利用3D头颈部标本扫描进行术中切缘讨论：我们新方法的概念验证
Utilizing 3D head and neck specimen scanning for intraoperative margin discussions: Proof of concept of our novel approach.
作者信息
Saturno Michael P, Brandwein-Weber Margaret, Greenberg Lily, Silberzweig Alex, Buchbinder Daniel, Dowling Eric M, Khan Mohemmed N, Chai Raymond, Urken Mark L
机构信息
Thyroid, Head and Neck Cancer (THANC) Foundation, New York, New York, USA.
Department of Otolaryngology - Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
出版信息
Head Neck. 2023 Jan;45(1):10-21. doi: 10.1002/hed.27171. Epub 2022 Sep 6.
BACKGROUND
The current standard of documenting and communicating frozen section margin results is inefficient. We present a novel method of generating 3D digital models of gross tumor specimens to more clearly visualize histopathological margin results.
METHODS
Fifty-five head and neck specimens were scanned and virtually "inked" using 3D software. These 3D specimen maps were displayed in the operating room to provide the surgeon with a real-time specimen-to-defect relationship by which further resections could be guided.
RESULTS
Margin results were reported within an average of 34 min using the proposed workflow. The scanner rendered accurate models of specimens that exceeded 3.0 × 3.0 × 3.0 cm. Critical specimen features to consider were size, color, textural complexity, and the presence of discernible anatomic landmarks.
CONCLUSIONS
Optical 3D scanning technology can improve the quality of head and neck margin documentation and the efficiency with which results are communicated between the pathologist and surgeon.
背景
目前记录和传达冰冻切片切缘结果的标准效率低下。我们提出了一种生成大体肿瘤标本三维数字模型的新方法，以便更清晰地可视化组织病理学切缘结果。
方法
使用三维软件对55个头颈标本进行扫描并虚拟“标记”。这些三维标本图在手术室中展示，为外科医生提供实时的标本与缺损关系，以此指导进一步的切除操作。
结果
使用所提出的工作流程，平均34分钟内即可报告切缘结果。扫描仪生成了尺寸超过3.0×3.0×3.0厘米的标本精确模型。需要考虑的关键标本特征包括大小、颜色、纹理复杂性以及可辨别的解剖标志的存在。
结论
光学三维扫描技术可以提高头颈切缘记录的质量，以及病理学家和外科医生之间结果沟通的效率。
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