Multi-modality 3D mandibular resection planning in head and neck cancer using CT and MRI data fusion: A clinical series

Kraeima, Joep; Dorgelo, Bart; Gülbitti, Haydar Aslan; Steenbakkers, Roel J.H.M.; Schepman, Kees-Pieter; Roodenburg, Jan; Spijkervet, Frederik; Schepers, Rutger H.; Witjes, Max J. H.

doi:10.1016/j.oraloncology.2018.03.013

Cited by 56 publications

(46 citation statements)

References 29 publications

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“…This was possible because CAS was effective to communicate the disease-extension and surgical margin with the radiologist through the three-dimensional image. Our study showed good results similar to those in a previous study [9]. One patient died of distant metastasis, but in this case, there was a positive margin in the soft tissue of the non-resectable area (near the skull base), but the bone margin was disease-free in histopathology.…”

Section: Discussionsupporting

confidence: 89%

“…Diagnosis and treatment based on various images have been also applied to a craniomaxillofacial surgical field with the development of CAS based on 3D images. The clinical application of this method not only diagnoses bone invasion but it also aids in surgery, as the size, location of diseases, and relationship of surrounding tissues are directly visualized in three dimensions [9,15]. In our study, all simulation procedures including determination of surgical margins were performed by an operator under confirmation of head and neck radiologists.…”

Section: Discussionmentioning

confidence: 99%

“…The advantages of CAS are reduction of the operative time and aesthetic and functional results through anatomical reconstructions [7,8]. Additionally, it has been reported that CAS can more safely and accurately resect the mandibular malignancies with VSP performed using various imaging modalities, such as CT and MRI simultaneously [9].…”

Section: Introductionmentioning

confidence: 99%

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Computer-Assisted Preoperative Simulations and 3D Printed Surgical Guides Enable Safe and Less-Invasive Mandibular Segmental Resection: Tailor-Made Mandibular Resection

et al. 2020

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This study aimed to present and evaluate alternative lesion-specific mandibulectomy methods for preserving the mandibular anatomical structures as compared with the conventional virtual surgical plan. Fifteen patients who received segmental mandibulectomy were included in this study, and the following parameters were evaluated: (1) the disease-free bone margin, (2) the volume and surface between the tailor-made resection simulation and conventional resection simulation, and (3) the preserved mandibular anatomical structures. In all 15 patients, disease-free bone margins were confirmed by histopathology. Volumes of conventional resection simulation and tail-made resection simulation were 49,468.66 ± 14,007.96 mm 3 and 52,610.01 ± 13,755.33 mm 3 and the surfaces were 20,927.38 ± 4471.70 mm 2 and 22,356.49 ± 4185.73 mm 2 , respectively; these were statistically significant (both, p < 0.001). Mandibular dentition was partially preserved in six patients. Twelve of the 15 patients had changes in defect classification with preservation of the mandibular inferior border. In conclusion, alternative lesion-specific mandibulectomy was a less invasive method for effectively removing mandibular lesions while preserving the important anatomical structures of the mandible.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

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Computer-Assisted Preoperative Simulations and 3D Printed Surgical Guides Enable Safe and Less-Invasive Mandibular Segmental Resection: Tailor-Made Mandibular Resection

et al. 2020

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“…Recent advances in virtual reality (VR) technologies have yielded numerous VR applications for surgical planning, which may overcome these restrictions [1]. These new VR applications offer promising tools for surgical training and preoperative planning [2][3][4].…”

Section: Electronic Supplementary Materialsmentioning

confidence: 99%

Virtual reality improves the accuracy of simulated preoperative planning in temporal bones: a feasibility and validation study

Timonen

Iso-Mustajärvi

Linder

et al. 2020

Eur Arch Otorhinolaryngol

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Purpose Consumer-grade virtual reality (VR) has recently enabled various medical applications, but more evidence supporting their validity is needed. We investigated the accuracy of simulated surgical planning in a VR environment (VR) with temporal bones and compared it to conventional cross-sectional image viewing in picture archiving and communication system (PACS) interface. Methods Five experienced otologic surgeons measured significant anatomic structures and fiducials on five fresh-frozen cadaveric temporal bones in VR and cross-sectional viewing. Primary image data were acquired by computed tomography. In total, 275 anatomical landmark measurements and 250 measurements of the distance between fiducials were obtained with both methods. Distance measurements between the fiducials were confirmed by physical measurement obtained by Vernier caliper. The experts evaluated the subjective validity of both methods on a 5-point Likert scale qualitative survey. Results A strong correlation based on intraclass coefficient was found between the methods on both the anatomical (r > 0.900) and fiducial measurements (r > 0.916). Two-tailed paired t-test and Bland–Altman plots demonstrated high equivalences between the VR and cross-sectional viewing with mean differences of 1.9% (p = 0.396) and 0.472 mm (p = 0.065) for anatomical and fiducial measurements, respectively. Gross measurement errors due to the misidentification of fiducials occurred more frequently in the cross-sectional viewing. The mean face and content validity rating for VR were significantly better compared to cross-sectional viewing (total mean score 4.11 vs 3.39, p < 0.001). Conclusion Our study supports good accuracy and reliability of VR environment for simulated surgical planning in temporal bones compared to conventional cross-sectional visualization.

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“…In this strategy, multiple virtual scenarios for resection and reconstruction are combined in a single set of 3D printed guides. In this study, the bone margin status after resection was not reported, so this outcome cannot be compared with the study by Kraeima et al (Kraeima, Dorgelo, et al, 2018;Kraeima, Glas, et al, 2018;.…”

Section: Op Timisati On Of Virtual Pl Anning -C T and Mri Fus I Onmentioning

confidence: 73%

Three‐dimensional virtual surgical planning in the oncologic treatment of the mandible

et al. 2020

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Objectives: In case of surgical removal of oral squamous cell carcinomas, a resection of mandibular bone is frequently part of the treatment. Nowadays, such resections frequently include the application of 3D virtual surgical planning (VSP) and guided surgery techniques. In this paper, current methods for 3D VSP leads for optimisation of the workflow, and patient-specific application of guides and implants are reviewed. Recent findings: Current methods for 3D VSP enable multi-modality fusion of images. This fusion of images is not restricted to a specific software package or workflow. New strategies for 3D VSP in Oral and Maxillofacial Surgery include finite element analysis, deep learning and advanced augmented reality techniques. These strategies aim to improve the treatment in terms of accuracy, predictability and safety. Conclusions: Application of the discussed novel technologies and strategies will improve the accuracy and safety of mandibular resection and reconstruction planning. Accurate, easy-to-use, safe and efficient three-dimensional VSP can be applied for every patient with malignancies needing resection of the mandible.

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Multi-modality 3D mandibular resection planning in head and neck cancer using CT and MRI data fusion: A clinical series

Cited by 56 publications

References 29 publications

Computer-Assisted Preoperative Simulations and 3D Printed Surgical Guides Enable Safe and Less-Invasive Mandibular Segmental Resection: Tailor-Made Mandibular Resection

Computer-Assisted Preoperative Simulations and 3D Printed Surgical Guides Enable Safe and Less-Invasive Mandibular Segmental Resection: Tailor-Made Mandibular Resection

Virtual reality improves the accuracy of simulated preoperative planning in temporal bones: a feasibility and validation study

Three‐dimensional virtual surgical planning in the oncologic treatment of the mandible

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