학술논문
Three-dimensional modelling as a novel interactive tool for preoperative planning for complex perianal fistulas in Crohn's disease.
Document Type
Academic Journal
Author
Jeri-McFarlane S; Colorectal Unit, General and Digestive Surgery Department, Hospital Universitario Son Espases, Palma de Mallorca, Spain.; García-Granero Á; Colorectal Unit, General and Digestive Surgery Department, Hospital Universitario Son Espases, Palma de Mallorca, Spain.; Human Embryology and Anatomy Department, University of Islas Baleares, Mallorca, Spain.; Ochogavía-Seguí A; Colorectal Unit, General and Digestive Surgery Department, Hospital Universitario Son Espases, Palma de Mallorca, Spain.; Pellino G; Colorectal Surgery Unit, Vall d'Hebron University Hospital, Universitat Autonoma de Barcelona UAB, Barcelona, Spain.; Department of Advanced Medical and Surgical Sciences, Università degli Studi della Campania Luigi Vanvitelli, Naples, Italy.; Oseira-Reigosa A; Colorectal Unit, General and Digestive Surgery Department, Hospital Universitario Son Espases, Palma de Mallorca, Spain.; Gil-Catalan A; Colorectal Unit, General and Digestive Surgery Department, Hospital Universitario Son Espases, Palma de Mallorca, Spain.; Brogi L; Simulation and 3D Reconstruction Area, Hospital Universitario Son Espases, Palma de Mallorca, Spain.; Ginard-Vicens D; Gastroenterology Department, Hospital Universitario Son Espases, Palma de Mallorca, Spain.; Gamundi-Cuesta M; Colorectal Unit, General and Digestive Surgery Department, Hospital Universitario Son Espases, Palma de Mallorca, Spain.; Gonzalez-Argente FX; Colorectal Unit, General and Digestive Surgery Department, Hospital Universitario Son Espases, Palma de Mallorca, Spain.
Source
Publisher: Blackwell Science Ltd Country of Publication: England NLM ID: 100883611 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1463-1318 (Electronic) Linking ISSN: 14628910 NLM ISO Abbreviation: Colorectal Dis Subsets: MEDLINE
Subject
Language
English
Abstract
Aim: The aim of this study is to demonstrate the added value of three-dimensional (3D) reconstruction models and artificial intelligence for preoperative planning in complex perianal Crohn's disease. MRI is the gold standard for diagnosis of complex perianal fistulas and abscess due to its high sensitivity, but it lacks high specificity values. This creates the need for better diagnostic models such as 3D image processing and reconstruction (3D-IPR) with artificial intelligence (AI) algorithms.
Method: This is a prospective study evaluating the utility of 3D reconstruction models from MRI in four patients with perineal Crohn's disease (pCD).
Results: Four pCD patients had 3D reconstruction models made from pelvic MRI. This provided a more visual representation of perianal disease and made possible location of the internal fistula orifice, seton placement in fistula tracts and abscess drainage.
Conclusion: Three-dimensional reconstruction in CD-associated complex perianal fistulas can facilitate disease interpretation, anatomy and surgical strategy, potentially improving preoperative planning as well as intraoperative assistance. This could probably result in better surgical outcomes to control perianal sepsis and reduce the number of surgical procedures required in these patients.
(© 2023 The Authors. Colorectal Disease published by John Wiley & Sons Ltd on behalf of Association of Coloproctology of Great Britain and Ireland.)
Method: This is a prospective study evaluating the utility of 3D reconstruction models from MRI in four patients with perineal Crohn's disease (pCD).
Results: Four pCD patients had 3D reconstruction models made from pelvic MRI. This provided a more visual representation of perianal disease and made possible location of the internal fistula orifice, seton placement in fistula tracts and abscess drainage.
Conclusion: Three-dimensional reconstruction in CD-associated complex perianal fistulas can facilitate disease interpretation, anatomy and surgical strategy, potentially improving preoperative planning as well as intraoperative assistance. This could probably result in better surgical outcomes to control perianal sepsis and reduce the number of surgical procedures required in these patients.
(© 2023 The Authors. Colorectal Disease published by John Wiley & Sons Ltd on behalf of Association of Coloproctology of Great Britain and Ireland.)