Multimodal image-guided surgical robot versus 3D-printed template for brachytherapy of malignant tumours in the skull base and deep facial region: a clinical comparative study

IF 2.7 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE International journal of oral and maxillofacial surgery Pub Date : 2024-09-23 DOI:10.1016/j.ijom.2024.09.002

N. Jin , F. Meng , L. Zhu , L. Xing , Q. Lin , H. Zhang

{"title":"Multimodal image-guided surgical robot versus 3D-printed template for brachytherapy of malignant tumours in the skull base and deep facial region: a clinical comparative study","authors":"N. Jin , F. Meng , L. Zhu , L. Xing , Q. Lin , H. Zhang","doi":"10.1016/j.ijom.2024.09.002","DOIUrl":null,"url":null,"abstract":"<div><div>This study compared a multimodal image-guided robot and three-dimensionally (3D) printed templates for implanting iodine-125 (I<sup>125</sup>) radioactive seeds in patients with malignant tumours in the skull base and deep facial region. Seventeen patients who underwent I<sup>125</sup> radioactive seed implantation between December 2018 and December 2019 were included. The operation time, intraoperative blood loss, and accuracy of seed implantation were compared between the multimodal image-guided robot-assisted implantation (experimental) group (<em>n</em> = 7) and 3D-printed template-assisted implantation (control) group (<em>n</em> = 10). In total, 291 seeds were implanted in the experimental group and 436 in the control group; the mean error of seed implantation accuracy was 1.95 ± 0.13 mm and 1.90 ± 0.08 mm, respectively (<em>P</em> = 0.309). The preparation time was 26.13 ± 5.28 min in the experimental group and 0 min in the control group, while the average operation time was 34.44 ± 6.39 min versus 43.70 ± 6.06 min, respectively. The intraoperative blood loss was 4.96 ± 1.76 ml (experimental) versus 8.97 ± 2.99 ml (control) (<em>P</em> = 0.123). Multimodal image-guided robot-assisted I<sup>125</sup> radioactive seed implantation met the clinical requirements for treating malignant tumours in the skull base and deep facial regions.</div></div>","PeriodicalId":14332,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":"54 3","pages":"Pages 217-224"},"PeriodicalIF":2.7000,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International journal of oral and maxillofacial surgery","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0901502724003680","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}

引用次数: 0

Abstract

This study compared a multimodal image-guided robot and three-dimensionally (3D) printed templates for implanting iodine-125 (I¹²⁵) radioactive seeds in patients with malignant tumours in the skull base and deep facial region. Seventeen patients who underwent I¹²⁵ radioactive seed implantation between December 2018 and December 2019 were included. The operation time, intraoperative blood loss, and accuracy of seed implantation were compared between the multimodal image-guided robot-assisted implantation (experimental) group (n = 7) and 3D-printed template-assisted implantation (control) group (n = 10). In total, 291 seeds were implanted in the experimental group and 436 in the control group; the mean error of seed implantation accuracy was 1.95 ± 0.13 mm and 1.90 ± 0.08 mm, respectively (P = 0.309). The preparation time was 26.13 ± 5.28 min in the experimental group and 0 min in the control group, while the average operation time was 34.44 ± 6.39 min versus 43.70 ± 6.06 min, respectively. The intraoperative blood loss was 4.96 ± 1.76 ml (experimental) versus 8.97 ± 2.99 ml (control) (P = 0.123). Multimodal image-guided robot-assisted I¹²⁵ radioactive seed implantation met the clinical requirements for treating malignant tumours in the skull base and deep facial regions.

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

用于颅底和面部深部恶性肿瘤近距离放射治疗的多模态图像引导手术机器人与三维打印模板：一项临床比较研究。

本研究比较了多模态图像引导机器人和三维（3D）打印模板在颅底和面部深部恶性肿瘤患者中植入碘-125（I125）放射性粒子的情况。17名患者在2018年12月至2019年12月期间接受了I125放射性粒子植入术。比较了多模态图像引导机器人辅助植入组（实验组）（n = 7）和3D打印模板辅助植入组（对照组）（n = 10）的手术时间、术中失血量和种子植入的准确性。实验组共植入 291 颗种子，对照组共植入 436 颗种子；种子植入精度的平均误差分别为 1.95 ± 0.13 毫米和 1.90 ± 0.08 毫米（P = 0.309）。实验组的准备时间为（26.13 ± 5.28）分钟，对照组为 0 分钟；平均手术时间分别为（34.44 ± 6.39）分钟和（43.70 ± 6.06）分钟。术中失血量为 4.96 ± 1.76 毫升（实验组）对 8.97 ± 2.99 毫升（对照组）（P = 0.123）。多模态图像引导机器人辅助 I125 放射性粒子植入术符合治疗颅底和面部深部恶性肿瘤的临床要求。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

International journal of oral and maxillofacial surgery 医学-外科

CiteScore

5.10

自引率

4.20%

发文量

318

审稿时长

78 days

期刊介绍： The International Journal of Oral & Maxillofacial Surgery is one of the leading journals in oral and maxillofacial surgery in the world. The Journal publishes papers of the highest scientific merit and widest possible scope on work in oral and maxillofacial surgery and supporting specialties. The Journal is divided into sections, ensuring every aspect of oral and maxillofacial surgery is covered fully through a range of invited review articles, leading clinical and research articles, technical notes, abstracts, case reports and others. The sections include: • Congenital and craniofacial deformities • Orthognathic Surgery/Aesthetic facial surgery • Trauma • TMJ disorders • Head and neck oncology • Reconstructive surgery • Implantology/Dentoalveolar surgery • Clinical Pathology • Oral Medicine • Research and emerging technologies.

期刊最新文献

Editorial Board/Reviewing Committee Editorial Board/Reviewing Committee