评估计算机辅助下重建:外包与内部方法的对比
Sho Katsura1, Yoshihiro Morita1, Ryotaro Kakimoto1
1Department of Oral and Maxillofacial Oncology and Surgery, The University of Osaka Graduate School of Dentistry, Suita, Osaka 565-0871, Japan.
Oncology letters
|December 10, 2025
概括
计算机辅助手术 (CAS) 提高了下重建的准确性. 商业和内部CAS系统都提供了可比的精度,使内部解决方案成为癌症手术的可行选择.
科学领域:
- 口腔和牙面部外科手术
- 手术瘤学手术瘤学
- 医疗工程 医学工程
背景情况:
- 在口腔癌手术后,下重建至关重要,影响功能和美学.
- 计算机辅助手术 (CAS) 提高了复杂的头部和部重建的精度.
- 评估不同的CAS方法对于优化瘤重建结果至关重要.
研究的目的:
- 用传统方法比较下重建的准确性与外包和内部CAS系统.
- 评估大阪大学开发的内部CAS系统的有效性.
- 为了确定内部CAS用于瘤重建的成本效益和可访问性.
主要方法:
- 对32例接受下重建的病例进行了回顾性分析,主要是针对恶性瘤.
- 三种重建方法的比较:传统 (非CAS),外包CAS (TruMatch) 和内部CAS.
- 利用三维模型叠加技术来评估手术前后的准确性.
主要成果:
- 与传统方法相比,外包和内部CAS都显著提高了重建的准确性.
- 在外包和内部CAS组之间没有观察到统计学上显著的准确性差异.
- 内部CAS的精度与商业解决方案的精度相当.
结论:
- 公司内部的CAS系统为瘤学中精确下重建提供了具有成本效益和可访问性的替代方案.
- 这些发现支持更广泛地采用内部CAS,特别是在资源有限或时间敏感的癌症手术中.
- CAS技术,特别是内部解决方案,可以显著提高瘤头部重建的结果.
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