3D reconstruction of prostate as the way to personalized surgical planning


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Resumo

A brief overview of current data on the use of three-dimensional (3D) reconstructions of the prostate for preoperative planning of radical prostatectomy (RP) is provided in the article. Non-systematic literature review in PubMed and Embase was carried out. The original articles were selected dedicated the use of 3D reconstruction of the prostate prior to RP. The use of 3D modeling plays an important role in the personalized approach to surgical treatment, namely for RP. This technique provides detailed information regarding periprostatic anatomy, localization of positive biopsy specimens, the suspicious lesions, which in turn affects the incidence of positive surgical margins. 3D reconstruction of the prostate is a useful tool for surgical planning, physician education and patient consultation. However, the use of this method in routine clinical practice is difficult, since the preparation of the model is not automated and there is a lack of studies.

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Sobre autores

R. Slusarenko

I.M. Sechenov First Moscow State Medical University

Autor responsável pela correspondência
Email: slusarenco.roman@gmail.com
ORCID ID: 0000-0002-8111-9446
Código SPIN: 4051-0916

urologist, Institute for Urology and Human Reproductive Health

Rússia, Moscow

Ya. Svetocheva

I.M. Sechenov First Moscow State Medical University

Email: svetochevaYA@yandex.ru
ORCID ID: 0009-0000-1797-9495

urologist, Ph.D. student, Institute for Urology and Human Reproductive Health

Rússia, Moscow

R. Sukhanov

I.M. Sechenov First Moscow State Medical University

Email: romsl@rambler.ru
ORCID ID: 0000-0002-3664-6108

Ph.D., urologist, assistant of the Institute for Urology and Human Reproductive Health

Rússia, Moscow

N. Petrovskii

I.M. Sechenov First Moscow State Medical University

Email: n_petrovskit@hotmail.com
ORCID ID: 0000-0003-0707-0469

Ph.D., associate professor, urologist, Institute for Urology and Human Reproductive Health

Rússia, Moscow

E. Bezrukov

I.M. Sechenov First Moscow State Medical University

Email: eabezrukov@rambler.ru
ORCID ID: 0000-0002-2746-5962
Código SPIN: 2208-2676

Ph.D., MD, professor, Head of the Urologic Department No.1, Institute for Urology and Human Reproductive Health

Rússia, Moscow

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2. Fig.1. mpMRI of the small pelvis, the contact length of the suspicious area with the prostate capsule is 2 cm (Vaso et al. 2015). The suspicious area is circled with a white dotted line, the red line and arrow mark the localization of the contact of the suspicious area with the prostate capsule

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3. Fig.2. Digitized histological preparation - prostate gland (Vaso et al. 2015). The black line circles the areas of acinar adenocarcinoma of the prostate. the black dotted line with arrows marks the extent of contact of the area of acinar adenocarcinoma of the prostate with the capsule at the site of extracapsular spread

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4. Fig.3. Schematic zonal structure of the prostate according to the PI-RADS system [15]

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5. Fig.4. MRI T2-WI with a suspicious focus in the right lobe in close proximity to the prostate capsule

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6. Fig.5. Digitized histological preparation of the prostate gland. The black dotted line outlines the site of acinar adenocarcinoma of the prostate. Coincidence of the localization of the site of acinar adenocarcinoma of the prostate with MRI data was noted

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7. Fig.6. Printed 3D translucent virtual model of the prostate, suspicious lesion and neurovascular bundle

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8. Fig.7. Virtual three-dimensional model of the prostate. A - rigid, B - elastic. Blue arrows indicate the possibility of virtual reshaping of the prostate due to virtual traction

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