The development of patient-specific 3D anatomical models in minimally invasive parathyroidectomy
BackgroundSurgery is the preferred treatment for primary hyperparathyroidism. Minimally invasive parathyroidectomy is only feasible with accurate preoperative localisation. Virtual 3D anatomical models can be constructed from patient-specific CT scans using segmentation software.MethodsWe aimed to c...
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Frontiers Media S.A.
2024-12-01
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| Series: | Frontiers in Endocrinology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fendo.2024.1514451/full |
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| author | Zahra J. Haq Ahmed Ahmed Alaa Abdelsalam Soudeh Chegini Tom R. Kurzawinski Simon Morley Mark McGurk Tarek Abdel-Aziz |
| author_facet | Zahra J. Haq Ahmed Ahmed Alaa Abdelsalam Soudeh Chegini Tom R. Kurzawinski Simon Morley Mark McGurk Tarek Abdel-Aziz |
| author_sort | Zahra J. Haq |
| collection | DOAJ |
| description | BackgroundSurgery is the preferred treatment for primary hyperparathyroidism. Minimally invasive parathyroidectomy is only feasible with accurate preoperative localisation. Virtual 3D anatomical models can be constructed from patient-specific CT scans using segmentation software.MethodsWe aimed to create virtual 3D models from 4D-CT scans of parathyroid tumours using segmentation technology. We designed a small pilot study to assess the utility of 3D models within surgical practice. We assessed surgeon, trainee and patients’ opinion and satisfaction with the models. The NASA TLX survey was the primary data collection toolResultsCreation of novel 3D models was achieved, these featured a 360-degree axis of rotation and transparency mode to assist in surgical planning. Models were used intraoperatively with the HoloLens 2 headset to locate parathyroid tumours real time before surgery. Total mean workloads for surgery planning when averaged revealed a decrease workload (39.45 vs 27.45) points with adjunctive use of models (p=0.002). Mental demand showed the greatest decrease in mean workload out of all the 6 subscales tested for in the NASA TLX (210.3 vs 136.7) points. Patient satisfaction score was statistically significant for the difference before and after seeing the 3D model regarding anatomical location (p=≤0.001),ConclusionIn this work, we developed patient-specific virtual 3D anatomical models of parathyroid tumours for use in surgery using novel techniques, previously never applied to parathyroidectomy. Our initial success in model construction and subsequent opinion of surgeons, trainees and patients contributes to the developing body of literature in favour of virtual modelling for parathyroidectomy. |
| format | Article |
| id | doaj-art-8f7a3aec4fd84e52bc4c5f8828aee254 |
| institution | DOAJ |
| issn | 1664-2392 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Endocrinology |
| spelling | doaj-art-8f7a3aec4fd84e52bc4c5f8828aee2542025-08-20T02:50:00ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922024-12-011510.3389/fendo.2024.15144511514451The development of patient-specific 3D anatomical models in minimally invasive parathyroidectomyZahra J. Haq0Ahmed Ahmed1Alaa Abdelsalam2Soudeh Chegini3Tom R. Kurzawinski4Simon Morley5Mark McGurk6Tarek Abdel-Aziz7University College London Medical School, University College London, London, United KingdomDepartment of Endocrine Surgery, University College London Hospital, London, United KingdomDepartment of Endocrine Surgery, University College London Hospital, London, United KingdomOral and Maxillofacial Surgery, University College London Hospital, London, United KingdomDepartment of Endocrine Surgery, University College London Hospital, London, United KingdomDepartment of Imaging, University College London Hospital, London, United KingdomOral, Maxillofacial, Head and Neck Surgery University College London Hospital, London, United KingdomDepartment of Endocrine Surgery, University College London Hospital, London, United KingdomBackgroundSurgery is the preferred treatment for primary hyperparathyroidism. Minimally invasive parathyroidectomy is only feasible with accurate preoperative localisation. Virtual 3D anatomical models can be constructed from patient-specific CT scans using segmentation software.MethodsWe aimed to create virtual 3D models from 4D-CT scans of parathyroid tumours using segmentation technology. We designed a small pilot study to assess the utility of 3D models within surgical practice. We assessed surgeon, trainee and patients’ opinion and satisfaction with the models. The NASA TLX survey was the primary data collection toolResultsCreation of novel 3D models was achieved, these featured a 360-degree axis of rotation and transparency mode to assist in surgical planning. Models were used intraoperatively with the HoloLens 2 headset to locate parathyroid tumours real time before surgery. Total mean workloads for surgery planning when averaged revealed a decrease workload (39.45 vs 27.45) points with adjunctive use of models (p=0.002). Mental demand showed the greatest decrease in mean workload out of all the 6 subscales tested for in the NASA TLX (210.3 vs 136.7) points. Patient satisfaction score was statistically significant for the difference before and after seeing the 3D model regarding anatomical location (p=≤0.001),ConclusionIn this work, we developed patient-specific virtual 3D anatomical models of parathyroid tumours for use in surgery using novel techniques, previously never applied to parathyroidectomy. Our initial success in model construction and subsequent opinion of surgeons, trainees and patients contributes to the developing body of literature in favour of virtual modelling for parathyroidectomy.https://www.frontiersin.org/articles/10.3389/fendo.2024.1514451/fullprimary hyper parathyroidismparathyroid - adenomaparathyrodectomyminimally invasive surgeryHoloLens 2three-dimensional mode |
| spellingShingle | Zahra J. Haq Ahmed Ahmed Alaa Abdelsalam Soudeh Chegini Tom R. Kurzawinski Simon Morley Mark McGurk Tarek Abdel-Aziz The development of patient-specific 3D anatomical models in minimally invasive parathyroidectomy Frontiers in Endocrinology primary hyper parathyroidism parathyroid - adenoma parathyrodectomy minimally invasive surgery HoloLens 2 three-dimensional mode |
| title | The development of patient-specific 3D anatomical models in minimally invasive parathyroidectomy |
| title_full | The development of patient-specific 3D anatomical models in minimally invasive parathyroidectomy |
| title_fullStr | The development of patient-specific 3D anatomical models in minimally invasive parathyroidectomy |
| title_full_unstemmed | The development of patient-specific 3D anatomical models in minimally invasive parathyroidectomy |
| title_short | The development of patient-specific 3D anatomical models in minimally invasive parathyroidectomy |
| title_sort | development of patient specific 3d anatomical models in minimally invasive parathyroidectomy |
| topic | primary hyper parathyroidism parathyroid - adenoma parathyrodectomy minimally invasive surgery HoloLens 2 three-dimensional mode |
| url | https://www.frontiersin.org/articles/10.3389/fendo.2024.1514451/full |
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