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Three-dimensional virtual reconstruction as a tool for preoperative planning in the management of complex anorectal fistulas

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Resumo:ABSTRACT The making of three-dimensional virtual models is a promising technology in preoperative planning, but that is not used in the treatment of anorectal fistulas. The objective of this work is to describe the development and initial experience of the construction of a virtual three-dimensional model of the pelvic anatomy of a patient, allowing the exact identification of the relationships between the fistulous tracts of complex anorectal fistulas and the other pelvic structures. An MRI was performed on this patient, and the images were exported to the Vitrea fX Workstation® software. A radiologist did the analysis and segmentation of the images that were then sent to a three-dimensional image processor (Meshlab v. 1.3.3 – ISTI – CNR Research Center, Pisa University, Italy®). The final 3D color image was analyzed by the surgeon and used to guide the catheterization of the fistulous pathways, the internal orifice and to assist in the identification of adjacent structures. The final three-dimensional model presented a high correlation with the intraoperative findings and facilitated the surgical planning.
Autores principais:Sousa Júnior,Edilson Carvalho
Outros Autores:Nogueira,Alexandre Tolstenko; Rocha,Bruno Aragão; Eulálio Filho,Walberto Monteiro Neiva; Meneses,Aurus Dourado
Assunto:Rectal fistula Three-dimensional image Surgical procedures of the digestive system
Ano:2018
País:Brasil
Tipo de documento:artigo
Tipo de acesso:acesso aberto
Instituição associada:IBICT
Idioma:inglês
Origem:Oasisbr
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author Sousa Júnior,Edilson Carvalho
author2 Nogueira,Alexandre Tolstenko
Rocha,Bruno Aragão
Eulálio Filho,Walberto Monteiro Neiva
Meneses,Aurus Dourado
author2_role author
author
author
author
author_facet Sousa Júnior,Edilson Carvalho
Nogueira,Alexandre Tolstenko
Rocha,Bruno Aragão
Eulálio Filho,Walberto Monteiro Neiva
Meneses,Aurus Dourado
author_role author
country_str BR
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datacite.creators.creator.creatorName.fl_str_mv Sousa Júnior,Edilson Carvalho
Nogueira,Alexandre Tolstenko
Rocha,Bruno Aragão
Eulálio Filho,Walberto Monteiro Neiva
Meneses,Aurus Dourado
datacite.rights.fl_str_mv http://purl.org/coar/access_right/c_abf2
datacite.subjects.subject.fl_str_mv Rectal fistula
Three-dimensional image
Surgical procedures of the digestive system
datacite.titles.title.fl_str_mv Three-dimensional virtual reconstruction as a tool for preoperative planning in the management of complex anorectal fistulas
dc.creator.none.fl_str_mv Sousa Júnior,Edilson Carvalho
Nogueira,Alexandre Tolstenko
Rocha,Bruno Aragão
Eulálio Filho,Walberto Monteiro Neiva
Meneses,Aurus Dourado
dc.format.none.fl_str_mv text/html
dc.identifier.none.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632018000100077
dc.language.none.fl_str_mv eng
dc.publisher.none.fl_str_mv Sociedade Brasileira de Coloproctologia
dc.rights.none.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.source.none.fl_str_mv Journal of Coloproctology (Rio de Janeiro) v.38 n.1 2018
reponame:Journal of Coloproctology (Rio de Janeiro. Online)
instname:Sociedade Brasileira de Coloproctologia (SBCP)
instacron:SBCP
dc.subject.none.fl_str_mv Rectal fistula
Three-dimensional image
Surgical procedures of the digestive system
dc.title.fl_str_mv Three-dimensional virtual reconstruction as a tool for preoperative planning in the management of complex anorectal fistulas
dc.type.none.fl_str_mv http://purl.org/coar/resource_type/c_6501
description ABSTRACT The making of three-dimensional virtual models is a promising technology in preoperative planning, but that is not used in the treatment of anorectal fistulas. The objective of this work is to describe the development and initial experience of the construction of a virtual three-dimensional model of the pelvic anatomy of a patient, allowing the exact identification of the relationships between the fistulous tracts of complex anorectal fistulas and the other pelvic structures. An MRI was performed on this patient, and the images were exported to the Vitrea fX Workstation® software. A radiologist did the analysis and segmentation of the images that were then sent to a three-dimensional image processor (Meshlab v. 1.3.3 – ISTI – CNR Research Center, Pisa University, Italy®). The final 3D color image was analyzed by the surgeon and used to guide the catheterization of the fistulous pathways, the internal orifice and to assist in the identification of adjacent structures. The final three-dimensional model presented a high correlation with the intraoperative findings and facilitated the surgical planning.
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person_str_mv Sousa Júnior,Edilson Carvalho
Nogueira,Alexandre Tolstenko
Rocha,Bruno Aragão
Eulálio Filho,Walberto Monteiro Neiva
Meneses,Aurus Dourado
publishDate 2018
publisher.none.fl_str_mv Sociedade Brasileira de Coloproctologia
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spelling Three-dimensional virtual reconstruction as a tool for preoperative planning in the management of complex anorectal fistulasSousa Júnior,Edilson CarvalhoNogueira,Alexandre TolstenkoRocha,Bruno AragãoEulálio Filho,Walberto Monteiro NeivaMeneses,Aurus DouradoRectal fistulaThree-dimensional imageSurgical procedures of the digestive systemopen accesshttp://purl.org/coar/access_right/c_abf2http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632018000100077URLhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632018000100077URLHasVersion2018-03-01ABSTRACT The making of three-dimensional virtual models is a promising technology in preoperative planning, but that is not used in the treatment of anorectal fistulas. The objective of this work is to describe the development and initial experience of the construction of a virtual three-dimensional model of the pelvic anatomy of a patient, allowing the exact identification of the relationships between the fistulous tracts of complex anorectal fistulas and the other pelvic structures. An MRI was performed on this patient, and the images were exported to the Vitrea fX Workstation® software. A radiologist did the analysis and segmentation of the images that were then sent to a three-dimensional image processor (Meshlab v. 1.3.3 – ISTI – CNR Research Center, Pisa University, Italy®). The final 3D color image was analyzed by the surgeon and used to guide the catheterization of the fistulous pathways, the internal orifice and to assist in the identification of adjacent structures. The final three-dimensional model presented a high correlation with the intraoperative findings and facilitated the surgical planning.engtext/htmlSociedade Brasileira de ColoproctologiaJournal of Coloproctology (Rio de Janeiro) v.38 n.1 2018reponame:Journal of Coloproctology (Rio de Janeiro. Online)instname:Sociedade Brasileira de Coloproctologia (SBCP)instacron:SBCPjournal articlehttp://purl.org/coar/resource_type/c_6501literatureVoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85
spellingShingle Three-dimensional virtual reconstruction as a tool for preoperative planning in the management of complex anorectal fistulas
Sousa Júnior,Edilson Carvalho
Rectal fistula
Three-dimensional image
Surgical procedures of the digestive system
status SINGLETON
status_str VoR
subject.fl_str_mv Rectal fistula
Three-dimensional image
Surgical procedures of the digestive system
title Three-dimensional virtual reconstruction as a tool for preoperative planning in the management of complex anorectal fistulas
title_full Three-dimensional virtual reconstruction as a tool for preoperative planning in the management of complex anorectal fistulas
title_fullStr Three-dimensional virtual reconstruction as a tool for preoperative planning in the management of complex anorectal fistulas
title_full_unstemmed Three-dimensional virtual reconstruction as a tool for preoperative planning in the management of complex anorectal fistulas
title_short Three-dimensional virtual reconstruction as a tool for preoperative planning in the management of complex anorectal fistulas
title_sort Three-dimensional virtual reconstruction as a tool for preoperative planning in the management of complex anorectal fistulas
topic Rectal fistula
Three-dimensional image
Surgical procedures of the digestive system
topic_facet Rectal fistula
Three-dimensional image
Surgical procedures of the digestive system
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632018000100077
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