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文章:

手术标本三维扫描以增进外科医生与病理学家间的沟通:一项头颈部试点研究

3D Scanning of Surgical Specimens to Improve Communication Between Surgeon and Pathologist: A Head and Neck Pilot Study

原文发布日期:24 December 2024

DOI: 10.3390/cancers17010014

类型: Article

开放获取: 是

 

英文摘要:

Background/ObjectivesSuccessful surgical outcomes in head and neck cancer depend on the accurate identification of resection margins. Effective communication between surgeons and pathologists is critical, but is often jeopardised by challenges in sampling and orienting anatomically complex specimens. This pilot study aims to evaluate the use of 3D scanning of surgical specimens as a tool to improve communication and optimise the pathology sampling process.MethodsTwo structured light 3D scanners, Cronos Dual and Optor Lab, were used to acquire 3D models of anatomical specimens in both preclinical (cadaver specimens) and clinical contexts (fresh surgical specimens). Surgical margins and critical points were annotated on the digital models. Acquisition quality, operating times and subjective feedback from surgeons and pathologists were evaluated.ResultsThe Optor Lab scanner demonstrated superior image quality, shorter processing times and a more user-friendly interface than the Cronos Dual. Key challenges identified included specimen geometry, surface reflectivity and tissue stability. Feedback from both surgeons and pathologists was positive, highlighting the potential of 3D models to improve the surgical-pathology workflow.Conclusions3D scanning of surgical specimens provides accurate, detailed digital models that can significantly enhance communication between surgeons and pathologists. This technology shows promise in improving pathological staging and clinical decision making, with further studies required to validate its integration into routine practice.

 

摘要翻译: 

**背景/目的** 头颈部肿瘤手术的成功依赖于手术切缘的准确判定。外科医生与病理医生之间的有效沟通至关重要,但常因解剖结构复杂标本的取样与定向困难而受到影响。本试点研究旨在评估手术标本三维扫描技术的应用,以改善沟通并优化病理取样流程。 **方法** 研究采用Cronos Dual和Optor Lab两台结构光三维扫描仪,分别在临床前(尸体标本)和临床(新鲜手术标本)场景中获取解剖标本的三维模型。在数字模型上标注手术切缘及关键点位,并对扫描质量、操作时间以及外科医生与病理医生的主观反馈进行评估。 **结果** Optor Lab扫描仪在图像质量、处理速度和用户界面友好性方面均优于Cronos Dual。研究识别的主要挑战包括标本几何形态、表面反射率及组织稳定性。外科医生与病理医生的反馈均较为积极,强调三维模型在改善外科-病理协作流程方面的潜力。 **结论** 手术标本的三维扫描能够提供精确、细致的数字模型,显著提升外科与病理医生之间的沟通效率。该技术有望改善病理分期与临床决策,未来需进一步研究以验证其常规临床应用的可行性。

 

原文链接:

3D Scanning of Surgical Specimens to Improve Communication Between Surgeon and Pathologist: A Head and Neck Pilot Study

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