Trial reportThe Journal of urology2022
Effect of 3-Dimensional, Virtual Reality Models for Surgical Planning of Robotic Prostatectomy on Trifecta Outcomes: A Randomized Clinical Trial.
Trial report in The Journal of urology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 4 of them syntheses that pooled 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.
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.
Who cites it
21 citing papers in PubMed, 4 syntheses or guidelines pooled it, 34 citations in OpenAlex.
- MRI-based 3D models of cranial nerves in clinical care: a systematic review.European radiology experimental · 2025Pooled it
- Reduction of surgical complications via 3D models during robotic assisted radical prostatectomy: review of current evidence and meta-analysis.Journal of robotic surgery · 2024Pooled it
- Intraoperative image-guidance during robotic surgery: is there clinical evidence of enhanced patient outcomes?European journal of nuclear medicine and molecular imaging · 2024Pooled it
- Visual extended reality tools in image-guided surgery in urology: a systematic review.European journal of nuclear medicine and molecular imaging · 2024Pooled it
- Trifecta Outcomes After Use of 3-Dimensional Digital Models for Planning of Robotic Prostatectomy: A Secondary Analysis of a Randomized Clinical Trial.JAMA network open · 2024Trial
- [Application and utilization of virtual and augmented reality in surgical specialties-an expert Delphi consensus].Urologie (Heidelberg, Germany) · 2026Article
- Article
- Comparison of surgical outcomes of robot-assisted radical prostatectomy between residents under our training curriculum and experienced surgeons: a propensity score-matched analysis.International journal of clinical oncology · 2026Article
- Metaverse in surgery - origins and future potential.Nature reviews. Urology · 2026Review
- The digital evolution of surgical planning: a systematic review of immersive and interactive technologies.Frontiers in surgery · 2026Review
- Impact of three-dimensional prostate models during robot-assisted radical prostatectomy on surgical margins and functional outcomes.BJU international · 2025Article
- A Pilot Study of PSMA PET/CT and MRI Fusion for Prostate Cancer: Software to Replace PET/MRI Hardware.Journal of clinical medicine · 2024Article
- Surgical planning in virtual reality: a systematic review.Journal of medical imaging (Bellingham, Wash.) · 2024Review
- Extracapsular extension risk assessment using an artificial intelligence prostate cancer mapping algorithm.BJUI compass · 2024Article
- Three-Dimensional Models in Surgery-A Procedural Aid or a Decisional Aid?JAMA network open · 2024Article
- Association between 3D membranous urethral parameters and urinary continence recovery after RARP.European journal of medical research · 2024Article
- A Safe Framework for Quantitative In Vivo Human Evaluation of Image Guidance.IEEE open journal of engineering in medicine and biology · 2024Article
- Prostate volume analysis in image registration for prostate cancer care: a verification study.Physical and engineering sciences in medicine · 2023Article
- Advances in Virtual Cutting Guide and Stereotactic Navigation for Complex Tumor Resections of the Sacrum and Pelvis: Case Series with Short-Term Follow-Up.Bioengineering (Basel, Switzerland) · 2023Article
- A Systematic Review of New Imaging Technologies for Robotic Prostatectomy: From Molecular Imaging to Augmented Reality.Journal of clinical medicine · 2023Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 7 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposePlanning complex operations such as robotic-assisted radical prostatectomy requires surgeons to review 2-dimensional magnetic resonance imaging (MRI) cross-sectional images to understand 3-dimensional (3D), patient-specific anatomy. We sought to determine surgical outcomes for robotic-assisted radical prostatectomy when surgeons reviewed 3D, virtual reality (VR) models for operative planning. MATERIALS AND
methodsA multicenter, randomized, single-blind clinical trial was conducted from January 2019 to December 2020. Patients undergoing robotic-assisted laparoscopic radical prostatectomy were prospectively enrolled and randomized to either a control group undergoing usual preoperative planning with prostate biopsy results and MRI only or to an intervention group where MRI and biopsy results were supplemented with a 3D VR model. The primary outcome measure was margin status, and secondary outcomes were oncologic control, sexual function and urinary function.
resultsNinety-two patients were analyzed, with trends toward lower positive margin rates (33% vs 25%) in the intervention group, no significant difference in functional outcomes and no difference in traditional operative metrics (p >0.05). Detectable postoperative prostate specific antigen was significantly lower in the intervention group (31% vs 9%, p=0.036). In 32% of intervention cases, the surgeons modified their operative plan based on the model. When this subset was compared to the control group, there was a strong trend toward increased bilateral nerve sparing (78% vs 92%), and a significantly lower rate of postoperative detectable prostate specific antigen in the intervention subset (31% vs 0%, p=0.038).
conclusionsThis randomized clinical trial demonstrated patients whose surgical planning involved 3D VR models have better oncologic outcomes while maintaining functional outcomes.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.