3D mixed-reality visualization of medical imaging data as a supporting tool for innovative, minimally invasive surgery for gastrointestinal tumors and systemic treatment as a new path in personalized treatment of advanced cancer diseases
| Autor: | Andrzej Skalski, Robert Balawender, Wojciech Kostarczyk, Józefa Job, Maria Pawłowicz, Krzysztof Janc, Maciej Stanuch, Ryszard Wierzbicki |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Male Cancer Research medicine.medical_specialty medicine.medical_treatment Original Article – Clinical Oncology Holography Ablation techniques Imaging 03 medical and health sciences Imaging Three-Dimensional 0302 clinical medicine Pancreatic tumor Irreversible electroporation medicine Humans Minimally Invasive Surgical Procedures Precision Medicine Laparoscopy Aged Gastrointestinal Neoplasms Cancer Radiofrequency Ablation medicine.diagnostic_test business.industry Liver Neoplasms Microwave ablation General Medicine Middle Aged medicine.disease Ablation Personalized medicine Visualization Pancreatic Neoplasms Electroporation Surgery Computer-Assisted Oncology 030220 oncology & carcinogenesis Female 030211 gastroenterology & hepatology Radiology Three-dimensional business |
| Zdroj: | Journal of Cancer Research and Clinical Oncology |
| ISSN: | 1432-1335 0171-5216 |
| Popis: | Background The purpose of this study was to investigate the potential of a combination of 3D mixed-reality visualization of medical images using CarnaLife Holo (MedApp, Poland) system as a supporting tool for innovative, minimally invasive surgery/irreversible electroporation—IRA, Nano-Knife), microwave ablation (MWA)/for advanced gastrointestinal tumors. Eight liver and pancreatic tumor treatments were performed. In all of the patients undergoing laparoscopy or open surgery volume and margin were estimated by preoperative visualization. In all patients, neoplastic lesions were considered unresectable by standard methods. Methods Preoperative CT or MRI were transformed into holograms and displayed thanks to the HoloLens 2. During operation, the surgeon’s field of view was augmented with a 3D model of the patient’s relevant structures. Results The intraoperative hologram contributed to better presentation of tumor size and locations, more precise setting of needles used to irreversible electroporation and for determining ablation line in case of liver metastases. Surgeons could easily compare the real patient's anatomy to holographic visualization just before the operations. Conclusions The combination of 3D mixed-reality visualization using CarnaLife Holo with IRA, MWA and next systemic treatment (chemotherapy) might be a new way in personalized treatment of advanced cancers. |
| Databáze: | OpenAIRE |
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