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Patient-specific Virtual Temporal Bone Simulation Based on Clinical Cone-beam Computed Tomography

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Harvard

Andersen, SAW, Varadarajan, VV, Moberly, AC, Hittle, B, Powell, KA & Wiet, GJ 2021, 'Patient-specific Virtual Temporal Bone Simulation Based on Clinical Cone-beam Computed Tomography', The Laryngoscope, bind 131, nr. 8, s. 1855-1862. https://doi.org/10.1002/lary.29542

APA

Andersen, S. A. W., Varadarajan, V. V., Moberly, A. C., Hittle, B., Powell, K. A., & Wiet, G. J. (2021). Patient-specific Virtual Temporal Bone Simulation Based on Clinical Cone-beam Computed Tomography. The Laryngoscope, 131(8), 1855-1862. https://doi.org/10.1002/lary.29542

CBE

MLA

Vancouver

Author

Andersen, Steven Arild Wuyts ; Varadarajan, Varun V ; Moberly, Aaron C ; Hittle, Bradley ; Powell, Kimerly A ; Wiet, Gregory J. / Patient-specific Virtual Temporal Bone Simulation Based on Clinical Cone-beam Computed Tomography. I: The Laryngoscope. 2021 ; Bind 131, Nr. 8. s. 1855-1862.

Bibtex

@article{99b0037dacda4be39713dd0ce0d4933a,
title = "Patient-specific Virtual Temporal Bone Simulation Based on Clinical Cone-beam Computed Tomography",
abstract = "OBJECTIVES: Patient-specific surgical simulation allows presurgical planning through three-dimensional (3D) visualization and virtual rehearsal. Virtual reality simulation for otologic surgery can be based on high-resolution cone-beam computed tomography (CBCT). This study aimed to evaluate clinicians' experience with patient-specific simulation of mastoid surgery.METHODS: Prospective, multi-institutional study. Preoperative temporal bone CBCT scans of patients undergoing cochlear implantation (CI) were retrospectively obtained. Automated processing and segmentation routines were used. Otologic surgeons performed a complete mastoidectomy with facial recess approach on the patient-specific virtual cases in the institution's temporal bone simulator. Participants completed surveys regarding the perceived accuracy and utility of the simulation.RESULTS: Twenty-two clinical CBCTs were obtained. Four attending otologic surgeons and 5 otolaryngology trainees enrolled in the study. The mean number of simulations completed by each participant was 16.5 (range 3-22). {"}Overall experience{"} and {"}usefulness for presurgical planning{"} were rated as {"}good,{"} {"}very good,{"} or {"}excellent{"} in 84.6% and 71.6% of the simulations, respectively. In 10.7% of simulations, the surgeon reported to have gained a significantly greater understanding of the patient's anatomy compared to standard imaging. Participants were able to better appreciate subtle anatomic findings after using the simulator for 60.4% of cases. Variable CBCT acquisition quality was the most reported limitation.CONCLUSION: Patient-specific simulation using preoperative CBCT is feasible and may provide valuable insights prior to otologic surgery. Establishing a CBCT acquisition protocol that allows for consistent segmentation will be essential for reliable surgical simulation.LEVEL OF EVIDENCE: 3 Laryngoscope, 131:1855-1862, 2021.",
keywords = "Adult, Cochlear Implantation/education, Cone-Beam Computed Tomography/methods, Feasibility Studies, Female, Humans, Imaging, Three-Dimensional, Male, Mastoidectomy/education, Middle Aged, Otolaryngology/education, Patient-Specific Modeling, Prospective Studies, Temporal Bone/diagnostic imaging, Virtual Reality, Young Adult, virtual reality surgical simulation, presurgical planning, Temporal bone anatomy, otology, patient-specific rehearsal, segmentation",
author = "Andersen, {Steven Arild Wuyts} and Varadarajan, {Varun V} and Moberly, {Aaron C} and Bradley Hittle and Powell, {Kimerly A} and Wiet, {Gregory J}",
note = "{\textcopyright} 2021 The American Laryngological, Rhinological and Otological Society, Inc.",
year = "2021",
month = aug,
doi = "10.1002/lary.29542",
language = "English",
volume = "131",
pages = "1855--1862",
journal = "The Laryngoscope",
issn = "0023-852X",
publisher = "JohnWiley & Sons, Inc",
number = "8",

}

RIS

TY - JOUR

T1 - Patient-specific Virtual Temporal Bone Simulation Based on Clinical Cone-beam Computed Tomography

AU - Andersen, Steven Arild Wuyts

AU - Varadarajan, Varun V

AU - Moberly, Aaron C

AU - Hittle, Bradley

AU - Powell, Kimerly A

AU - Wiet, Gregory J

N1 - © 2021 The American Laryngological, Rhinological and Otological Society, Inc.

PY - 2021/8

Y1 - 2021/8

N2 - OBJECTIVES: Patient-specific surgical simulation allows presurgical planning through three-dimensional (3D) visualization and virtual rehearsal. Virtual reality simulation for otologic surgery can be based on high-resolution cone-beam computed tomography (CBCT). This study aimed to evaluate clinicians' experience with patient-specific simulation of mastoid surgery.METHODS: Prospective, multi-institutional study. Preoperative temporal bone CBCT scans of patients undergoing cochlear implantation (CI) were retrospectively obtained. Automated processing and segmentation routines were used. Otologic surgeons performed a complete mastoidectomy with facial recess approach on the patient-specific virtual cases in the institution's temporal bone simulator. Participants completed surveys regarding the perceived accuracy and utility of the simulation.RESULTS: Twenty-two clinical CBCTs were obtained. Four attending otologic surgeons and 5 otolaryngology trainees enrolled in the study. The mean number of simulations completed by each participant was 16.5 (range 3-22). "Overall experience" and "usefulness for presurgical planning" were rated as "good," "very good," or "excellent" in 84.6% and 71.6% of the simulations, respectively. In 10.7% of simulations, the surgeon reported to have gained a significantly greater understanding of the patient's anatomy compared to standard imaging. Participants were able to better appreciate subtle anatomic findings after using the simulator for 60.4% of cases. Variable CBCT acquisition quality was the most reported limitation.CONCLUSION: Patient-specific simulation using preoperative CBCT is feasible and may provide valuable insights prior to otologic surgery. Establishing a CBCT acquisition protocol that allows for consistent segmentation will be essential for reliable surgical simulation.LEVEL OF EVIDENCE: 3 Laryngoscope, 131:1855-1862, 2021.

AB - OBJECTIVES: Patient-specific surgical simulation allows presurgical planning through three-dimensional (3D) visualization and virtual rehearsal. Virtual reality simulation for otologic surgery can be based on high-resolution cone-beam computed tomography (CBCT). This study aimed to evaluate clinicians' experience with patient-specific simulation of mastoid surgery.METHODS: Prospective, multi-institutional study. Preoperative temporal bone CBCT scans of patients undergoing cochlear implantation (CI) were retrospectively obtained. Automated processing and segmentation routines were used. Otologic surgeons performed a complete mastoidectomy with facial recess approach on the patient-specific virtual cases in the institution's temporal bone simulator. Participants completed surveys regarding the perceived accuracy and utility of the simulation.RESULTS: Twenty-two clinical CBCTs were obtained. Four attending otologic surgeons and 5 otolaryngology trainees enrolled in the study. The mean number of simulations completed by each participant was 16.5 (range 3-22). "Overall experience" and "usefulness for presurgical planning" were rated as "good," "very good," or "excellent" in 84.6% and 71.6% of the simulations, respectively. In 10.7% of simulations, the surgeon reported to have gained a significantly greater understanding of the patient's anatomy compared to standard imaging. Participants were able to better appreciate subtle anatomic findings after using the simulator for 60.4% of cases. Variable CBCT acquisition quality was the most reported limitation.CONCLUSION: Patient-specific simulation using preoperative CBCT is feasible and may provide valuable insights prior to otologic surgery. Establishing a CBCT acquisition protocol that allows for consistent segmentation will be essential for reliable surgical simulation.LEVEL OF EVIDENCE: 3 Laryngoscope, 131:1855-1862, 2021.

KW - Adult

KW - Cochlear Implantation/education

KW - Cone-Beam Computed Tomography/methods

KW - Feasibility Studies

KW - Female

KW - Humans

KW - Imaging, Three-Dimensional

KW - Male

KW - Mastoidectomy/education

KW - Middle Aged

KW - Otolaryngology/education

KW - Patient-Specific Modeling

KW - Prospective Studies

KW - Temporal Bone/diagnostic imaging

KW - Virtual Reality

KW - Young Adult

KW - virtual reality surgical simulation

KW - presurgical planning

KW - Temporal bone anatomy

KW - otology

KW - patient-specific rehearsal

KW - segmentation

UR - http://www.scopus.com/inward/record.url?scp=85103382745&partnerID=8YFLogxK

U2 - 10.1002/lary.29542

DO - 10.1002/lary.29542

M3 - Journal article

C2 - 33780005

VL - 131

SP - 1855

EP - 1862

JO - The Laryngoscope

JF - The Laryngoscope

SN - 0023-852X

IS - 8

ER -

ID: 66965344