AI Article Synopsis
- The study aimed to assess how three-dimensional (3D) modeling of MRI images affects positive surgical margins (PSM) in patients undergoing radical retropubic prostatectomy (RRP).
- A total of 81 patients were split into two groups: one group used 3D modeling to guide surgery, while the other relied on traditional evaluations of MRI scans.
- Results showed that the 3D group had a significantly lower PSM rate (14.6%) compared to the non-3D group (45%), highlighting the benefits of 3D modeling and collaboration between radiologists and surgeons for better surgical outcomes.
Article Abstract
Purpose: To investigate the effect of using three-dimensional (3D) modeling before the surgery on positive surgical margins (PSM) in patients underwent radical retropubic prostatectomy (RRP).
Materials And Methods: A prospective data analysis of 81 patients who underwent RRP between April 2021 and December 2023 was performed. Patients were randomized into 2 groups. In "3D group" (n:41), patients were evaluated by the surgeon and radiologist by using a 3D modeling of the mpMRI images which were done by two experienced radiologists just before the surgery. In "non-3D group" (n:40), surgeon evaluated the mpMRI scans and reports by himself without a 3D modeling of the mpMRI before the operation. Finally, positive surgical margins of two groups were compared.
Results: Mean age of the patients were 66.7±5.2 and 65.3±4.9 years in 3D group and non-3D group, respectively. (p = .65) Preoperative PSA value, prostate volume, preoperative PIRADS 4 and PIRADS 5 scores, postoperative ISUP grades and T stages were statistically similar in both groups. (p > .05) The PSM rate was 24 (29.6%) in the overall patient population. PSM was detected in 6 (14.6%) and 18 (45%) of the patients in 3D group and non-3D group, respectively. (p = .005) Conclusion: Using a 3D modeling of the mpMRI images before the surgery decreased the PSM rates after radical retropubic prostatectomy. The present study also reveals the importance of collaboration between radiologists and urologists in the accurate preoperative evaluation of prostate cancer.
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| http://dx.doi.org/10.22037/uj.v21i.8218 | DOI Listing |
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