The computer-aided design margin: Ex vivo 3D specimen mapping to improve communication between surgeons and pathologists.
Head Neck
; 45(1): 22-31, 2023 Jan.
Article
em En
| MEDLINE
| ID: mdl-36156327
ABSTRACT
BACKGROUND:
Numerous challenges exist in determining surgical margin status. Communication between surgeons and pathologists is crucial for specimen orientation and accurate margin assessment.METHODS:
A prospective study to determine feasibility of incorporating three-dimensional (3D) scanning into surgical pathology workflow was performed. A structured-light 3D scanner captured the photorealistic surface topography of fresh surgical specimens. Computer-aided design (CAD) software was used to document sites of margin sampling and sectioning. Surveys were distributed among faculty and staff stakeholders to assess feasibility.RESULTS:
A series of 40 cases were 3D-scanned. Median image acquisition time was 8 min. The majority of respondents agreed that the experimental 3D system helped achieve clearer communication. 3D specimen maps assisted in the communication of a focally positive or close margin in 4 of 17 cases.CONCLUSIONS:
Routine 3D scanning and specimen mapping is feasible and represents an innovative approach to intraoperative and final pathology documentation, margin analysis, and surgeon-pathologist communication.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Desenho Assistido por Computador
/
Cirurgiões
Tipo de estudo:
Observational_studies
/
Qualitative_research
Limite:
Humans
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article