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Utilizing patient-specific 3D printed kidney surgical guide with realistic phantom for partial nephrectomy
Partial nephrectomy has been demonstrated to preserve renal function compared with radical nephrectomy. Computed tomography (CT) is used to reveal localized renal cell carcinoma (RCC). However, marking RCC directly and quantitatively on a patient's kidney during an operation is difficult. We fa...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Nature Publishing Group UK
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10509158/ https://www.ncbi.nlm.nih.gov/pubmed/37726415 http://dx.doi.org/10.1038/s41598-023-42866-9 |
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author | Ock, Junhyeok Kim, Taehun On, Sungchul Lee, Sangwook Kyung, Yoon Soo Kim, Namkug |
author_facet | Ock, Junhyeok Kim, Taehun On, Sungchul Lee, Sangwook Kyung, Yoon Soo Kim, Namkug |
author_sort | Ock, Junhyeok |
collection | PubMed |
description | Partial nephrectomy has been demonstrated to preserve renal function compared with radical nephrectomy. Computed tomography (CT) is used to reveal localized renal cell carcinoma (RCC). However, marking RCC directly and quantitatively on a patient's kidney during an operation is difficult. We fabricated and evaluated a 3D-printed kidney surgical guide (3DP-KSG) with a realistic kidney phantom. The kidney phantoms including parenchyma and three different RCC locations and 3DP-KSG were designed and fabricated based on a patient's CT image. 3DP-KSG was used to insert 16-gauge intravenous catheters into the kidney phantoms, which was scanned by CT. The catheter insertion points and angle were evaluated. The measurement errors of insertion points were 1.597 ± 0.741 mm, and cosine similarity of trajectories was 0.990 ± 0.010. The measurement errors for X-axis, Y-axis, and Z-axis in the insertion point were 0.611 ± 0.855 mm, 0.028 ± 1.001 mm, and − 0.510 ± 0.923 mm. The 3DP-KSG targeted the RCC accurately, quantitatively, and immediately on the surface of the kidney, and no significant difference was shown between the operators. Partial nephrectomy will accurately remove the RCC using 3DP-KSG in the operating room. |
format | Online Article Text |
id | pubmed-10509158 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Nature Publishing Group UK |
record_format | MEDLINE/PubMed |
spelling | pubmed-105091582023-09-21 Utilizing patient-specific 3D printed kidney surgical guide with realistic phantom for partial nephrectomy Ock, Junhyeok Kim, Taehun On, Sungchul Lee, Sangwook Kyung, Yoon Soo Kim, Namkug Sci Rep Article Partial nephrectomy has been demonstrated to preserve renal function compared with radical nephrectomy. Computed tomography (CT) is used to reveal localized renal cell carcinoma (RCC). However, marking RCC directly and quantitatively on a patient's kidney during an operation is difficult. We fabricated and evaluated a 3D-printed kidney surgical guide (3DP-KSG) with a realistic kidney phantom. The kidney phantoms including parenchyma and three different RCC locations and 3DP-KSG were designed and fabricated based on a patient's CT image. 3DP-KSG was used to insert 16-gauge intravenous catheters into the kidney phantoms, which was scanned by CT. The catheter insertion points and angle were evaluated. The measurement errors of insertion points were 1.597 ± 0.741 mm, and cosine similarity of trajectories was 0.990 ± 0.010. The measurement errors for X-axis, Y-axis, and Z-axis in the insertion point were 0.611 ± 0.855 mm, 0.028 ± 1.001 mm, and − 0.510 ± 0.923 mm. The 3DP-KSG targeted the RCC accurately, quantitatively, and immediately on the surface of the kidney, and no significant difference was shown between the operators. Partial nephrectomy will accurately remove the RCC using 3DP-KSG in the operating room. Nature Publishing Group UK 2023-09-19 /pmc/articles/PMC10509158/ /pubmed/37726415 http://dx.doi.org/10.1038/s41598-023-42866-9 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Article Ock, Junhyeok Kim, Taehun On, Sungchul Lee, Sangwook Kyung, Yoon Soo Kim, Namkug Utilizing patient-specific 3D printed kidney surgical guide with realistic phantom for partial nephrectomy |
title | Utilizing patient-specific 3D printed kidney surgical guide with realistic phantom for partial nephrectomy |
title_full | Utilizing patient-specific 3D printed kidney surgical guide with realistic phantom for partial nephrectomy |
title_fullStr | Utilizing patient-specific 3D printed kidney surgical guide with realistic phantom for partial nephrectomy |
title_full_unstemmed | Utilizing patient-specific 3D printed kidney surgical guide with realistic phantom for partial nephrectomy |
title_short | Utilizing patient-specific 3D printed kidney surgical guide with realistic phantom for partial nephrectomy |
title_sort | utilizing patient-specific 3d printed kidney surgical guide with realistic phantom for partial nephrectomy |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10509158/ https://www.ncbi.nlm.nih.gov/pubmed/37726415 http://dx.doi.org/10.1038/s41598-023-42866-9 |
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