3D Ct Scan for Perioperative Identification of Anatomical Variations of Lungs

Galluzzo, Anna; Fatica, Federica; Caternicchia, Filippo; Geraci, Girolamo; Mancuso, Giovanna; Raffaele, Francesco; Genova, Claudio; Cocchiara, G; Midiri, Massimo; Cajozzo, Massimo

doi:10.2217/fon-2016-0344

Cited by 6 publications

(4 citation statements)

References 9 publications

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“…Contrast‐enhanced CTA with 3D reconstruction imaging has been proven to better assess feeding vessels, local tumor expansion, and loco‐regional invasion. It facilitates a more detailed preoperative assessment of surgical feasibility and safety . This innovative imaging technique has the potential to improve stratification of patients for more tailored therapy and better outcomes.…”

Section: Discussionmentioning

confidence: 99%

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Analysis of giant thoracic neoplasms: Correlations between imaging, pathology and surgical management

et al. 2017

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BackgroundA giant thoracic neoplasm is extremely rare and poorly understood. Our systemic study introduced computed tomography angiography (CTA) with three‐dimensional (3D) reconstruction imaging and evaluated correlations between imaging, pathology, and surgical management.MethodsData from 45 patients undergoing surgery for giant thoracic neoplasm in our institution between May 2007 and November 2015 were collected. The clinical characteristics, imaging manifestations, preoperative biopsy, surgical management, postoperative pathology, and prognosis and their correlation were analyzed.ResultsThe clinical characteristics, imaging manifestations, and pathological types were complicated. Four patients underwent CTA with 3D reconstruction imaging and feeding vessels were found in three cases. Twenty‐four selected patients accepted preoperative biopsy, eight of which were inconsistent with postoperative pathology. Complete resection was performed in 39 cases, 20 of which underwent extended excision. The median survival duration of all patients was 58 months (range 3.0–118.0). The one, three, and five‐year survival rates were 86.0%, 64.4%, and 47.0%, respectively. Univariate analyses showed tumor size and resection status were prognostic factors for survival (P = 0.003 and P < 0.001, respectively).ConclusionsA giant thoracic neoplasm should preferably be treated in experienced centers for precise diagnosis and optimal therapy schemes with comprehensive consideration of clinical characters, imaging manifestations, pathology, surgical management, and prognosis. Innovative CTA with 3D reconstruction imaging together with preoperative biopsy are feasible and effective in therapeutic decision‐making and surgical planning. Complete surgical resection remains the mainstay of curative therapy for all resectable tumors.

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Section: Discussionmentioning

confidence: 99%

“…It facilitates a more detailed preoperative assessment of surgical feasibility and safety. 6,27,28 This innovative imaging technique has the potential to improve stratification of patients for more tailored therapy and better outcomes.…”

Section: Discussionmentioning

confidence: 99%

Analysis of giant thoracic neoplasms: Correlations between imaging, pathology and surgical management

et al. 2017

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“…Multiple studies showed that by using preoperative 3D reconstruction it was possible to accurately identify up to 98% of surgically relevant and potentially complicating pulmonary artery branches, including anomalous or uncommon variations in vascular branching patterns. Thereby, 3D reconstruction facilitates surgical resections by avoiding blind dissection of vessels and increases surgeons confidence in their knowledge of the spatial relationship between the lesion and adjacent anatomical structures in the individual patient (18,19,(28)(29)(30)(31)(32)(33)(34)(35)(36)(37)(38)(39)(40)(41)(42)(43).…”

Section: Identification Of Anatomical Landmarks and Interindividual V...mentioning

confidence: 99%

Application of three-dimensional computed tomography imaging and reconstructive techniques in lung surgery: A mini-review

Vervoorn

Wulfse²,

Hoesein³

et al. 2022

Front. Surg.

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BackgroundPulmonary surgery is an innovative discipline with increasing demands for minimally invasive techniques in complicated anatomical resections, warranting adequate preoperative imaging of relevant surgical anatomy to ensure safe and radical resection of target lesions. Over the recent years, the emergence of imaging techniques enabling three-dimensional reconstruction has exerted promising influence on pulmonary surgery, facilitating optimal surgical planning and easier identification of the spatial relationship between bronchovascular structures in the individual patient and aiding the safe resection of target pulmonary lesions. The goal of this mini-review is to provide an overview of three-dimensional computed tomography imaging within pulmonary surgery.MethodsThe authors performed a targeted qualitative review of the literature to identify current trends and to provide better understanding of three-dimensional reconstruction within the boundaries of pulmonary surgery.ResultsThree-dimensional reconstructive techniques can be used for resectability assessment, identification of surgically relevant interindividual anatomic variance and may improve perioperative outcomes.DiscussionThree-dimensional reconstruction using computed tomography imaging improves surgical planning and there is evidence that it results in shorter operative times, less intraoperative blood loss and lower rates of surgical conversion, as it can be applied both pre- and intraoperatively.

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“…Two thoracic groups have demonstrated that the aid of 3D reconstructions, of the lung and heart, are very useful to obtain preoperative information before VATS surgery [16,17]. The 3D reconstruction could also forecast a reliable body reconstruction for futuristic self-determining robotic surgery.…”

Section: Future Researchmentioning

confidence: 99%