Evidence map›Paper›PMID 26148694›Full record

ArticleInternational journal of computer assisted radiology and surgery2016

Patient-specific instrument can achieve same accuracy with less resection time than navigation assistance in periacetabular pelvic tumor surgery: a cadaveric study.

Kwok-Chuen Wong, Kwan-Yik Sze, Irene Oi-Ling Wong, Chung-Ming Wong, Shekhar-Madhukar Kumta

Abstract read
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In one paragraph

Article in International journal of computer assisted radiology and surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed
5.0field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 87 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 2 countries.

Kwok-Chuen WongDepartment of Orthopaedics and Traumatology, Prince of Wales Hospital, Shatin, Hong Kong. skcwong3@gmail.com.
Kwan-Yik SzeTechnology Applications in Biomed Unit, Industrial Centre, The Hong Kong Polytechnic University, Hung Hom, Hong Kong. louis.sze@polyu.edu.hk.
Irene Oi-Ling WongDivision of Health Economics, Policy and Management, School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China. iolwong@hku.hk.
Chung-Ming WongHead of Rapid Prototyping and Tooling Unit, Industrial Centre, The Hong Kong Polytechnic University, Hung Hom, Hong Kong. icmwong@polyu.edu.hk.
Shekhar-Madhukar KumtaDepartment of Orthopaedics and Traumatology, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong. kumta@cuhk.edu.hk.
Hong Kong Polytechnic University · HKChinese University of Hong Kong · CNPrince of Wales Hospital · CNUniversity of Hong Kong · HK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeInaccurate resection in pelvic tumors can result in compromised margins with increase local recurrence. Navigation-assisted and patient-specific instrument (PSI) techniques have recently been reported in assisting pelvic tumor surgery with the tendency of improving surgical accuracy. We examined and compared the accuracy of transferring a virtual pelvic resection plan to actual surgery using navigation-assisted or PSI technique in a cadaver study.

methodsWe performed CT scan in twelve cadaveric bodies including whole pelvic bones. Either supraacetabular or partial acetabular resection was virtually planned in a hemipelvis using engineering software. The virtual resection plan was transferred to a CT-based navigation system or was used for design and fabrication of PSI. Pelvic resections were performed using navigation assistance in six cadavers and PSI in another six. Post-resection images were co-registered with preoperative planning for comparative analysis of resection accuracy in the two techniques.

resultsThe mean average deviation error from the planned resection was no different ([Formula: see text]) for the navigation and the PSI groups: 1.9 versus 1.4 mm, respectively. The mean time required for the bone resection was greater ([Formula: see text]) for the navigation group than for the PSI group: 16.2 versus 1.1 min, respectively.

conclusionsIn simulated periacetabular pelvic tumor resections, PSI technique enabled surgeons to reproduce the virtual surgical plan with similar accuracy but with less bone resection time when compared with navigation assistance. Further studies are required to investigate the clinical benefits of PSI technique in pelvic tumor surgery.

Indexed as

Tomography, X-Ray ComputedAcetabulumBone NeoplasmsCadaverHumansOrthopedic ProceduresPelvic BonesReproducibility of ResultsSurgery, Computer-AssistedNavigation assistancePatient-specific instrumentsPeriacetabular pelvic tumorsSurgical accuracy

Identifiers

PMID26148694
OpenAlexW755730507

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.