3D-modellen gebaseerd op prostaat-MRI beïnvloeden de planning van zenuwsparing bij robotgeassisteerde radicale prostatectomie

Translated title of the contribution: 3D models based on prostate MRI influence the preoperative planning of nerve-sparing robot-assisted radical prostatectomy

Hans Veerman, Thierry N. Boellaard, Jari A. van der Eijk, Judith H. Sluijter, Ton A. Roeleveld, Tim M. van der Sluis, Jakko A. Nieuwenhuijzen, Esther Wit, Maarten J. A. van Alphen, Robert L. P. van Veen, André N. Vis, Henk G. van der Poel, Pim J. van Leeuwen

Research output: Contribution to journalArticleProfessional

Abstract

The aim of this study was to assess the clinical applicability of 3D models to guide nerve-sparing robot-assisted radical prostatectomy (RARP). We created virtual and 3D-printed 3D models of 20 prostate cancer patients, after which seven urologists determined the degree of silk-specific nerve sparing based on this. Level of nerve-sparing and the absolute agreement between observers were analyzed, which resulted in clinically relevant changes in the planned extent of nerve-sparing between MRI and virtual 3D models and MRI and 3D-printed models in 25% and 26% of cases, with an intra-class correlation coefficient of the planned extent of nerve-sparing between urologists of 0.40 (95%CI 0.28–0.55) for conventional MRI, 0.52 (0.39–0.66) for virtual 3D models and 0.58 (0.45–0.71) for 3D-printed models. Concluded was that 3D models of the MRI prostate have a clinically relevant impact on the pre-operative planning of nerve-sparing RARP.
Translated title of the contribution3D models based on prostate MRI influence the preoperative planning of nerve-sparing robot-assisted radical prostatectomy
Original languageDutch
Pages (from-to)2-10
Number of pages9
JournalTijdschrift voor Urologie
Volume13
Issue number1
Early online date2022
DOIs
Publication statusPublished - Jan 2023

Keywords

  • MRI
  • RARP
  • nerve-sparing

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