University of Illinois College of Medicine Peoria, Peoria, Illinois, USA.
Department of Pediatric Surgery, OSF Healthcare Children's Hospital of Illinois, Peoria, Illinois, USA.
J Laparoendosc Adv Surg Tech A. 2024 Sep;34(9):861-865. doi: 10.1089/lap.2023.0039. Epub 2024 Jul 15.
Virtual reality modeling (VRM) is a 3-dimensional simulation created from patient-specific 2-dimensional (2D) imaging. VRM creates a more accurate representation of the patient anatomy and can improve anatomical perception. We surveyed surgeons on their operative plan in complex pediatric oncology cases based on review of 2D imaging and subsequently after review of VRM. We hypothesized that the confidence level would increase with the use of virtual reality and that VRM may change the operative plan. Patients were selected and enrolled based on age (<18) and oncological diagnosis. VRM was created based on the 2D imaging. Surgeons identified surgical plans based on 2D imaging and again after VRM. A blinded surgeon not involved with the case also gave opinions on surgical plans after viewing both the 2D and the VRM imaging. These assessments were compared with the actual operation. A total of 12 patients were enrolled. Diagnoses included six neuroblastomas, two Wilms tumors, one Ewing's sarcoma, one pseudopapillary tumor of the pancreas, one rhabdomyosarcoma, and one mediastinal germ cell tumor. VRM increased the operating surgeon's confidence 63% of the time. The operative plan changed 8.3% of the time after VRM. VRM is useful to help clarify operative plans for more complex pediatric cases.
虚拟现实建模（VRM）是一种基于患者特定二维（2D）成像创建的三维模拟。VRM 可以更准确地呈现患者解剖结构，并提高对解剖结构的感知。我们调查了外科医生在查看二维成像后，以及在查看 VRM 后，对复杂儿科肿瘤病例的手术计划的看法。我们假设使用虚拟现实技术会提高信心水平，并且 VRM 可能会改变手术计划。
根据年龄（<18 岁）和肿瘤诊断，选择并招募患者。基于二维成像创建了 VRM。外科医生根据二维成像和 VRM 制定手术计划。一位不参与该病例的盲法外科医生在查看二维和 VRM 成像后也对手术计划发表了意见。这些评估与实际手术进行了比较。
共纳入 12 名患者。诊断包括 6 例神经母细胞瘤、2 例 Wilms 瘤、1 例尤文肉瘤、1 例胰腺假乳头状瘤、1 例横纹肌肉瘤和 1 例纵隔生殖细胞瘤。VRM 使手术医生的信心增加了 63%。VRM 后手术计划改变了 8.3%。
VRM 有助于澄清更复杂的儿科病例的手术计划。
