泌尿外科手术的三维定制成像重建:从国际调查中在现实生活实践中的扩散和作用
Maria Chiara Sighinolfi1, Aurus Dourado Menezes2, Vipul Patel3
1Urologic Unit, ASST Santi Paolo e Carlo, La Statale University, 20122 Milan, Italy.
Journal of personalized medicine
|October 27, 2023
概括
泌尿科医生认识到3D重建模型的价值,以改善手术结果,特别是在部分切除术中. 然而,高成本和时间限制限制了它们在日常实践中的广泛采用.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗成像医学成像
- 手术技术 手术技术
背景情况:
- 越来越多的人对2D成像的3D重建模型越来越感兴趣.
- 泌尿科医生对其采用和认知的理解有限.
研究的目的:
- 在国际范围内调查泌尿科医生对3D重建模型的使用和看法.
- 探索影响其应用和未来潜力的因素.
主要方法:
- 对具有不同背景和专业知识的泌尿科医生进行国际调查.
- 收集关于人口统计,感知好处,程序,设置,手术步骤和未来前景的数据.
主要成果:
- 100名泌尿科医生完成了调查,53%是初级外科医生,59%是培训后的外科医生.
- 部分切除术 (85%) 是主要的应用,其次是彻底切除术和前列腺切除术.
- 3D模型主要用于手术前规划 (75%),手术内咨询和定制.
- 超过一半的人认为3D模型显著改善了外科手术的结果.
- 尽管有所感知的好处,但由于成本和时间,77%的人在<25%的重大操作中使用3D模型.
结论:
- 3D重建模型被认为是有利于泌尿病学手术结果的.
- 成本和时间是它们广泛临床整合的重大障碍.
- 技术进步和增加可用性对于更广泛的采用至关重要.
相关概念视频
Imaging Studies III: Computed Tomography
12
DefinitionComputed Tomography (CT) of the genitourinary (GU) tract is a non-invasive imaging modality that utilizes X-rays and computer processing to generate detailed cross-sectional images of the urinary system, encompassing the kidneys, ureters, bladder, and adjacent structures such as the adrenal glands.PurposeCT scans of the GU tract serve several diagnostic and therapeutic purposes, including:Diagnosis of Urinary Tract Diseases: Detects kidney stones, tumors, cysts, and congenital...
12
Imaging Studies V: Intravenous Urography and Retrograde Pyelography
37
IntroductionIntravenous Urography (IVU) and Retrograde Pyelography (RP) are important diagnostic imaging techniques used to evaluate the urinary system. These methods help identify structural abnormalities, obstructions, and functional issues in the kidneys, ureters, and bladder. Both procedures use iodine-based contrast media to enhance the visibility of urinary tract structures on X-ray images, though they differ in their methods and indications.1. Intravenous Urography (IVU)Intravenous...
37
Imaging Studies IV: Magnetic Resonance Imaging
11
Introduction:Magnetic Resonance Imaging, or MRI, can include a specialized imaging technique of the urinary system known as Magnetic Resonance Urography (MRU). This radiation-free technique uses strong magnetic fields and radio waves to produce detailed images with the help of a computer. MRU is particularly effective for visualizing fluid-filled structures like the kidneys, ureters, and bladder.Applications of MRI in the Genitourinary SystemKidneys and Ureters: MRI detects tumors, cysts,...
11
Imaging Studies VI: Voiding Cystourethrography and Cystography
10
Voiding Cystourethrography (VCUG) and Cystography are specialized radiographic procedures used to examine the structure and function of the bladder and urethra.Voiding Cystourethrography (VCUG)A Voiding Cystourethrogram (VCUG) is a diagnostic imaging procedure that assesses the anatomy and function of the lower urinary tract. It focuses on the bladder, bladder neck, and urethra, helping detect abnormalities such as vesicoureteral reflux (VUR)—the backward or reverse flow of urine into the...
10


