

Please note

RadiologyInfo.org is not a medical facility. Please contact your physician with specific medical questions or for a referral to a radiologist or other physician. To locate a medical imaging or radiation oncology provider in your community, you can search the ACR-accredited facilities database.

This website does not provide cost information. The costs for specific medical imaging tests, treatments and procedures may vary by geographic region. Discuss the fees associated with your prescribed procedure with your doctor, the medical facility staff and/or your insurance provider to get a better understanding of the possible charges you will incur.

Web page review process: This Web page is reviewed regularly by a physician with expertise in the medical area presented and is further reviewed by committees from the Radiological Society of North America (RSNA) and the American College of Radiology (ACR), comprising physicians with expertise in several radiologic areas.

Outside links: For the convenience of our users, RadiologyInfo.org provides links to relevant websites. RadiologyInfo.org, RSNA and ACR are not responsible for the content contained on the web pages found at these links.