Tampa General Hospital emergency center
TGH DIEP WorkflowClinical AI

DIEP Automated Perforator

Clinical AI Workflow

A surgical planning workflow for DIEP flap reconstruction at Tampa General Hospital. The project frames perforator selection as an auditable clinical AI pipeline: ingest imaging evidence, identify candidate vessels, rank perforators, and keep human review central to the final decision.

Role

AI Workflow Designer

Clinical Systems Researcher

Context

Tampa General Hospital DIEP workflow

Duration

Prototype

Tools

Computer Vision

Workflow Design

Clinical AI

Human Review


Planning Objective

DIEP reconstruction depends on selecting reliable perforators while preserving as much abdominal muscle as possible. The workflow is designed to reduce manual review time by surfacing candidate perforators, ranking them with transparent criteria, and keeping the evidence trail visible for surgeons and researchers.


System Workflow

Imaging intake: collect CTA or related scan-derived inputs and align them to the planning case.

Candidate detection: identify perforator regions and vessel paths that should be reviewed.

Ranking layer: score candidates using features such as location, continuity, vessel confidence, and planning relevance.

Review interface: present ranked candidates with supporting evidence so a clinician can confirm, reject, or adjust the suggested plan.


Why It Matters

The goal is not to replace clinical judgment. It is to make the repetitive parts of perforator discovery faster, more consistent, and easier to audit. Each recommendation should be traceable back to the image evidence and ranking signals that produced it.