“…Therefore, in areas where there is thicker fat tissue, computed tomographic angiography can provide a clearer perforator image, including its origin, position, intramuscular and subcutaneous course, and relationship with the trunk vessel [20][21][22][23] ; however, in areas where there is limited fat tissue, computed tomographic angiography is not as clear. Although the blood flow signal detected by color Doppler ultrasound in the deeper tissue layers is not clear because of the intermittent image capture, 18,24-26 color Doppler ultrasound is very sensitive to the perforators in the superficial tissue planes, where the hemodynamic signal is easier to detect.…”