In:
Urologia Internationalis, S. Karger AG, Vol. 102, No. 2 ( 2019), p. 212-217
Abstract:
〈 b 〉 〈 i 〉 Background: 〈 /i 〉 〈 /b 〉 Preoperative surgical planning before partial nephrectomy (PN) is a time-consuming and fragmentary process. 〈 b 〉 〈 i 〉 Objectives: 〈 /i 〉 〈 /b 〉 To evaluate the differences in the perception of renal anatomy between holographic reconstruction (HR) versus computed tomography (CT) in patients who are candidate to PN. 〈 b 〉 〈 i 〉 Methods: 〈 /i 〉 〈 /b 〉 CT scans of 10 consecutive patients with intermediate/high complexity renal masses (R.E.N.A.L. score & #x3e; 8) scheduled for robot-assisted PN were translated into HR. Seven raters independently described how they interpreted several anatomical details from CT and HR respectively. The exams were presented unpaired and randomly. Inter-observer agreement and evaluation time were assessed. A questionnaire inquired clinical utility of CT and HR. Inter-observer agreement was measured by the Cohen’s kappa test. Evaluation time for CT and HR was compared by the Kruskal-Wallis test, overall and per rater. Examiners answered to the questionnaire following a Likert scale. 〈 b 〉 〈 i 〉 Results: 〈 /i 〉 〈 /b 〉 HR showed a higher inter-observer agreement, reaching a good level (k & #x3e; 0.6) for almost all the anatomical details considered. Conversely, CT generally provided a fair or poor agreement (k & #x3c; 0.6). The evaluation time was shorter for HR (mean 1.7 vs. 3.4 min, 〈 i 〉 p 〈 /i 〉 & #x3c; 0.0001). All raters declared that HR could facilitate preoperative planning before PN. 〈 b 〉 〈 i 〉 Conclusions: 〈 /i 〉 〈 /b 〉 HR can be useful for preoperative surgical planning before PN to ease the understanding of anatomy.
Type of Medium:
Online Resource
ISSN:
0042-1138
,
1423-0399
Language:
English
Publisher:
S. Karger AG
Publication Date:
2019
detail.hit.zdb_id:
1464417-4
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