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WSKIM78 yuhs. However, a thick ALT often leads to long operation times. Therefore, ALT thickness on a preoperative non contrast image of positron emission tomography-computed tomography PET-CT scan was measured to predict surgical outcome. The differences in ALT thickness between the successful and compromised-flap groups were analyzed retrospectively. ALT thickness, body mass index BMI , total reconstruction time and ischemia time were significantly greater in the compromised-flap group than in the successful group. In the multivariate analysis, only BMI and ischemia time were predictors for the compromised flap.