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3D Imaging Segmentation and 3D Rendering Process for a Precise Puncture Strategy During PCNL - a Pilot Study.

Otaš Durutović1,2, Aleksandar Filipović1,3, Katarina Milićević4

  • 1Faculty of Medicine, University of Belgrade, Belgrade, Serbia.

Frontiers in Surgery
|May 20, 2022
PubMed
Summary
This summary is machine-generated.

Three-dimensional (3D) software aids in planning optimal access for percutaneous nephrolithotomy (PCNL), a key procedure for large kidney stones. This improves treatment accuracy and potentially reduces complications during stone removal.

Keywords:
3D reconstruction3D renderingPCNLkidney stonepuncture guidance

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Area of Science:

  • Urology
  • Medical Imaging
  • Surgical Planning

Background:

  • Percutaneous nephrolithotomy (PCNL) is a primary treatment for large and complex kidney stones.
  • Optimal access route selection is critical for successful PCNL and minimizing complications.
  • Visualizing the 3D relationship between stones and the renal collecting system is essential for planning.

Purpose of the Study:

  • To evaluate the impact of 3D software on achieving the desired access during PCNL.
  • To assess if 3D volume segmentation enhances the planning of the renal collecting system approach.

Main Methods:

  • Utilized 3D volume segmentation software for pre-procedural planning.
  • Analyzed the accuracy of the planned access route compared to the actual anatomy.
  • Assessed the feasibility of using 3D software for complex stone cases.

Main Results:

  • 3D software provided a more accurate understanding of the renal collecting system and stone anatomy.
  • The planned access route facilitated by 3D software was more precise.
  • Demonstrated potential for improved surgical planning in PCNL procedures.

Conclusions:

  • 3D software significantly aids in planning optimal access for percutaneous nephrolithotomy.
  • Enhanced visualization through 3D segmentation can lead to more accurate stone treatment.
  • This technology offers a valuable tool for improving PCNL outcomes.