Three-dimensional Augmented Reality Robot-assisted Partial Nephrectomy in Case of Complex Tumours (PADUA ≥10): A New Intraoperative Tool Overcoming the Ultrasound Guidance

Porpiglia, Francesco; Checcucci, Enrico; Amparore, Daniele; Piramide, Federico; Volpi, G.; Granato, Stefano; Verri, Paolo; Manfredi, Matteo; Bellin, Andrea; Piazzolla, Pietro; Autorino, Riccardo; Morra, Ivano; Fiori, Cristian; Mottrie, Alex

doi:10.1016/j.eururo.2019.11.024

Cited by 145 publications

(98 citation statements)

References 22 publications

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“…The basic characteristics of all 10 included studies (11)(12)(13)(14)(15)(16)(17)(18)(19)(20) were summarized and are shown in Table 1. All studies were published between 2017 and 2020.…”

Section: Characteristics and Qualifications Of Included Studiesmentioning

confidence: 99%

“…All included studies (11)(12)(13)(14)(15)(16)(17)(18)(19)(20) reported operation time. The pooled results of the meta-analysis showed that the 3D-preoperative assessment shortened the operation time (SMD = −0.42; 95% CI = −0.70 to −0.14, I 2 = 65.5%, P = 0.002; Figure 2A) compared to conventional 2D-preoperative assessment surgeries.…”

Section: Operation Timementioning

confidence: 99%

“…Intraoperative blood loss was measured in 10 studies (11)(12)(13)(15)(16)(17)(18)(19)(20); the meta-analysis showed that the use of 3D-preoperative assessment significantly reduced blood loss during surgery (SMD = −0.43; 95% CI = −0.69 to −0.17, I 2 = 59.2%, P = 0.009; Figure 2C).…”

Section: Intraoperative Blood Lossmentioning

confidence: 99%

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Three-Dimensional Printing Assisted Laparoscopic Partial Nephrectomy vs. Conventional Nephrectomy in Patients With Complex Renal Tumor: A Systematic Review and Meta-Analysis

et al. 2020

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The purpose of this meta-analysis was to systematically assess the influence of three-dimensional (3D) printing technology in laparoscopic partial nephrectomy (LPN) of complex renal tumors. Methods: A systematic literature review was performed in June 2020 using the Web of Science, PubMed, Embase, the Cochrane library, the China National Knowledge Infrastructure (CNKI), and the Wanfang Databases to identify relevant studies. The data relative to operation time, warm ischemic time, intraoperative blood loss, positive surgical margin, reduction in estimated glomerular filtration rate (eGFR), and complications (including artery embolization, hematoma, urinary fistula, transfusion, hematuria, intraoperative bleeding, and fever) were extracted. Two reviewers independently assessed the quality of all included studies, and the eligible studies were included and analyzed using the Stata 12.1 software. A subgroup analysis was performed stratifying patients according to the complexity of the tumor and surgery type or to the nephrometry score. Results: One randomized controlled trial (RCT), two prospective controlled studies (PCS), and seven retrospective comparative studies (RCS) were analyzed, involving a total of 647 patients. Our meta-analysis showed that there were significant differences in operation time, warm ischemic time, intraoperative blood loss, reduction in eGFR, and complications between the LPN with 3D-preoperative assessment (LPN-3DPA) vs. LPN with conventional 2D preoperative assessment (LPN-C2DPA) groups. Positive surgical margin did not differ significantly. Conclusion: The LPN-3DPA group showed shorter operation time and warm ischemic time, as well as less intraoperative blood loss, reduction in eGFR, fewer complications for Jiang et al. 3D Printing and LPN patients with complex renal tumor. Therefore, LPN assisted by three-dimensional printing technology should be a preferable treatment of complex renal tumor when compared with conventional LPN. However, further large-scale RCTs are needed in the future to confirm these findings.

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“…The basic characteristics of all 10 included studies (11)(12)(13)(14)(15)(16)(17)(18)(19)(20) were summarized and are shown in Table 1. All studies were published between 2017 and 2020.…”

Section: Characteristics and Qualifications Of Included Studiesmentioning

confidence: 99%

Section: Operation Timementioning

confidence: 99%

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Three-Dimensional Printing Assisted Laparoscopic Partial Nephrectomy vs. Conventional Nephrectomy in Patients With Complex Renal Tumor: A Systematic Review and Meta-Analysis

et al. 2020

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“…In this scenario, hyperaccuracy three-dimensional virtual models (3DVMs) of the kidney and tumor based on computer tomography (CT) have been developed as a new tool for preoperative planning and intraoperative surgical navigation [4,5].…”

mentioning

confidence: 99%

“…Within our prospectively maintained minimally invasive PN database (from January 2017 to January 2020), we focused on patients who underwent four-phase (unenhanced, corticomedullary, nephrographic, and urographic phases) contrast-enhanced CT, from which a 3DVM of the kidney to treat was obtained, as described in previous studies [4,5]. Patients with warm ischemia times >25 min and solitary kidney were excluded.…”

mentioning

confidence: 99%

Three-dimensional Virtual Models’ Assistance During Minimally Invasive Partial Nephrectomy Minimizes the Impairment of Kidney Function

Pecoraro¹,

Checcucci²,

Piramide³

et al. 2022

European Urology Oncology

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Augmented reality‐guided positioning system for radiotherapy patients

et al. 2022

J Applied Clin Med Phys

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In modern radiotherapy, error reduction in the patients’ daily setup error is important for achieving accuracy. In our study, we proposed a new approach for the development of an assist system for the radiotherapy position setup by using augmented reality (AR). We aimed to improve the accuracy of the position setup of patients undergoing radiotherapy and to evaluate the error of the position setup of patients who were diagnosed with head and neck cancer, and that of patients diagnosed with chest and abdomen cancer. We acquired the patient's simulation CT data for the three‐dimensional (3D) reconstruction of the external surface and organs. The AR tracking software detected the calibration module and loaded the 3D virtual model. The calibration module was aligned with the Linac isocenter by using room lasers. And then aligned the virtual cube with the calibration module to complete the calibration of the 3D virtual model and Linac isocenter. Then, the patient position setup was carried out, and point cloud registration was performed between the patient and the 3D virtual model, such the patient's posture was consistent with the 3D virtual model. Twenty patients diagnosed with head and neck cancer and 20 patients diagnosed with chest and abdomen cancer in the supine position setup were analyzed for the residual errors of the conventional laser and AR‐guided position setup. Results show that for patients diagnosed with head and neck cancer, the difference between the two positioning methods was not statistically significant (P > 0.05). For patients diagnosed with chest and abdomen cancer, the residual errors of the two positioning methods in the superior and inferior direction and anterior and posterior direction were statistically significant (t = −5.80, −4.98, P < 0.05). The residual errors in the three rotation directions were statistically significant (t = −2.29 to −3.22, P < 0.05). The experimental results showed that the AR technology can effectively assist in the position setup of patients undergoing radiotherapy, significantly reduce the position setup errors in patients diagnosed with chest and abdomen cancer, and improve the accuracy of radiotherapy.

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Three-dimensional Augmented Reality Robot-assisted Partial Nephrectomy in Case of Complex Tumours (PADUA ≥10): A New Intraoperative Tool Overcoming the Ultrasound Guidance

Cited by 145 publications

References 22 publications

Three-Dimensional Printing Assisted Laparoscopic Partial Nephrectomy vs. Conventional Nephrectomy in Patients With Complex Renal Tumor: A Systematic Review and Meta-Analysis

Three-Dimensional Printing Assisted Laparoscopic Partial Nephrectomy vs. Conventional Nephrectomy in Patients With Complex Renal Tumor: A Systematic Review and Meta-Analysis

Three-dimensional Virtual Models’ Assistance During Minimally Invasive Partial Nephrectomy Minimizes the Impairment of Kidney Function

Augmented reality‐guided positioning system for radiotherapy patients

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