Computer-assisted surgical planning and intraoperative guidance in fetal surgery: a systematic review.

Abstract:

:Fetal surgery has become a clinical reality, with interventions for twin-to-twin transfusion syndrome (TTTS) and spina bifida demonstrated to improve outcome. Fetal imaging is evolving, with the use of 3D ultrasound and fetal MRI becoming more common in clinical practise. Medical imaging analysis is also changing, with technology being developed to assist surgeons by creating 3D virtual models that improve understanding of complex anatomy, and prove powerful tools in surgical planning and intraoperative guidance. We introduce the concept of computer-assisted surgical planning, and present the results of a systematic review of image reconstruction for fetal surgical planning that identified six articles using such technology. Indications from other specialities suggest a benefit of surgical planning and guidance to improve outcomes. There is therefore an urgent need to develop fetal-specific technology in order to improve fetal surgical outcome.

journal_name

Prenat Diagn

journal_title

Prenatal diagnosis

authors

Pratt R,Deprest J,Vercauteren T,Ourselin S,David AL

doi

10.1002/pd.4660

subject

Has Abstract

pub_date

2015-12-01 00:00:00

pages

1159-66

issue

12

eissn

0197-3851

issn

1097-0223

journal_volume

35

pub_type

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