Evidence map›Paper›PMID 33710462›Full record

ArticleLangenbeck's archives of surgery2021

Using virtual 3D-models in surgical planning: workflow of an immersive virtual reality application in liver surgery.

Christian Boedecker, Florentine Huettl, Patrick Saalfeld, Markus Paschold, Werner Kneist, Janine Baumgart, Bernhard Preim, Christian Hansen, Hauke Lang, Tobias Huber

Abstract read
In one paragraph

Article in Langenbeck's archives of surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

30 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  4. The impact of 3-dimensional models and surgical navigation for open liver surgery.International journal of computer assisted radiology and surgery · 2025
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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

10 authors.

Christian BoedeckerDepartment of General-, Visceral- and Transplantation Surgery, University Medical Center Mainz, Langenbeckstr. 1, 55131, Mainz, Germany.
Florentine HuettlDepartment of General-, Visceral- and Transplantation Surgery, University Medical Center Mainz, Langenbeckstr. 1, 55131, Mainz, Germany.
Patrick SaalfeldDepartment of Simulation and Graphics, Faculty of Computer Science, University of Magdeburg, Magdeburg, Germany.
Markus PascholdDepartment of General-, Visceral- and Transplantation Surgery, University Medical Center Mainz, Langenbeckstr. 1, 55131, Mainz, Germany.
Werner KneistDepartment of General-, Visceral- and Transplantation Surgery, University Medical Center Mainz, Langenbeckstr. 1, 55131, Mainz, Germany.
Janine BaumgartDepartment of General-, Visceral- and Transplantation Surgery, University Medical Center Mainz, Langenbeckstr. 1, 55131, Mainz, Germany.
Bernhard PreimDepartment of Simulation and Graphics, Faculty of Computer Science, University of Magdeburg, Magdeburg, Germany.
Christian HansenDepartment of Simulation and Graphics, Faculty of Computer Science, University of Magdeburg, Magdeburg, Germany.
Hauke LangDepartment of General-, Visceral- and Transplantation Surgery, University Medical Center Mainz, Langenbeckstr. 1, 55131, Mainz, Germany.
Tobias HuberDepartment of General-, Visceral- and Transplantation Surgery, University Medical Center Mainz, Langenbeckstr. 1, 55131, Mainz, Germany. Tobias.huber@unimedizin-mainz.de.ORCID http://orcid.org/0000-0003-3219-501X

Funding

Bundesministerium für Bildung und Forschung 16SV8059 "AVATAR"Bundesministerium für Bildung und Forschung (DE) 16SV8054 "AVATAR"
6 · The paper itself

Abstract

purposeThree-dimensional (3D) surgical planning is widely accepted in liver surgery. Currently, the 3D reconstructions are usually presented as 3D PDF data on regular monitors. 3D-printed liver models are sometimes used for education and planning.

methodsWe developed an immersive virtual reality (VR) application that enables the presentation of preoperative 3D models. The 3D reconstructions are exported as STL files and easily imported into the application, which creates the virtual model automatically. The presentation is possible in "OpenVR"-ready VR headsets. To interact with the 3D liver model, VR controllers are used. Scaling is possible, as well as changing the opacity from invisible over transparent to fully opaque. In addition, the surgeon can draw potential resection lines on the surface of the liver. All these functions can be used in a single or multi-user mode.

resultsFive highly experienced HPB surgeons of our department evaluated the VR application after using it for the very first time and considered it helpful according to the "System Usability Scale" (SUS) with a score of 76.6%. Especially with the subitem "necessary learning effort," it was shown that the application is easy to use.

conclusionWe introduce an immersive, interactive presentation of medical volume data for preoperative 3D liver surgery planning. The application is easy to use and may have advantages over 3D PDF and 3D print in preoperative liver surgery planning. Prospective trials are needed to evaluate the optimal presentation mode of 3D liver models.

Indexed as

SurgeonsVirtual RealityHumansImaging, Three-DimensionalLiverProspective StudiesWorkflow3D reconstructionLiver surgeryVirtual reality

Identifiers

PMID33710462
PMCPMC8106601

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.