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Three-Dimensional Customized Imaging Reconstruction for Urological Surgery: Diffusion and Role in Real-Life Practice
Maria Chiara Sighinolfi1, Aurus Dourado Menezes2, Vipul Patel3
1Urologic Unit, ASST Santi Paolo e Carlo, La Statale University, 20122 Milan, Italy.
Urologists recognize the value of 3D reconstruction models for improving surgical outcomes, particularly in partial nephrectomy. However, high costs and time constraints limit their widespread adoption in daily practice.
Area of Science:
- Urology
- Medical Imaging
- Surgical Technology
Background:
- Growing interest in 3D reconstruction models from 2D imaging.
- Limited understanding of their adoption and perception among urologists.
Purpose of the Study:
- Investigate the use and perception of 3D reconstruction models among urologists internationally.
- Explore factors influencing their application and future potential.
Main Methods:
- International survey of urologists with varying backgrounds and expertise.
- Data collected on demographics, perceived benefits, procedures, settings, surgical steps, and future outlook.
Main Results:
- 100 urologists completed the survey; 53% were primary surgeons, 59% post-training.
- Partial nephrectomy (85%) was the main application, followed by radical nephrectomy and prostatectomy.
- 3D models primarily used for preoperative planning (75%), intraoperative consultation, and tailoring.
- Over half believe 3D models significantly improve surgical outcomes.
- Despite perceived benefits, 77% use 3D models in <25% of major operations due to cost and time.
Conclusions:
- 3D reconstruction models are perceived as beneficial for surgical outcomes in urology.
- Cost and time are significant barriers to their widespread clinical integration.
- Technical advancements and increased availability are crucial for broader adoption.
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