Rampinelli Vittorio, Mattavelli Davide, Borsetto Daniele, Kennedy Robert, Ferrari Marco, Savardi Mattia, Deganello Alberto, Nicolai Piero, Doglietto Francesco, Piazza Cesare, Signoroni Alberto
Unit of Otolaryngology, DSMC, University of Brescia, 25123 Brescia, Italy.
Department of ENT, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge CB2 0SZ, UK.
Cancers (Basel). 2024 Dec 24;17(1):14. doi: 10.3390/cancers17010014.
Successful surgical outcomes in head and neck cancer depend on the accurate identification of resection margins. Effective communication between surgeons and pathologists is critical, but is often jeopardised by challenges in sampling and orienting anatomically complex specimens. This pilot study aims to evaluate the use of 3D scanning of surgical specimens as a tool to improve communication and optimise the pathology sampling process. Two structured light 3D scanners, Cronos Dual and Optor Lab, were used to acquire 3D models of anatomical specimens in both preclinical (cadaver specimens) and clinical contexts (fresh surgical specimens). Surgical margins and critical points were annotated on the digital models. Acquisition quality, operating times and subjective feedback from surgeons and pathologists were evaluated. The Optor Lab scanner demonstrated superior image quality, shorter processing times and a more user-friendly interface than the Cronos Dual. Key challenges identified included specimen geometry, surface reflectivity and tissue stability. Feedback from both surgeons and pathologists was positive, highlighting the potential of 3D models to improve the surgical-pathology workflow. 3D scanning of surgical specimens provides accurate, detailed digital models that can significantly enhance communication between surgeons and pathologists. This technology shows promise in improving pathological staging and clinical decision making, with further studies required to validate its integration into routine practice.
头颈部癌手术的成功结果取决于对手术切缘的准确识别。外科医生和病理学家之间的有效沟通至关重要，但在对解剖结构复杂的标本进行采样和定向时，沟通往往会受到挑战的影响。这项试点研究旨在评估手术标本的三维扫描作为一种工具，以改善沟通并优化病理采样过程。使用了两台结构光三维扫描仪，Cronos Dual和Optor Lab，在临床前（尸体标本）和临床环境（新鲜手术标本）中获取解剖标本的三维模型。在数字模型上标注手术切缘和关键点。评估了采集质量、操作时间以及外科医生和病理学家的主观反馈。与Cronos Dual相比，Optor Lab扫描仪显示出更高的图像质量、更短的处理时间和更用户友好的界面。确定的主要挑战包括标本几何形状、表面反射率和组织稳定性。外科医生和病理学家的反馈都是积极的，强调了三维模型在改善手术-病理工作流程方面的潜力。手术标本的三维扫描提供了准确、详细的数字模型，可以显著加强外科医生和病理学家之间的沟通。这项技术在改善病理分期和临床决策方面显示出前景，需要进一步研究以验证其纳入常规实践的可行性。
