Virtual tumor mapping and margin control with 3-D planning and navigation.

Autor: Steybe D; Department of Oral and Maxillofacial Surgery, Faculty of Medicine, Medical Center - University of Freiburg, Freiburg, Germany., Voss PJ; Department of Oral and Maxillofacial Surgery, Faculty of Medicine, Medical Center - University of Freiburg, Freiburg, Germany., Metzger MC; Department of Oral and Maxillofacial Surgery, Faculty of Medicine, Medical Center - University of Freiburg, Freiburg, Germany., Schmelzeisen R; Department of Oral and Maxillofacial Surgery, Faculty of Medicine, Medical Center - University of Freiburg, Freiburg, Germany., Poxleitner P; Department of Oral and Maxillofacial Surgery, Faculty of Medicine, Medical Center - University of Freiburg, Freiburg, Germany.; Berta-Ottenstein-Programme for Clinician Scientists, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
Jazyk: angličtina
Zdroj: Innovative surgical sciences [Innov Surg Sci] 2024 Apr 25; Vol. 9 (1), pp. 17-24. Date of Electronic Publication: 2024 Apr 25 (Print Publication: 2024).
DOI: 10.1515/iss-2021-0009
Abstrakt: Computer technology-based treatment approaches like intraoperative navigation and intensity-modulated radiation therapy have become important components of state of the art head and neck cancer treatment. Multidirectional exchange of virtual three-dimensional patient data via an interdisciplinary platform allows all medical specialists involved in the patients treatment to take full advantage of these technologies. This review article gives an overview of current technologies and future directions regarding treatment approaches that are based on a virtual, three-dimensional patient specific dataset: storage and exchange of spatial information acquired via intraoperative navigation allow for a highly precise frozen section procedure. In the postoperative setting, virtual reconstruction of the tumor resection surface provides the basis for improved radiation therapy planning and virtual reconstruction of the tumor with integration of molecular findings creates a valuable tool for postoperative treatment and follow-up. These refinements of established treatment components and novel approaches have the potential to make a major contribution to improving the outcome in head and neck cancer patients.
Competing Interests: Competing interests: Authors state no conflict of interest.
(© 2024 the author(s), published by De Gruyter, Berlin/Boston.)
Databáze: MEDLINE