Publicação
Automatic prebent customized prosthesis for pectus excavatum minimally invasive surgery correction
| Resumo: | Pectus excavatum is the most common deformity of the thorax. A minimally invasive surgical correction is commonly carried out to remodel the anterior chest wall by using an intrathoracic convex prosthesis in the substernal position. The process of prosthesis modeling and bending still remains an area of improvement. The authors developed a new system, i3DExcavatum, which can automatically model and bend the bar preoperatively based on a thoracic CT scan. This article presents a comparison between automatic and manual bending. The i3DExcavatum was used to personalize prostheses for 41 patients who underwent pectus excavatum surgical correction between 2007 and 2012. Regarding the anatomical variations, the soft-tissue thicknesses external to the ribs show that both symmetric and asymmetric patients always have asymmetric variations, by comparing the patients' sides. It highlighted that the prosthesis bar should be modeled according to each patient's rib positions and dimensions. The average differences between the skin and costal line curvature lengths were 84 ± 4 mm and 96 ± 11 mm, for male and female patients, respectively. On the other hand, the i3DExcavatum ensured a smooth curvature of the surgical prosthesis and was capable of predicting and simulating a virtual shape and size of the bar for asymmetric and symmetric patients. In conclusion, the i3DExcavatum allows preoperative personalization according to the thoracic morphology of each patient. It reduces surgery time and minimizes the margin error introduced by the manually bent bar, which only uses a template that copies the chest wall curvature. |
|---|---|
| Autores principais: | Vilaça, João L. |
| Outros Autores: | Rodrigues, Pedro L.; Soares, Tony Ramos; Fonseca, Jaime C.; Pinho, António C. M.; Coelho, Tiago Henriques; Correia-Pinto, Jorge |
| Assunto: | Adolescent Adult Child Cohort Studies Funnel Chest Humans Male Minimally Invasive Surgical Procedures Prostheses and Implants Prosthesis Design Prosthesis Implantation Radiography, Thoracic Surveys and Questionnaires Young Adult Pectus excavatum Biomedical engineering Pediatric surgery Personalized prosthesis |
| Ano: | 2014 |
| País: | Portugal |
| Tipo de documento: | artigo |
| Tipo de acesso: | acesso restrito |
| Instituição associada: | Universidade do Minho |
| Idioma: | inglês |
| Origem: | RepositóriUM - Universidade do Minho |
| _version_ | 1877774969719488512 |
|---|---|
| author | Vilaça, João L. |
| author2 | Rodrigues, Pedro L. Soares, Tony Ramos Fonseca, Jaime C. Pinho, António C. M. Coelho, Tiago Henriques Correia-Pinto, Jorge |
| author2_role | author author author author author author |
| author_facet | Vilaça, João L. Rodrigues, Pedro L. Soares, Tony Ramos Fonseca, Jaime C. Pinho, António C. M. Coelho, Tiago Henriques Correia-Pinto, Jorge |
| author_role | author |
| contributor_name_str_mv | RepositóriUM - Universidade do Minho |
| country_str | PT |
| creators_json_txt | [{\"Person.name\":\"Vilaça, João L.\"},{\"Person.name\":\"Rodrigues, Pedro L.\"},{\"Person.name\":\"Soares, Tony Ramos\"},{\"Person.name\":\"Fonseca, Jaime C.\"},{\"Person.name\":\"Pinho, António C. M.\"},{\"Person.name\":\"Coelho, Tiago Henriques\"},{\"Person.name\":\"Correia-Pinto, Jorge\"}] |
| datacite.contributors.contributor.contributorName.fl_str_mv | RepositóriUM - Universidade do Minho |
| datacite.creators.creator.creatorName.fl_str_mv | Vilaça, João L. Rodrigues, Pedro L. Soares, Tony Ramos Fonseca, Jaime C. Pinho, António C. M. Coelho, Tiago Henriques Correia-Pinto, Jorge |
| datacite.date.Accepted.fl_str_mv | 2014-06-01T00:00:00Z |
| datacite.date.embargoed.fl_str_mv | 10000-01-01T00:00:00Z |
| datacite.rights.fl_str_mv | http://purl.org/coar/access_right/c_16ec |
| datacite.subjects.subject.fl_str_mv | Adolescent Adult Child Cohort Studies Funnel Chest Humans Male Minimally Invasive Surgical Procedures Prostheses and Implants Prosthesis Design Prosthesis Implantation Radiography, Thoracic Surveys and Questionnaires Young Adult Pectus excavatum Biomedical engineering Pediatric surgery Personalized prosthesis |
| datacite.titles.title.fl_str_mv | Automatic prebent customized prosthesis for pectus excavatum minimally invasive surgery correction |
| dc.contributor.none.fl_str_mv | RepositóriUM - Universidade do Minho |
| dc.creator.none.fl_str_mv | Vilaça, João L. Rodrigues, Pedro L. Soares, Tony Ramos Fonseca, Jaime C. Pinho, António C. M. Coelho, Tiago Henriques Correia-Pinto, Jorge |
| dc.date.Accepted.fl_str_mv | 2014-06-01T00:00:00Z |
| dc.date.embargoed.fl_str_mv | 10000-01-01T00:00:00Z |
| dc.format.none.fl_str_mv | application/pdf |
| dc.identifier.none.fl_str_mv | https://hdl.handle.net/1822/62111 |
| dc.language.none.fl_str_mv | eng |
| dc.publisher.none.fl_str_mv | SAGE Publications |
| dc.rights.none.fl_str_mv | http://purl.org/coar/access_right/c_16ec |
| dc.subject.none.fl_str_mv | Adolescent Adult Child Cohort Studies Funnel Chest Humans Male Minimally Invasive Surgical Procedures Prostheses and Implants Prosthesis Design Prosthesis Implantation Radiography, Thoracic Surveys and Questionnaires Young Adult Pectus excavatum Biomedical engineering Pediatric surgery Personalized prosthesis |
| dc.title.fl_str_mv | Automatic prebent customized prosthesis for pectus excavatum minimally invasive surgery correction |
| dc.type.none.fl_str_mv | http://purl.org/coar/resource_type/c_6501 |
| description | Pectus excavatum is the most common deformity of the thorax. A minimally invasive surgical correction is commonly carried out to remodel the anterior chest wall by using an intrathoracic convex prosthesis in the substernal position. The process of prosthesis modeling and bending still remains an area of improvement. The authors developed a new system, i3DExcavatum, which can automatically model and bend the bar preoperatively based on a thoracic CT scan. This article presents a comparison between automatic and manual bending. The i3DExcavatum was used to personalize prostheses for 41 patients who underwent pectus excavatum surgical correction between 2007 and 2012. Regarding the anatomical variations, the soft-tissue thicknesses external to the ribs show that both symmetric and asymmetric patients always have asymmetric variations, by comparing the patients' sides. It highlighted that the prosthesis bar should be modeled according to each patient's rib positions and dimensions. The average differences between the skin and costal line curvature lengths were 84 ± 4 mm and 96 ± 11 mm, for male and female patients, respectively. On the other hand, the i3DExcavatum ensured a smooth curvature of the surgical prosthesis and was capable of predicting and simulating a virtual shape and size of the bar for asymmetric and symmetric patients. In conclusion, the i3DExcavatum allows preoperative personalization according to the thoracic morphology of each patient. It reduces surgery time and minimizes the margin error introduced by the manually bent bar, which only uses a template that copies the chest wall curvature. |
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| format | article |
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| identifier.url.fl_str_mv | https://hdl.handle.net/1822/62111 |
| inst_facet_str | urn:organizationAcronym:repositorium{{{_:::_}}}Universidade do Minho |
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| institution | Universidade do Minho |
| instname_str | Universidade do Minho |
| language | eng |
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| network_name_str | RepositóriUM - Universidade do Minho |
| oai_identifier_str | oai:repositorium.uminho.pt:1822/62111 |
| organization_str_mv | urn:organizationAcronym:repositorium |
| person_str_mv | Vilaça, João L. Rodrigues, Pedro L. Soares, Tony Ramos Fonseca, Jaime C. Pinho, António C. M. Coelho, Tiago Henriques Correia-Pinto, Jorge |
| publishDate | 2014 |
| publisher.none.fl_str_mv | SAGE Publications |
| repo_facet_str | urn:repositoryAcronym:rum{{{_:::_}}}RepositóriUM - Universidade do Minho |
| reponame_str | RepositóriUM - Universidade do Minho |
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| spelling | engSAGE PublicationsporPectus excavatum is the most common deformity of the thorax. A minimally invasive surgical correction is commonly carried out to remodel the anterior chest wall by using an intrathoracic convex prosthesis in the substernal position. The process of prosthesis modeling and bending still remains an area of improvement. The authors developed a new system, i3DExcavatum, which can automatically model and bend the bar preoperatively based on a thoracic CT scan. This article presents a comparison between automatic and manual bending. The i3DExcavatum was used to personalize prostheses for 41 patients who underwent pectus excavatum surgical correction between 2007 and 2012. Regarding the anatomical variations, the soft-tissue thicknesses external to the ribs show that both symmetric and asymmetric patients always have asymmetric variations, by comparing the patients' sides. It highlighted that the prosthesis bar should be modeled according to each patient's rib positions and dimensions. The average differences between the skin and costal line curvature lengths were 84 ± 4 mm and 96 ± 11 mm, for male and female patients, respectively. On the other hand, the i3DExcavatum ensured a smooth curvature of the surgical prosthesis and was capable of predicting and simulating a virtual shape and size of the bar for asymmetric and symmetric patients. In conclusion, the i3DExcavatum allows preoperative personalization according to the thoracic morphology of each patient. It reduces surgery time and minimizes the margin error introduced by the manually bent bar, which only uses a template that copies the chest wall curvature.application/pdfporAutomatic prebent customized prosthesis for pectus excavatum minimally invasive surgery correctionVilaça, João L.Rodrigues, Pedro L.Soares, Tony RamosFonseca, Jaime C.Pinho, António C. M.Coelho, Tiago HenriquesCorreia-Pinto, JorgeHostingInstitutionOrganizationalRepositóriUM - Universidade do Minhoe-mailmailto:repositorium@usdb.uminho.ptrepositorium@usdb.uminho.ptPMID24151136ISSNIsPartOf1553-3506EISSNIsPartOf1553-3514DOIIsPartOf10.1177/15533506135062992014-062014-06-01T00:00:00Z10000-01-01T00:00:00ZHandlehttps://hdl.handle.net/1822/62111http://purl.org/coar/access_right/c_16ecrestricted accessAdolescentAdultChildCohort StudiesFunnel ChestHumansMaleMinimally Invasive Surgical ProceduresProstheses and ImplantsProsthesis DesignProsthesis ImplantationRadiography, ThoracicSurveys and QuestionnairesYoung AdultPectus excavatumBiomedical engineeringPediatric surgeryPersonalized prosthesis614616 bytesliteraturehttp://purl.org/coar/resource_type/c_6501journal articlehttp://purl.org/coar/access_right/c_f1cfapplication/pdfhttps://repositorium.uminho.pt/bitstreams/84938047-0c40-4b05-96a5-cd7b2a7d6639/download |
| spellingShingle | Automatic prebent customized prosthesis for pectus excavatum minimally invasive surgery correction Vilaça, João L. Adolescent Adult Child Cohort Studies Funnel Chest Humans Male Minimally Invasive Surgical Procedures Prostheses and Implants Prosthesis Design Prosthesis Implantation Radiography, Thoracic Surveys and Questionnaires Young Adult Pectus excavatum Biomedical engineering Pediatric surgery Personalized prosthesis |
| status | SINGLETON |
| subject.fl_str_mv | Adolescent Adult Child Cohort Studies Funnel Chest Humans Male Minimally Invasive Surgical Procedures Prostheses and Implants Prosthesis Design Prosthesis Implantation Radiography, Thoracic Surveys and Questionnaires Young Adult Pectus excavatum Biomedical engineering Pediatric surgery Personalized prosthesis |
| title | Automatic prebent customized prosthesis for pectus excavatum minimally invasive surgery correction |
| title_full | Automatic prebent customized prosthesis for pectus excavatum minimally invasive surgery correction |
| title_fullStr | Automatic prebent customized prosthesis for pectus excavatum minimally invasive surgery correction |
| title_full_unstemmed | Automatic prebent customized prosthesis for pectus excavatum minimally invasive surgery correction |
| title_short | Automatic prebent customized prosthesis for pectus excavatum minimally invasive surgery correction |
| title_sort | Automatic prebent customized prosthesis for pectus excavatum minimally invasive surgery correction |
| topic | Adolescent Adult Child Cohort Studies Funnel Chest Humans Male Minimally Invasive Surgical Procedures Prostheses and Implants Prosthesis Design Prosthesis Implantation Radiography, Thoracic Surveys and Questionnaires Young Adult Pectus excavatum Biomedical engineering Pediatric surgery Personalized prosthesis |
| topic_facet | Adolescent Adult Child Cohort Studies Funnel Chest Humans Male Minimally Invasive Surgical Procedures Prostheses and Implants Prosthesis Design Prosthesis Implantation Radiography, Thoracic Surveys and Questionnaires Young Adult Pectus excavatum Biomedical engineering Pediatric surgery Personalized prosthesis |
| url | https://hdl.handle.net/1822/62111 |
| visible | 1 |
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