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Review
. 2022 Sep;42(10):1225-1234.
doi: 10.1002/pd.6225. Epub 2022 Aug 29.

Computer-assisted fetal laser surgery in the treatment of twin-to-twin transfusion syndrome: Recent trends and prospects

Anouk Marlon van der Schot  1 , Esther Sikkel  1 , Marc Erich August Spaanderman  1   2 , Frank Patrick Hector Achilles Vandenbussche  3
Affiliations
Review

Computer-assisted fetal laser surgery in the treatment of twin-to-twin transfusion syndrome: Recent trends and prospects

Anouk Marlon van der Schot et al. Prenat Diagn. 2022 Sep.

Abstract

Fetal laser surgery has emerged as the preferred treatment of twin-to-twin transfusion syndrome (TTTS). However, the limited field of view of the fetoscope and the complexity of the procedure make the treatment challenging. Therefore, preoperative planning and intraoperative guidance solutions have been proposed to cope with these challenges. This review uncovers the literature on computer-assisted software solutions focused on TTTS. These solutions are classified by the pre- or intraoperative phase of the procedure and further categorized by discussed hardware and software approaches. In addition, it evaluates the current maturity of technologies by the technology readiness level and enumerates the necessary aspects to bring these new technologies to clinical practice.

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Conflict of interest statement

The authors have no conflicts of interest to declare.

Figures

FIGURE 1
FIGURE 1
Technology readiness level (TRL) used to classify the maturity of the discussed technological solutions
FIGURE 2
FIGURE 2
Visualization of the F1‐score, also known as Dice similarity coefficient, equals twice the number of common pixels to both images divided by the sum of the number of pixels in each image
FIGURE 3
FIGURE 3
Preferred Reporting Items for Systematic Reviews and Meta‐Analylsis (PRISMA) flow diagram for the different phases of this review
FIGURE 4
FIGURE 4
Overview of the discussed research, categorized by surgical phase. Technology readiness level (TRL) is indicated by color according to Figure 1
See this image and copyright information in PMC

References

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