Shu Wang1, James Frisbie1, Zachery Keepers1, Zachary Bolten1, Anjana Hevaganinge2, Emad Boctor3, Simon Leonard4, Junichi Tokuda5, Axel Krieger6, Mohummad Minhaj Siddiqui7. 1. Division of Urology, Department of Surgery, University of Maryland School of Medicine, Baltimore, MD, USA. 2. Bio-Imaging and Machine Vision Lab, Fischell Department of Bioengineering, University of Maryland, College Park, MD, USA. 3. Department of Computer Science, The Johns Hopkins University, Baltimore, MD, USA; Department of Electrical and Computer Engineering, The Johns Hopkins University, Baltimore, USA. 4. Laboratory for Computational Sensing and Robotics, The Johns Hopkins University, Baltimore, MD, USA. 5. Radiology, Brigham and Women's Hospital, Boston, MA, USA. 6. Department of Mechanical Engineering, University of Maryland, College Park, MD, USA. 7. Division of Urology, Department of Surgery, University of Maryland School of Medicine, Baltimore, MD, USA; Veterans Affairs Maryland Healthcare System, Baltimore, MD, USA. Electronic address: msiddiqui@som.umaryland.edu.
Abstract
CONTEXT: As an emerging technique, three-dimensional (3D) visualization has become more popular and can facilitate education, training, surgical planning, and intraoperative guidance for prostate cancer surgery. OBJECTIVE: In this review, we aim to present the impact of 3D printing, virtual reality (VR), and augmented reality (AR) techniques for prostate cancer procedures, specifically prostate biopsy and radical prostatectomy (RP). EVIDENCE ACQUISITION: A systematic review was performed by two investigators according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) criteria. EVIDENCE SYNTHESIS: A total of 541 papers were identified in PubMed, Scopus, and Embase. Of these, 53 studies were identified for detailed review and 25 were qualified. Two more studies were identified from the references; thus, 27 studies were finally included in this systematic review. Nine papers reported on the use of 3D reconstructed models, mainly in education/training and intraoperative guidance; nine reported on VR, focusing on simulation training model and intraoperative guidance; and nine reported on AR technique with its best indication for surgical guidance in robotic RP. CONCLUSIONS: Three-dimensional visualization techniques have gradually been introduced and developed in prostate procedures, and demonstrate potential utility not only for education/training, but also for surgical planning and intraoperative guidance. Prospective studies are needed to demonstrate clinical utility and validation of these technologies. PATIENT SUMMARY: Despite low-quality evidence, promising signals were identified to demonstrate that three-dimensional visualization could help facilitate prostate procedures, in terms of education/training, surgical planning, and intraoperative guidance. It is still in a very early stage, and more studies need to be conducted to justify its widespread use.
CONTEXT: As an emerging technique, three-dimensional (3D) visualization has become more popular and can facilitate education, training, surgical planning, and intraoperative guidance for prostate cancer surgery. OBJECTIVE: In this review, we aim to present the impact of 3D printing, virtual reality (VR), and augmented reality (AR) techniques for prostate cancer procedures, specifically prostate biopsy and radical prostatectomy (RP). EVIDENCE ACQUISITION: A systematic review was performed by two investigators according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) criteria. EVIDENCE SYNTHESIS: A total of 541 papers were identified in PubMed, Scopus, and Embase. Of these, 53 studies were identified for detailed review and 25 were qualified. Two more studies were identified from the references; thus, 27 studies were finally included in this systematic review. Nine papers reported on the use of 3D reconstructed models, mainly in education/training and intraoperative guidance; nine reported on VR, focusing on simulation training model and intraoperative guidance; and nine reported on AR technique with its best indication for surgical guidance in robotic RP. CONCLUSIONS: Three-dimensional visualization techniques have gradually been introduced and developed in prostate procedures, and demonstrate potential utility not only for education/training, but also for surgical planning and intraoperative guidance. Prospective studies are needed to demonstrate clinical utility and validation of these technologies. PATIENT SUMMARY: Despite low-quality evidence, promising signals were identified to demonstrate that three-dimensional visualization could help facilitate prostate procedures, in terms of education/training, surgical planning, and intraoperative guidance. It is still in a very early stage, and more studies need to be conducted to justify its widespread use.
Authors: P Sparwasser; M Haack; L Frey; K Boehm; C Boedecker; T Huber; K Stroh; M P Brandt; R Mager; T Höfner; I Tsaur; A Haferkamp; H Borgmann Journal: Front Surg Date: 2022-07-22