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Efficacy of High-Resolution Preoperative 3D Reconstructions for Lesion Localization in Oncological Colorectal Surgery—First Pilot Study

When planning an operation, surgeons usually rely on traditional 2D imaging. Moreover, colon neoplastic lesions are not always easy to locate macroscopically, even during surgery. A 3D virtual model may allow surgeons to localize lesions with more precision and to better visualize the anatomy. In th...

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Autores principales: Soriero, Domenico, Batistotti, Paola, Malinaric, Rafaela, Pertile, Davide, Massobrio, Andrea, Epis, Lorenzo, Sperotto, Beatrice, Penza, Veronica, Mattos, Leonardo S., Sartini, Marina, Cristina, Maria Luisa, Nencioni, Alessio, Scabini, Stefano
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9141148/
https://www.ncbi.nlm.nih.gov/pubmed/35628036
http://dx.doi.org/10.3390/healthcare10050900
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author Soriero, Domenico
Batistotti, Paola
Malinaric, Rafaela
Pertile, Davide
Massobrio, Andrea
Epis, Lorenzo
Sperotto, Beatrice
Penza, Veronica
Mattos, Leonardo S.
Sartini, Marina
Cristina, Maria Luisa
Nencioni, Alessio
Scabini, Stefano
author_facet Soriero, Domenico
Batistotti, Paola
Malinaric, Rafaela
Pertile, Davide
Massobrio, Andrea
Epis, Lorenzo
Sperotto, Beatrice
Penza, Veronica
Mattos, Leonardo S.
Sartini, Marina
Cristina, Maria Luisa
Nencioni, Alessio
Scabini, Stefano
author_sort Soriero, Domenico
collection PubMed
description When planning an operation, surgeons usually rely on traditional 2D imaging. Moreover, colon neoplastic lesions are not always easy to locate macroscopically, even during surgery. A 3D virtual model may allow surgeons to localize lesions with more precision and to better visualize the anatomy. In this study, we primary analyzed and discussed the clinical impact of using such 3D models in colorectal surgery. This is a monocentric prospective observational pilot study that includes 14 consecutive patients who presented colorectal lesions with indication for surgical therapy. A staging computed tomography (CT)/magnetic resonance imaging (MRI) scan and a colonoscopy were performed on each patient. The information gained from them was provided to obtain a 3D rendering. The 2D images were shown to the surgeon performing the operation, while the 3D reconstructions were shown to a second surgeon. Both of them had to locate the lesion and describe which procedure they would have performed; we then compared their answers with one another and with the intraoperative and histopathological findings. The lesion localizations based on the 3D models were accurate in 100% of cases, in contrast to conventional 2D CT scans, which could not detect the lesion in two patients (in these cases, lesion localization was based on colonoscopy). The 3D model reconstruction allowed an excellent concordance correlation between the estimated and the actual location of the lesion, allowing the surgeon to correctly plan the procedure with excellent results. Larger clinical studies are certainly required.
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spelling pubmed-91411482022-05-28 Efficacy of High-Resolution Preoperative 3D Reconstructions for Lesion Localization in Oncological Colorectal Surgery—First Pilot Study Soriero, Domenico Batistotti, Paola Malinaric, Rafaela Pertile, Davide Massobrio, Andrea Epis, Lorenzo Sperotto, Beatrice Penza, Veronica Mattos, Leonardo S. Sartini, Marina Cristina, Maria Luisa Nencioni, Alessio Scabini, Stefano Healthcare (Basel) Article When planning an operation, surgeons usually rely on traditional 2D imaging. Moreover, colon neoplastic lesions are not always easy to locate macroscopically, even during surgery. A 3D virtual model may allow surgeons to localize lesions with more precision and to better visualize the anatomy. In this study, we primary analyzed and discussed the clinical impact of using such 3D models in colorectal surgery. This is a monocentric prospective observational pilot study that includes 14 consecutive patients who presented colorectal lesions with indication for surgical therapy. A staging computed tomography (CT)/magnetic resonance imaging (MRI) scan and a colonoscopy were performed on each patient. The information gained from them was provided to obtain a 3D rendering. The 2D images were shown to the surgeon performing the operation, while the 3D reconstructions were shown to a second surgeon. Both of them had to locate the lesion and describe which procedure they would have performed; we then compared their answers with one another and with the intraoperative and histopathological findings. The lesion localizations based on the 3D models were accurate in 100% of cases, in contrast to conventional 2D CT scans, which could not detect the lesion in two patients (in these cases, lesion localization was based on colonoscopy). The 3D model reconstruction allowed an excellent concordance correlation between the estimated and the actual location of the lesion, allowing the surgeon to correctly plan the procedure with excellent results. Larger clinical studies are certainly required. MDPI 2022-05-12 /pmc/articles/PMC9141148/ /pubmed/35628036 http://dx.doi.org/10.3390/healthcare10050900 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Soriero, Domenico
Batistotti, Paola
Malinaric, Rafaela
Pertile, Davide
Massobrio, Andrea
Epis, Lorenzo
Sperotto, Beatrice
Penza, Veronica
Mattos, Leonardo S.
Sartini, Marina
Cristina, Maria Luisa
Nencioni, Alessio
Scabini, Stefano
Efficacy of High-Resolution Preoperative 3D Reconstructions for Lesion Localization in Oncological Colorectal Surgery—First Pilot Study
title Efficacy of High-Resolution Preoperative 3D Reconstructions for Lesion Localization in Oncological Colorectal Surgery—First Pilot Study
title_full Efficacy of High-Resolution Preoperative 3D Reconstructions for Lesion Localization in Oncological Colorectal Surgery—First Pilot Study
title_fullStr Efficacy of High-Resolution Preoperative 3D Reconstructions for Lesion Localization in Oncological Colorectal Surgery—First Pilot Study
title_full_unstemmed Efficacy of High-Resolution Preoperative 3D Reconstructions for Lesion Localization in Oncological Colorectal Surgery—First Pilot Study
title_short Efficacy of High-Resolution Preoperative 3D Reconstructions for Lesion Localization in Oncological Colorectal Surgery—First Pilot Study
title_sort efficacy of high-resolution preoperative 3d reconstructions for lesion localization in oncological colorectal surgery—first pilot study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9141148/
https://www.ncbi.nlm.nih.gov/pubmed/35628036
http://dx.doi.org/10.3390/healthcare10050900
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