Influence of patient-specific anatomy on medical computed tomography and risk evaluation of minimally invasive surgery at the otobasis

Schieferbein, V; Bredemann, Judith; Schmitt, Robert; Stenin, Igor; Klenzner, Thomas; Schipper, Jörg; Kristin, Julia

doi:10.1007/s00405-018-5249-0

Cited by 4 publications

(5 citation statements)

References 23 publications

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“…In addition, proficiency in surgical care is complex, as it not only involves knowledge of instrumentation and surgical procedures but also a comprehensive integration of anatomy and physiology for the organ being operated. In this context, digital anatomy resources provide sophisticated tools for preoperative study, particularly complex surgical planning [ 45 - 47 , 49 ] ( Table 1 ). Although digital anatomy has unique attributes that can improve learning outcomes when compared with traditional learning methods [ 32 ], there is currently a shortfall in learner-centered implementation of digital technologies in health care education, where these technologies have the capacity to cause a paradigm shift ( Table 1 ).…”

Section: Resultsmentioning

confidence: 99%

“…By adopting 3D modeling and preoperative virtual planning, anatomists can generate 3D reconstructed organs for individual patients before surgery [ 45 , 46 ] and enable statistical modeling that can accurately predict posttraumatic or postsurgical conditions [ 47 ]. Therefore, patient-specific anatomy will allow for more accurate risk evaluation of invasive surgery [ 47 , 49 ] and provide advanced personalized patient care. In this context, digital anatomy will revolutionize our understanding of anatomical variations and effectively apply them in clinical settings.…”

Section: Introductionmentioning

confidence: 99%

“…Digital health has substantially improved the way health professionals handle clinical phases. Recent advances in the digital acquisition of patient-specific anatomy data can provide substantial information to the clinician; hence, complex surgeries and less invasive local therapies can be easily planned [ 45 - 47 , 49 ]. Thus, digital anatomy–based clinical training and practice will continue to address restrictions and reduce disparities in surgical training.…”

Section: Introductionmentioning

confidence: 99%

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The Opportunities and Challenges of Digital Anatomy for Medical Sciences: Narrative Review

Wickramasinghe¹,

Thompson²,

Xiao³

2022

JMIR Med Educ

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Background Anatomy has been the cornerstone of medical education for centuries. However, given the advances in the Internet of Things, this landscape has been augmented in the past decade, shifting toward a greater focus on adopting digital technologies. Digital anatomy is emerging as a new discipline that represents an opportunity to embrace advances in digital health technologies and apply them to the domain of modern medical sciences. Notably, the use of augmented or mixed and virtual reality as well as mobile and platforms and 3D printing in modern anatomy has dramatically increased in the last 5 years. Objective This review aims to outline the emerging area of digital anatomy and summarize opportunities and challenges for incorporating digital anatomy in medical science education and practices. Methods Literature searches were performed using the PubMed, Embase, and MEDLINE bibliographic databases for research articles published between January 2005 and June 2021 (inclusive). Out of the 4650 articles, 651 (14%) were advanced to full-text screening and 77 (1.7%) were eligible for inclusion in the narrative review. We performed a Strength, Weakness, Opportunity, and Threat (SWOT) analysis to evaluate the role that digital anatomy plays in both the learning and teaching of medicine and health sciences as well as its practice. Results Digital anatomy has not only revolutionized undergraduate anatomy education via 3D reconstruction of the human body but is shifting the paradigm of pre- and vocational training for medical professionals via digital simulation, advancing health care. Importantly, it was noted that digital anatomy not only benefits in situ real time clinical practice but also has many advantages for learning and teaching clinicians at multiple levels. Using the SWOT analysis, we described strengths and opportunities that together serve to underscore the benefits of embracing digital anatomy, in particular the areas for collaboration and medical advances. The SWOT analysis also identified a few weaknesses associated with digital anatomy, which are primarily related to the fact that the current reach and range of applications for digital anatomy are very limited owing to its nascent nature. Furthermore, threats are limited to technical aspects such as hardware and software issues. Conclusions This review highlights the advances in digital health and Health 4.0 in key areas of digital anatomy analytics. The continuous evolution of digital technologies will increase their ability to reinforce anatomy knowledge and advance clinical practice. However, digital anatomy education should not be viewed as a simple technical conversion and needs an explicit pedagogical framework. This review will be a valuable asset for educators and researchers to incorporate digital anatomy into the learning and teaching of medical sciences and their practice.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The Opportunities and Challenges of Digital Anatomy for Medical Sciences: Narrative Review

Wickramasinghe¹,

Thompson²,

Xiao³

2022

JMIR Med Educ

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“…Digital‐based operative education such as virtual surgical simulator (Kantar et al, 2018; Plana et al, 2018) is now feasible and can overcome time and geographic barriers, paying the way for virtual surgery rehearsal. Recent advances in the digital acquisition of patient‐specific anatomy data are able to report substantial information to the clinician, hence complex surgeries and less invasive local therapies can be easily planned (Schieferbein et al, 2019; Soler et al, 2015; Soler et al, 2021; Vlachopoulos et al, 2018). This is expected to have a significant impact on future precision surgery and the development of surgical education curricula at an international level.…”

Section: Discussionmentioning

confidence: 99%

“…Plana et al, 2018) is now feasible and can overcome time and geographic barriers, paying the way for virtual surgery rehearsal. Recent advances in the digital acquisition of patient-specific anatomy data are able to report substantial information to the clinician, hence complex surgeries and less invasive local therapies can be easily planned(Schieferbein et al, 2019;Soler et al, 2015;Soler et al, 2021; …”

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confidence: 99%

A scoping review on the trends of digital anatomy education

Adnan

Xiao

2023

Clinical Anatomy

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Digital technologies are changing the landscape of anatomy education. To reveal the trend of digital anatomy education across medical science disciplines, searches were performed using PubMed, EMBASE, and MEDLINE bibliographic databases for research articles published from January 2010 to June 2021 (inclusive). The search was restricted to publications written in English language and to articles describing teaching tools in undergraduate and postgraduate anatomy and pre‐vocational clinical anatomy training courses. Among 156 included studies across six health disciplines, 35% used three‐dimensional (3D) digital printing tools, 24.2% augmented reality (AR), 22.3% virtual reality (VR), 11.5% web‐based programs, and 4.5% tablet‐based apps. There was a clear discipline‐dependent preference in the choice and employment of digital anatomy education. AR and VR were the more commonly adopted digital tools for medical and surgical anatomy education, while 3D printing is more broadly used for nursing, allied health and dental health education compared to other digital resources. Digital modalities were predominantly adopted for applied interactive anatomy education and primarily in advanced anatomy curricula such as regional anatomy and neuroanatomy. Moreover, there was a steep increase in VR anatomy combining digital simulation for surgical anatomy training. There is a consistent increase in the adoption of digital modalities in anatomy education across all included health disciplines. AR and VR anatomy incorporating digital simulation will play a more prominent role in medical education of the future. Combining multimodal digital resources that supports blended and interactive learning will further modernize anatomy education, moving medical education further away from its didactic history.

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Új műtéti képalkotó lehetőség a belsőfül-implantátum elektródasorának dinamikus helyzetmeghatározására

Perényi

Nagy

Horváth

et al. 2021

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Összefoglaló. Bevezetés: A cochlearis implantátum egy műtétileg behelyezett elektromos eszköz, amely az akusztikus hanghullámokat elektromos jelekké alakítja, közvetlenül a hallóideget stimulálja, így segíti a súlyos fokú hallássérüléssel vagy teljes hallásvesztéssel élők életét. Cochlearis implantációt követően a legjobb rehabilitációs eredmény elérésének technikai feltétele többek között az esetre szabott elektródaválasztás és az elektródasor teljes, kontrollált, szövődménymentes bejuttatása a scala tympaniba, miközben a cochlea belső struktúrája a lehető legkisebb mértékben sérül. A rutin intraoperatív elektrofiziológiai tesztek fontos információt adnak a készülék működőképességéről és a hallóideg stimulációjáról, azonban nem hagyatkozhatunk rájuk az elektródasor cochleán belüli helyzetének igazolásában. Mivel előfordulhat, hogy a rendelkezésre álló elektrofiziológiai vizsgálatok eredménye megfelelő, és mégis rendellenes helyzetbe kerül az elektróda, az arany standardot a képalkotó vizsgálatok jelentik. Módszer: Közleményünkben egy modern, hibrid műtő által nyújtott technológiai háttér új alkalmazási területét mutatjuk be. Szimultán kétoldali cochlearis implantációt végeztünk Cochlear Nucleus Slim Modiolar típusú perimodiolaris elektródasorral, a belső fül fejlődési rendellenességével rendelkező betegen. Az intraoperatív képalkotást Siemens Artis pheno C-karos robot digitális szubtrakciós angiográfiás rendszer biztosította valós idejű átvilágító és volumentomográfiás funkcióval. Eredmények: Az intraoperatív képalkotás által dinamikusan követhető az elektródasor bevezetésének folyamata, ellenőrizhető az elektródasor statikus helyzete, így kiváltható a rutinnak számító posztoperatív képalkotó vizsgálat. A rendellenes helyzetbe kerülő elektródasor pozíciója egy ülésben korrigálható, az újból bevezethető, így elkerülhető az újabb altatással járó, bizonytalan kimenetelű revíziós műtét. Következtetés: A hibrid műtő jól kontrollált, minimálisan invazív eljárások elvégzését biztosítja. Különösen a hallószerv fejlődési rendellenessége vagy egyéb, az elektródának a cochleába vezetését nehezítő rendellenesség esetén javasolt a műtői képalkotó diagnosztika. Orv Hetil. 2021; 162(22): 878–883. Summary. Introduction: The cochlear implant is a surgically inserted electrical device that converts acoustic sound waves into electrical signals to stimulate the cochlear nerve, thus helps the rehabilitation of people with severe to total hearing loss. One of the most important technical conditions for achieving the best rehabilitation result after cochlear implantation is the personalized choice of electrodes. Additionally, it is vital that there is a complete, controlled, uncomplicated delivery of the electrode array to the scala tympani while minimizing damage to the inner structures of the cochlea. Routine electrophysiological tests provide important information about device functionality and auditory nerve stimulation. However, they probably do not show an abnormal position of the electrode array within the cochlea. Thus, imaging studies remain the gold standard. Method: In our paper, we present a novel application field of the modern technological background provided by a hybrid operating room. Simultaneous bilateral cochlear implantation was performed with cochlear implants with perimodiolar electrode array (Nucleus Slim Modiolar) in a patient with cochlear malformation. Intraoperative imaging was provided by a Siemens Artis pheno C-arm robot digital subtraction angiography system with real-time fluoroscopy and volume tomography function. Results: Intraoperative imaging ensures dynamic follow-up of the introduction and static determination of the position of the electrode array and replaces routine postoperative imaging. If the electrode array was inserted in an abnormal position, the revision can be performed in the same sitting. Also, the revision surgery with a potential risk of uncertain outcome, alongside additional anaesthesia, can be prevented. Conclusion: The hybrid operating room ensures that well-controlled, minimally invasive procedures are performed. Intraoperative imaging can be imperative in malformed cochleae and conditions that may complicate electrode insertion. Orv Hetil. 2021; 162(22): 878–883.

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Influence of patient-specific anatomy on medical computed tomography and risk evaluation of minimally invasive surgery at the otobasis

Cited by 4 publications

References 23 publications

The Opportunities and Challenges of Digital Anatomy for Medical Sciences: Narrative Review

The Opportunities and Challenges of Digital Anatomy for Medical Sciences: Narrative Review

A scoping review on the trends of digital anatomy education

Új műtéti képalkotó lehetőség a belsőfül-implantátum elektródasorának dinamikus helyzetmeghatározására

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