Evidence map›Paper›PMID 34786322›Full record

ArticlePlastic and reconstructive surgery. Global open2021

Effectiveness of Automatic Planning of Fronto-orbital Advancement for the Surgical Correction of Metopic Craniosynostosis.

David García-Mato, Antonio R Porras, Santiago Ochandiano, Gary F Rogers, Roberto García-Leal, José I Salmerón, Javier Pascau, Marius George Linguraru

Open access · goldAbstract read
In one paragraph

Article in Plastic and reconstructive surgery. Global open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.0field-weighted citation impact, top 21% 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

4 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Dura-based automated vault expansion remodelling (DAVE-R): automated planning of volume expansion in fronto-orbital advancement for trigonocephaly.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024
    Article
  3. Article
  4. Graph convolutional network with probabilistic spatial regression: application to craniofacial landmark detection from 3D photogrammetry.Medical image computing and computer-assisted intervention : MICCAI ... International Conference on Medical Image Computing and Computer-Assisted Intervention · 2022
    Article
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

8 authors at 3 institutions in 2 countries.

David García-MatoDepartamento de Bioingeniería e Ingeniería Aeroespacial, Universidad Carlos III de Madrid, Madrid, Spain.
Antonio R PorrasSheikh Zayed Institute for Pediatric Surgical Innovation, Children's National Hospital, Washington, D.C.
Santiago OchandianoInstituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain.
Gary F RogersDivision of Plastic and Reconstructive Surgery, Children's National Hospital, Washington, D.C.
Roberto García-LealInstituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain.
José I SalmerónInstituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain.
Javier PascauDepartamento de Bioingeniería e Ingeniería Aeroespacial, Universidad Carlos III de Madrid, Madrid, Spain.
Marius George LinguraruSheikh Zayed Institute for Pediatric Surgical Innovation, Children's National Hospital, Washington, D.C.
Hospital General Universitario Gregorio Marañón · ESUniversidad Carlos III de Madrid · ESChildren's National · US

Funding

Image-guided Planning System for Skull Correction in Children with Craniosynostosis: Phase IIR42HD081712 · NICHD · KITWARE, INC. · PI ENQUOBAHRIE, ANDINET ASMAMAW, LINGURARU, MARIUS GEORGE · 2016 to 2017
$1.4M
Quantitative characterization and predictive modeling of cranial bone development in patients with craniosynostosisR00DE027993 · NIDCR · UNIVERSITY OF COLORADO DENVER · PI PORRAS PEREZ, ANTONIO REYES · 2020 to 2022
$738k
Quantitative characterization and predictive modeling of cranial bone development in patients with craniosynostosisK99DE027993 · NIDCR · CHILDREN'S RESEARCH INSTITUTE · PI PORRAS PEREZ, ANTONIO REYES · 2019 to 2020
$252k
NICHD NIH HHS R42 HD081712NIDCR NIH HHS K99 DE027993NIDCR NIH HHS R00 DE027993
6 · The paper itself

Abstract

backgroundThe surgical correction of metopic craniosynostosis usually relies on the subjective judgment of surgeons to determine the configuration of the cranial bone fragments and the degree of overcorrection. This study evaluates the effectiveness of a new approach for automatic planning of fronto-orbital advancement based on statistical shape models and including overcorrection.

methodsThis study presents a planning software to automatically estimate osteotomies in the fronto-orbital region and calculate the optimal configuration of the bone fragments required to achieve an optimal postoperative shape. The optimal cranial shape is obtained using a statistical head shape model built from 201 healthy subjects (age 23 ± 20 months; 89 girls). Automatic virtual plans were computed for nine patients (age 10.68 ± 1.73 months; four girls) with different degrees of overcorrection, and compared with manual plans designed by experienced surgeons.

resultsPostoperative cranial shapes generated by automatic interventional plans present accurate matching with normative morphology and enable to reduce the malformations in the fronto-orbital region by 82.01 ± 6.07%. The system took on average 19.22 seconds to provide the automatic plan, and allows for personalized levels of overcorrection. The automatic plans with an overcorrection of 7 mm in minimal frontal breadth provided the closest match (no significant difference) to the manual plans.

conclusionsThe automatic software technology effectively achieves correct cranial morphometrics and volumetrics with respect to normative cranial shapes. The automatic approach has the potential to reduce the duration of preoperative planning, reduce inter-surgeon variability, and provide consistent surgical outcomes.

Identifiers

PMID34786322
PMCPMC8589244
OpenAlexW3212488353

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.