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. 2023 Sep 26;13(10):1435.
doi: 10.3390/jpm13101435.

Three-Dimensional Customized Imaging Reconstruction for Urological Surgery: Diffusion and Role in Real-Life Practice from an International Survey

Maria Chiara Sighinolfi  1 , Aurus Dourado Menezes  2 , Vipul Patel  3 , Marcio Moschovas  3 , Simone Assumma  1 , Tommaso Calcagnile  1 , Enrico Panio  1 , Mattia Sangalli  1 , Filippo Turri  1 , Luca Sarchi  1 , Salvatore Micali  4 , Virginia Varca  5 , Filippo Annino  6 , Costantino Leonardo  7 , Giorgio Bozzini  8 , Giovanni Cacciamani  9 , Andrea Gregori  10 , Elena Morini  8 , Stefano Terzoni  1 , Ahmed Eissa  11 , Bernardo Rocco  1
Affiliations

Three-Dimensional Customized Imaging Reconstruction for Urological Surgery: Diffusion and Role in Real-Life Practice from an International Survey

Maria Chiara Sighinolfi et al. J Pers Med. .

Abstract

Despite the arising interest in three-dimensional (3D) reconstruction models from 2D imaging, their diffusion and perception among urologists have been scarcely explored. The aim of the study is to report the results of an international survey investigating the use of such tools among urologists of different backgrounds and origins. Beyond demographics, the survey explored the degree to which 3D models are perceived to improve surgical outcomes, the procedures mostly making use of them, the settings in which those tools are mostly applied, the surgical steps benefiting from 3D reconstructions and future perspectives of improvement. One hundred responders fully completed the survey. All levels of expertise were allowed; more than half (53%) were first surgeons, and 59% had already completed their training. Their main application was partial nephrectomy (85%), followed by radical nephrectomy and radical prostatectomy. Three-dimensional models are mostly used for preoperative planning (75%), intraoperative consultation and tailoring. More than half recognized that 3D models may highly improve surgical outcomes. Despite their recognized usefulness, 77% of responders use 3D models in less than 25% of their major operations due to costs or the extra time taken to perform the reconstruction. Technical improvements and a higher availability of the 3D models will further increase their role in surgical and clinical daily practice.

Keywords: partial nephrectomy; radical prostatectomy; surgical planning; three-dimensional (3D) imaging reconstruction; urological practice.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Visualization of replies to the question: “In which setting do you think that 3D imaging reconstruction is more useful? Surgical planning”.
Figure 2
Figure 2
Visualization of replies to the question “In which setting do you think that 3D imaging reconstruction is more useful? Intra-operative consultation/tailoring”.
Figure 3
Figure 3
Visualization of replies to the question “How much do you believe 3D imaging use is able to im-prove your surgical outcomes?” (5-Likert scale).
Figure 4
Figure 4
Visualization of 3D images on the smartphone through the DocDo platform (right kidney cancer and horseshoe kidney).
Figure 5
Figure 5
Visualization of 3D images on the smartphone through Innersight platform.
See this image and copyright information in PMC

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