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Intraoperative utilization of advanced imaging modalities in a complex kidney stone case: a pilot case study
Andrew R Christiansen1, Rami M Shorti2, Cory D Smith2
1University of Utah School of Medicine, 30 N 1900 E, Salt Lake City, UT, 84132, USA.
World Journal of Urology
|March 17, 2018
Summary
Advanced imaging modalities, including 3D models and CAD, offer valuable insights during complex kidney surgery, potentially aiding navigation and visualization more than 3D prints alone.
Area of Science:
- Urology
- Medical Imaging
- Surgical Technology
Background:
- Advanced 3D imaging and 3D printing are increasingly used but lack comprehensive surgical comparison.
- Complex renal surgeries require precise visualization and navigation.
Observation:
- A patient with a complex horseshoe kidney and stones underwent evaluation using five imaging modalities derived from CT data.
- These included a 3D printed model, three volume rendered models, and a CAD model.
- A survey assessed modality effectiveness during laparoscopic surgery phases.
Findings:
- CAD models, 3D prints, and various volume renders provided significant insights during complex kidney surgery.
- CAD manual segmentation enhanced visualization of tissue layers and abnormal vasculature.
- 3D printing facilitated simultaneous visualization of the renal pelvis and surrounding vasculature.
Implications:
- Advanced imaging modalities can effectively complement intraoperative CT data and laparoscopic displays.
- Specific modalities may offer greater intraoperative benefit than 3D printed models, depending on the surgical step.
- Factors for evaluating advanced imaging in complex surgery are presented.
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