Surgical Effects of Resecting Skull Base Tumors Using Pre-operative Multimodal Image Fusion Technology: A Retrospective Study

Jian, Zhi-heng; Li, Jiayan; Wu, Kaihua; Liu, Yu; Li, Shixue; Chen, Haidong; Chen, Gang

doi:10.3389/fneur.2022.895638

Cited by 6 publications

(5 citation statements)

References 30 publications

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“…The latest research in the past mainly applied 3D visualization technology to preoperative planning of intracranial lesions and liver tumors [13][14][15][16][17][18][19],Through the 3D visualization technology, a 3D stereo model is constructed, and the size, specific location of the tumor and the anatomical relationship between the tumor and the surrounding adjacent tissues can be observed more intuitively [20,21], so that a fine surgical path can be formulated, which is similar to the content of this study. In all cases in this study, patients with giant goiter had varying degrees of tracheal compression, displacement, malformation, or luminal stenosis, which may make intraoperative anesthetic intubation difficult.…”

Section: Discussionmentioning

confidence: 81%

Application of 3D Visualization Technology in Preoperative Planning of Giant Goiter

Zhang¹

2023

SCSOAJ

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Background and Objectives: 3D visualization technology provides a more intuitive visual virtual reality surgical presentation for preoperative simulation planning, inhand visualization operation and accurate postoperative assessment in surgical procedures, but there is a lack of evidence to support whether this technology is more advantageous in preoperative planning of giant goiter. The aim of this study was to investigate the value of 3D visualization technology in the preoperative planning of giant goiter. Methods:The clinical data of eight patients with giant goiter admitted to the First People's Hospital of Anhui University of Technology for general surgery from October 2020 to August 2022 were retrospectively analyzed. The image data were imported into 3D visualization software (3D Slicer software) in DICOM format for 3D reconstruction to analyze the 3D positional relationship between the giant thyroid nodules and the surrounding tissues and organs, to perform preoperative simulation operations, and to develop precise surgical pathways.Results: All patients were operated according to the optimal plan selected by the simulation operation, and the actual surgical procedure conformed to the preoperative simulation plan 100%, and all of them successfully completed the total resection of giant thyroid nodules without any perioperative death and no new symptoms appeared after the operation. Conclusion:The use of 3D visualization technology in the preoperative planning of giant goiter can accurately obtain 3D anatomical information of the lesion and its adjacent tissues, select the optimal surgical path, and reduce surgical risks, which is of great clinical guidance value in guiding the preoperative precise surgical planning of giant goiter.

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Section: Discussionmentioning

confidence: 81%

Application of 3D Visualization Technology in Preoperative Planning of Giant Goiter

Zhang¹

2023

SCSOAJ

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“…In recent years, a similar technology, multimodal image fusion (MIF), has also been proposed to assist surgery. Jian et al evaluated the usefulness of MIF in a total of 47 skull base tumor cases and acknowledged the outstanding performance of MIF [ 28 ]. Despite the towering case number, in this study, assessment of the fused 3D images was conducted by only one person, the operating surgeon, which undermines the credibility of the research.…”

Section: Discussionmentioning

confidence: 99%

Clinical application of a three-dimensional-printed model in the treatment of intracranial and extracranial communicating tumors: a pilot study

Zhang,

Li,

et al. 2024

3D Print Med

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Background Surgical management for intracranial and extracranial communicating tumors is difficult due to the complex anatomical structures. Therefore, assisting methods are urgently needed. Accordingly, this study aimed to investigate the utility of a three-dimensional (3D)-printed model in the treatment of intracranial and extracranial communicating tumors as well as its applicability in surgical planning and resident education. Methods Individualized 3D-printed models were created for eight patients with intracranial and extracranial communicating tumors. Based on these 3D-printed models, a comprehensive surgical plan was made for each patient, after which the patients underwent surgery. The clinicopathological data of patients were collected and retrospectively analyzed to determine surgical outcomes. To examine the educational capability of the 3D-printed models, specialists and resident doctors were invited to review three of these cases and then rate the clinical utility of the models using a questionnaire. Results The 3D-printed models accurately replicated anatomical structures, including the tumor, surrounding structures, and the skull. Based on these models, customized surgical approaches, including the orbitozygomatic approach and transcervical approach, were designed for the patients. Although parameters such as operation time and blood loss varied among the patients, satisfactory surgical outcomes were achieved, with only one patient developing a postoperative complication. Regarding the educational applicability of the 3D-printed model, the mean agreement for all eight questionnaire items was above six (seven being complete agreement). Moreover, no significant difference was noted in the agreement scores between specialists and residents. Conclusion The results revealed that 3D-printed models have good structural accuracy and are potentially beneficial in developing surgical approaches and educating residents. Further research is needed to test the true applicability of these models in the treatment of intracranial and extracranial communicating tumors.

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“…A specific and comprehensive preoperative evaluation with multiple image fusion was of great benefit. 11 This report summarizes our experience in 7 cases of complex skull base tumors from October 2019 to January 2022.…”

mentioning

confidence: 94%

“…Oishi et al 10 study revealed that preoperative multimodal image fusion could assist the neurosurgeon to design a more reasonable bone window and a safe approach. A specific and comprehensive preoperative evaluation with multiple image fusion was of great benefit 11 . This report summarizes our experience in 7 cases of complex skull base tumors from October 2019 to January 2022.…”

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confidence: 97%

Surgical Management of Complex Skull Base Tumor Using Preoperative Multimodal Image Fusion Technology

Jian,

Chen,

et al. 2024

Journal of Craniofacial Surgery

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Objective: To review our single-institution experience in the surgical management of complex skull base tumors using multimodal image fusion technology. Methods: From October 2019 to January 2022, 7 cases of complex skull base tumors that performed preoperative multimodal image fusion in Zhuhai People’s Hospital neurosurgery department were involved in this study. The image data were uploaded to the GE AW workstation. Corresponding image sequences were opened in the workstation to complete registration fusion and 3D reconstruction. We retrospectively reviewed the clinical and imaging data, and surgical strategy, respectively. Results: one case of recurrent C2 schwannoma, 1 case of recurrent spindle cell tumor of the left cranio-orbital communication, 1 case of lobular malignant tumor of the left infratemporal fossa, 1 case of central giant cell repairing granuloma, 1 case of mesenchymal malignant tumor in left pharyngeal process, 1 case of meningioma in jugular foramen, and 1 case of hemangioblastoma with vascular malformation in fourth ventricular. All cases underwent preoperative multimodal image fusion for the surgical plan and all cases had gross total resection. Except for one case of mesenchymal malignant tumor in left pharyngeal process that had dysphagia and one case of hemangioblastoma that had discoordination, others cases were without postoperative complication. Conclusions: Preoperative multimodal image fusion and surgical approach simulation benefit complex skull base tumor surgical treatment. Individually multiple image assessment of complex skull base tumors to determine the specific surgical strategy is more rational and should be recommended (Supplemental Digital Content 1, Supplementary Video, http://links.lww.com/SCS/F936).

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Surgical Effects of Resecting Skull Base Tumors Using Pre-operative Multimodal Image Fusion Technology: A Retrospective Study

Cited by 6 publications

References 30 publications

Application of 3D Visualization Technology in Preoperative Planning of Giant Goiter

Application of 3D Visualization Technology in Preoperative Planning of Giant Goiter

Clinical application of a three-dimensional-printed model in the treatment of intracranial and extracranial communicating tumors: a pilot study

Surgical Management of Complex Skull Base Tumor Using Preoperative Multimodal Image Fusion Technology

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