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口腔颌面外科住院医师虚拟手术规划培训:一项比较用于腓骨游离皮瓣下颌骨重建的开源免费软件和商用软件的可行性研究。

Training of Oral and Maxillofacial Surgery Residents in Virtual Surgical Planning: A Feasibility Study Comparing Open-Source Freeware and Commercially Available Software for Mandibular Reconstruction with Fibula Free Flap.

作者信息

Rombaut Bert, Ureel Matthias, Van der Smissen Benjamin, Dhooghe Nicolas, Coopman Renaat

机构信息

Department of Oral and Craniomaxillofacial Surgery, Ghent University Hospital, Corneel Heymanslaan 10, 9000 Ghent, Belgium;

Swiss MAM Research Group, Department of Biomedical Engineering, University of Basel, 4123 Allschwil, Switzerland.

出版信息

Craniomaxillofac Trauma Reconstr. 2025 Feb 3;18(1):10. doi: 10.3390/cmtr18010010. eCollection 2025 Mar.

Abstract

This is an experimental feasibility study. The objective was to analyze the potential of open-source freeware (OSF) to train residents in virtual surgical planning (VSP) and compare this workflow with commercially available software (CAS). A workflow for mandibular reconstruction with a fibular free flap (FFF) was developed in 3D-Slicer and Blender and compared to our clinical workflow in Materialise Mimics Innovation Suite version 25 (Materialise InPrint, ProPlan CMF and 3-Matic). Five CMF residents, inexperienced in VSP, were trained to use both the OSF and CAS workflows and then performed four planning sessions on OSF and CAS. The duration (minutes) and the amount of mouse clicks (MCs) of every step in the workflow were recorded. Afterwards, the experience with VSP was investigated with the System Usability Scale (SUS) and a self-developed questionnaire. The total VSP time with CAS took 91 ± 15 min and needed 2325 ± 86 MCs compared to 111 ± 26 min and 1876 ± 632 MCs for OSF, respectively. The questionnaire had an 80% response rate. The SUS for CAS was 67.5 compared to 50 for OSF. The participants believe it is extremely valuable to learn VSP during their training and to be able to perform VSP as a surgeon. We believe OSF can be a cost-effective alternative compared to CAS for the training of surgical residents to gain insight in complex surgeries and to better understand CAD limitations and possibilities.

摘要

这是一项实验可行性研究。目的是分析开源免费软件(OSF)在虚拟手术规划(VSP)中培训住院医师的潜力,并将此工作流程与商用软件(CAS)进行比较。在3D-Slicer和Blender中开发了使用腓骨游离皮瓣(FFF)进行下颌骨重建的工作流程,并与我们在Materialise Mimics Innovation Suite 25版(Materialise InPrint、ProPlan CMF和3-Matic)中的临床工作流程进行比较。五名对VSP不熟悉的颅颌面(CMF)住院医师接受了使用OSF和CAS工作流程的培训,然后在OSF和CAS上进行了四次规划会议。记录了工作流程中每个步骤的持续时间(分钟)和鼠标点击量(MCs)。之后,使用系统可用性量表(SUS)和自行开发的问卷对VSP的体验进行了调查。与OSF分别需要111±26分钟和1876±632次MCs相比,使用CAS的VSP总时间为91±15分钟,需要2325±86次MCs。问卷的回复率为80%。CAS的SUS为67.5,而OSF为50。参与者认为在培训期间学习VSP并能够作为外科医生进行VSP非常有价值。我们认为,与CAS相比,OSF可以成为一种经济高效的选择,用于培训外科住院医师,使其深入了解复杂手术,并更好地理解计算机辅助设计(CAD)的局限性和可能性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bf9/11995818/331f169940bc/cmtr-18-00010-g001.jpg

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