在接受手术切除的局部晚期骨盆恶性瘤患者中,对3D建模的评估
Rachael Elizabeth Clifford1, Victoria Fretwell1, Sadia Gul1
1The Christie NHS Foundation Trust, Manchester, United Kingdom.
Frontiers in oncology
|January 28, 2026
概括
来自CT扫描的三维 (3D) 盆腔模型显著改善了患者对复杂的盆腔癌手术的理解和共享决策. 这些模型还为外科医生和实习生提供了有价值的培训.
科学领域:
- 在瘤学瘤学.
- 医疗成像医学成像
- 手术规划 手术规划
背景情况:
- 局部发达的骨盆恶性瘤存在复杂的外科手术挑战.
- 传统的二维成像技术限制了临床医生和患者对瘤与器官关系的理解.
- 3D重建成像为增强手术规划,患者理解和教育提供了潜力.
研究的目的:
- 评估3D重建的骨盆模型在改善手术规划,患者理解和培训人员教育局部晚期骨盆癌症方面的实用性.
- 在同意过程中评估患者和临床医生对3D模型的看法.
主要方法:
- 潜在的成年患者的识别局部晚期的直肠或门癌症接受切除.
- 用可见患者TM平台将CT扫描重建为交互式3D模型.
- 外科医生和实习生对模型进行审查,随后在同意期间向患者展示,随后通过问卷和主题分析收集反.
主要成果:
- 创建和评估了15个患者特定的3D骨盆模型.
- 患者报告了压倒性的积极经验,在咨询期间的现实主义,理解和感知益处得分高.
- 主题分析显示,患者的理解,赋权和参与决策得到了改善.
- 外科医生发现模型适度有用的规划,但非常有价值的教育和沟通.
- 实习生报告了显著的教育益处,尽管放射科医生注意到内疾病的细分限制.
结论:
- 基于CT的3D骨盆模型在复杂的骨盆癌症手术中显著有利于患者教育和共享决策.
- 这些模型可以作为外科手术培训的宝贵补充.
- 需要进一步的研究来澄清它们在运营规划和成本效益方面的作用.
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