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Two-dimensional color Doppler imaging for precision preoperative mapping and size determination of TRAM flap perforators.

We have shown a new noninvasive modality for imaging periumbilical vascular perforators in the TRAM flap by using the two-dimensional color Doppler probe. This allows the precise preoperative planning of the TRAM flap to include the largest arterial perforators. Application of this technology may improve our results in TRAM flap breast reconstruction.