TY - JOUR
T1 - 3D-modellen gebaseerd op prostaat-MRI beïnvloeden de planning van zenuwsparing bij robotgeassisteerde radicale prostatectomie
AU - Veerman, Hans
AU - Boellaard, Thierry N.
AU - van der Eijk, Jari A.
AU - Sluijter, Judith H.
AU - Roeleveld, Ton A.
AU - van der Sluis, Tim M.
AU - Nieuwenhuijzen, Jakko A.
AU - Wit, Esther
AU - van Alphen, Maarten J. A.
AU - van Veen, Robert L. P.
AU - Vis, André N.
AU - van der Poel, Henk G.
AU - van Leeuwen, Pim J.
N1 - Publisher Copyright: © 2022, The Author(s).
PY - 2023/1
Y1 - 2023/1
N2 - 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.
AB - 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.
KW - MRI
KW - RARP
KW - nerve-sparing
UR - http://www.scopus.com/inward/record.url?scp=85144973966&partnerID=8YFLogxK
U2 - https://doi.org/10.1007/s13629-022-00374-x
DO - https://doi.org/10.1007/s13629-022-00374-x
M3 - Article
SN - 2211-3037
VL - 13
SP - 2
EP - 10
JO - Tijdschrift voor urologie
JF - Tijdschrift voor urologie
IS - 1
ER -