A.I. BURNASYAN FMBC CLINICAL BULLETIN

ISSN 2782-6430 (print)

State Research Center −Burnasyan Federal Medical Biophysical
Center of Federal Medical Biological Agency

The journal is published in Russian.
Format – A4.
The periodicity of the journal is 4 times a year.

Issue №3 2025 год

A.I. Burnasyan  FMBC clinical bulletin. 2025 № 3

K.I. Medvedev, A.A. Zavialov

Laser Doppler Flowmetry in Assessing the State of the Microcirculatory
System in Patients with Cancer

International Office, State Research Center – Burnasyan Federal Medical Biophysical Center
of Federal Medical Biological Agency, Moscow, Russiа

Contact person: Medvedev Kirill Igorevich: kirillme11@yandex.ru

Abstract
Violation of microcirculation in body tissues can lead to various diseases. During the surgical treatment of patients with cancer, some of the blood vessels that supply the skin and other organs may be affected. To improve wound healing and prevent complications, it is important to maintain and enhance blood flow to damaged tissues.

Laser Doppler flowmetry (LDF) is a non-invasive technique that plays a crucial role in assessing the microcirculation of patients with cancer. It is easy to use and provides valuable information about the condition of blood flow in tissues.

LDF has helped to obtain crucial information for studying the principles of microvascular function and dysfunction. This method is based on measuring the change in blood flow velocity in a specific volume of tissue over a given time period. During the study, tissue is irradiated with laser light, and the reflected signal is recorded. The Doppler frequency shift that occurs when light interacts with moving red blood cells is then analyzed.

LDF can be useful for timely identifying the causes of complications during reconstructive plastic surgery, predicting the development of acute skin reactions during radiation therapy, and monitoring the success of various anastomosis procedures in the postoperative period.

Keywords: microcirculation, laser doppler flowmetry, oncology, malignant neoplasms

For citation: Medvedev K.I., Zavialov A. A. Functional Disorders after Mastectomy. Methods for Their Correction. A.I. Burnasyan Federal Medical Biophysical Center Clinical Bulletin. 2025.3:62-66. (In Russian) DOI: 10.33266/2782-6430-2025-3-62-66

 

REFERENCES

  1. Агафонова М.А., Туровинина Е.Ф., Шукалович О.А, Елфимова И.В. Роль лазерной доплеровской флоуметрии в оценке микроциркуляторного русла // Медицинская наука и образование Урала. 2022. Т.23. №3. С. 163-167. [Agafonova M.A., Turovinina Ye.F.,. Shukalovich O.A, Yelfimova I.V. The Role of Laser Doppler Flowmetry in Assessing the Microcirculatory Bed. Meditsinskaya Nauka i Obrazovaniye Urala = Medical Science and Education of the Urals. 2022;23;3:163-167 (In Russ.)]. doi 10.36361/18148999_2022_23_3_163. EDN SNLYSQ.
  2. Katz M.H.G., Francescatti A.B., Hunt K.K. Cancer Surgery Standards Program of the American College of Surgeons. Technical Standards for Cancer Surgery: Commission on Cancer Standards 5.3-5.8. Ann Surg Oncol. 2022 Oct;29;11:6549-6558. doi: 10.1245/s10434-022-11375-w. Epub 2022 Feb 20. PMID: 35187620.
  3. Авдошенко К.Е., Постникова Е.В. Роль лазерной доплеровской флоуметрии в оценке рисков возникновения трофических нарушений в кожно-жировых лоскутах боковых отделов лица и шеи при омолаживающих операциях у курящих пациентов // Пластическая хирургия и эстетическая медицина. 2023. №4. С. 37-43 [Avdoshenko K.Ye., Postnikova Ye.V. The Role of Laser Doppler Flowmetry in Assessing the Risks of Trophic Disorders in Skin-Fat Flaps of the Lateral Parts of the Face and Neck during Rejuvenation Operations in Smoking Patients. Plasticheskaya Khirurgiya i Esteticheskaya Meditsina = Plastic Surgery and Aesthetic Medicine. 2023;4:37-43 (In Russ.)]. doi.org/10.17116/plast.hirurgia202304137.
  4. Cracowski J.L., Roustit M. Human Skin Microcirculation. Compr Physiol. 2020 Jul 8;10;3:1105-1154. doi: 10.1002/cphy.c190008. PMID: 32941681.
  5. Senarathna J., Pathak A.P. Visualizing the Microcirculation. Microcirculation. 2022 Oct;29;6-7:e12785. doi: 10.1111/micc.12785. PMID: 36125801. PMCID: PMC10703342.
  6. Luck J.C., Kunselman A.R., Herr M.D., Blaha C.A., Sinoway L.I., Cui J. Multiple Laser Doppler Flowmetry Probes Increase the Reproducibility of Skin Blood Flow Measurements. Front Physiol. 2022 May 30;13:876633. doi: 10.3389/fphys.2022.876633. PMID: 35711302. PMCID: PMC9197318.
  7. Guigui A., Loader J., Bellier A., Roustit M. Commentary: Multiple Laser Doppler Flowmetry Probes Increase the Reproducibility of Skin Blood Flow Measurements. Front Physiol. 2022 Oct 17;13:1025905. doi: 10.3389/fphys.2022.1025905. PMID: 36324305. PMCID: PMC9619133.
  8. Cracowski J.L., Roustit M. Current Methods to Assess Human Cutaneous Blood Flow: an Updated Focus on Laser-Based-Techniques. Microcirculation. 2016 Jul;23;5:337-44. doi: 10.1111/micc.12257. PMID: 26607042.
  9. Caine P., Jeevaratnam J.A., Misky A., Nikkhah D. Core Techniques in Flap Reconstructive Microsurgery – a Stepwise Guide. Springer, Nature Switzerland AG, 2023. Post-Operative Monitoring. Pp. 39–46.
  10. Forner D., Williams B.A., Makki F.M., Trites J.R.B., Taylor S.M., Hart R.D. Late Free Flap Failure in Head and Neck Reconstruction: a Systematic Review. Ear Nose Throat J. 2018;97;7:213–216. doi: 10.1177/014556131809700712.
  11. Kodama H., Ishida K., Hirayama H., Orgun D., Kawashima K., Nikkhah D., May J., Kyriacou P.A., Miyawaki T. The Future of Free Flap Monitoring by Laser Continuous Doppler Flowmetry: A Prospective Assessment in Consecutive 71 Patients. JPRAS Open. 2024 Nov 17;43:140-152. doi: 10.1016/j.jpra.2024.11.004. PMID: 39717710. PMCID: PMC11665381.
  12. Salvatori P., Paradisi S., Zani A. Free Flaps Monitoring by Laser-Doppler Flowmetry in Head and Neck Surgery. Acta Otorhinolaryngol Ital. 2022 Oct;42;5:427-433. doi: 10.14639/0392-100X-N1956. PMID: 36541380. PMCID: PMC9793142.
  13. Smit J.M., Negenborn V.L., Jansen S.M., Jaspers M.E.H., de Vries R., Heymans M.W., Winters H.A.H., van Leeuwen T.G., Mullender M.G., Krekel N.M.A. Intraoperative Evaluation of Perfusion in Free Flap Surgery: a Systematic Review and Meta-Analysis. Microsurgery. 2018 Oct;38;7:804-818. doi: 10.1002/micr.30320. Epub 2018 Mar 25. PMID: 29577423.
  14. McGale P., Taylor C., Correa C., Cutter D., Duane F., Ewertz M., et al. Effect of Radiotherapy after Mastectomy and Axillary Surgery on 10-year Recurrence and 20-year Breast Cancer Mortality: Meta-Analysis of Individual Patient Data for 8135 Women in 22 Randomised Trials. Lancet. 2014;383;9935:2127–2135. doi: 10.1016/S0140-6736(14)60488-8.
  15. Straub J.M., New J., Hamilton C.D., Lominska C., Shnayder Y., Thomas S.M. Radiation-Induced Fibrosis: Mechanisms and Implications for Therapy. J. Cancer Res. Clin. Oncol. 2015;141;11:1985–1994. doi: 10.1007/s00432-015-1974-6.
  16. Elawa S., Mirdell R., Stefanis A., Tesselaar E., Farnebo S. Microcirculatory Changes in the Skin after Postmastectomy Radiotherapy in Women with Breast Cancer. Sci Rep. 2024 Feb 20;14;1:4149. doi: 10.1038/s41598-024-54650-4. PMID: 38378732. PMCID: PMC10879083.
  17. Elawa S., Fredriksson I., Steinvall I., Zötterman J., Farnebo S., Tesselaar E. Skin Perfusion and Oxygen Saturation after Mastectomy and Radiation Therapy in Breast Cancer Patients. Breast. 2024 Jun;75:103704. doi: 10.1016/j.breast.2024.103704. Epub 2024 Mar 6. PMID: 38460441. PMCID: PMC10943105.
  18. Tesselaar E., Flejmer A.M., Farnebo S., Dasu A. Changes in Skin Microcirculation during Radiation Therapy for Breast Cancer. Acta Oncol. 2017 Aug;56;8:1072-1080. doi: 10.1080/0284186X.2017.1299220. Epub 2017 Mar 10. PMID: 28281359.
  19. Safi N., Johannessen H.O., Medhus A.W., Mala T., Kazmi S.S.H. Laser Doppler Flowmetry and Visible Light Spectroscopy of the Gastric Tube during Minimally Invasive Esophagectomy. Vasc Health Risk Manag. 2020 Nov 27;16:497-505. doi: 10.2147/VHRM.S269138. PMID: 33273819. PMCID: PMC7708681.
  20. Back E., Brännström F., Svensson J., Rutegård J., Matthiessen P., Haapamäki M.M., Rutegård M. Mucosal Blood flow in the Remaining Rectal Stump is More Affected by Total Than Partial Mesorectal Excision in Patients Undergoing Anterior Resection: a key to Understanding Differing Rates of Anastomotic Leakage? Langenbecks Arch Surg. 2021 Sep;406;6:1971-1977. doi: 10.1007/s00423-021-02182-0. Epub 2021 May 18. PMID: 34008097. PMCID: PMC8481164.

Conflict of interest. The authors declare no conflict of interest. 
Financing. The study had no sponsorship.
Contribution. Article was prepared with equal participation of the authors. 
Article received: 13.03.2025. Accepted for publication: 05.04.2025

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