Deep Inferior Epigastric Perforator (DIEP) flap breast reconstruction is a highly intricate surgical procedure that demands precise mapping of perforator vessels. To streamline this process, BMD Software and its research partners integrated AVA (INESC TEC and Champalimaud Foundation), a semi-automatic algorithm that automates perforator detection from angiographic images. Seamlessly integrated into PACScenter, an advanced medical imaging platform, AVA significantly reduces planning time, enhances accuracy, and delivers critical quantitative data to support surgical decision-making.
An End-to-End Platform Built for Clinical Workflows
What sets this solution apart is its smooth integration with existing hospital systems through DICOM standards and VNA storage via Dicoogle. This ensures that surgeons can interact with and edit perforator data within their trusted imaging environment. PACScenter offers a clean and intuitive interface for anatomical segmentation, interactive annotations, and the generation of structured PDF and JSON reports — all embedded directly into the patient’s digital record for easy access and long-term archiving.
Clinical Innovation with Real Impact on Patient Outcomes
Currently undergoing clinical feasibility testing, the AVA-PACScenter integration is already demonstrating measurable improvements in speed, accuracy, and data organization. By automating manual tasks and offering detailed anatomical visualizations, the solution supports safer, more efficient, and personalized surgeries. It represents a major leap forward in intelligent surgical planning — driving the future of healthcare through data-driven innovation, with cutting-edge technology proudly developed in Portugal.
Developed as part of the Health from Portugal — Agenda Mobilizadora para a Inovação Empresarial project (grant agreement No C644937233-00000047).