Evidence map›Paper›PMID 38473404›Full record

ArticleCancers2024

Automatic 3D Augmented-Reality Robot-Assisted Partial Nephrectomy Using Machine Learning: Our Pioneer Experience.

Alberto Piana, Daniele Amparore, Michele Sica, Gabriele Volpi, Enrico Checcucci, Federico Piramide, Sabrina De Cillis, Giovanni Busacca, Gianluca Scarpelli, Flavio Sidoti and 5 more

Abstract read
In one paragraph

Article in Cancers, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

15 authors.

Alberto PianaDivision of Urology, Department of Oncology, School of Medicine, University of Turin, San Luigi Hospital, 10043 Turin, Italy.ORCID 0000-0001-9247-7938
Daniele AmparoreDivision of Urology, Department of Oncology, School of Medicine, University of Turin, San Luigi Hospital, 10043 Turin, Italy.
Michele SicaDepartment of Surgery, Candiolo Cancer Institute FPO-IRCCS, 10060 Turin, Italy.ORCID 0000-0002-4166-1468
Gabriele VolpiDepartment of Surgery, Candiolo Cancer Institute FPO-IRCCS, 10060 Turin, Italy.
Enrico CheccucciDepartment of Surgery, Candiolo Cancer Institute FPO-IRCCS, 10060 Turin, Italy.ORCID 0000-0001-7901-5608
Federico PiramideDivision of Urology, Department of Oncology, School of Medicine, University of Turin, San Luigi Hospital, 10043 Turin, Italy.
Sabrina De CillisDivision of Urology, Department of Oncology, School of Medicine, University of Turin, San Luigi Hospital, 10043 Turin, Italy.
Giovanni BusaccaDivision of Urology, Department of Oncology, School of Medicine, University of Turin, San Luigi Hospital, 10043 Turin, Italy.
Gianluca ScarpelliRomolo Hospital, 88821 Rocca di Neto, Italy.
Flavio SidotiRomolo Hospital, 88821 Rocca di Neto, Italy.
Stefano AlbaRomolo Hospital, 88821 Rocca di Neto, Italy.
Pietro PiazzollaDivision of Urology, Department of Oncology, School of Medicine, University of Turin, San Luigi Hospital, 10043 Turin, Italy.ORCID 0000-0003-2288-8410
Cristian FioriDivision of Urology, Department of Oncology, School of Medicine, University of Turin, San Luigi Hospital, 10043 Turin, Italy.
Francesco PorpigliaDivision of Urology, Department of Oncology, School of Medicine, University of Turin, San Luigi Hospital, 10043 Turin, Italy.ORCID 0000-0001-8567-6795
Michele Di DioDivision of Urology, Department of Surgery, Annunziata Hospital, 87100 Cosenza, Italy.ORCID 0000-0002-3227-5573

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of "Precision Surgery" is to reduce the impact of surgeries on patients' global health. In this context, over the last years, the use of three-dimensional virtual models (3DVMs) of organs has allowed for intraoperative guidance, showing hidden anatomical targets, thus limiting healthy-tissue dissections and subsequent damage during an operation. In order to provide an automatic 3DVM overlapping in the surgical field, we developed and tested a new software, called "ikidney", based on convolutional neural networks (CNNs). From January 2022 to April 2023, patients affected by organ-confined renal masses amenable to RAPN were enrolled. A bioengineer, a software developer, and a surgeon collaborated to create hyper-accurate 3D models for automatic 3D AR-guided RAPN, using CNNs. For each patient, demographic and clinical data were collected. A total of 13 patients were included in the present study. The average anchoring time was 11 (6-13) s. Unintended 3D-model automatic co-registration temporary failures happened in a static setting in one patient, while this happened in one patient in a dynamic setting. There was one failure; in this single case, an ultrasound drop-in probe was used to detect the neoplasm, and the surgery was performed under ultrasound guidance instead of AR guidance. No major intraoperative nor postoperative complications (i.e., Clavien Dindo > 2) were recorded. The employment of AI has unveiled several new scenarios in clinical practice, thanks to its ability to perform specific tasks autonomously. We employed CNNs for an automatic 3DVM overlapping during RAPN, thus improving the accuracy of the superimposition process.

Indexed as

artificial intelligencekidney cancernephron-sparing surgerypartial nephrectomyrenal cell carcinomarobotic surgerythree-dimensional imaging

Identifiers

PMID38473404
PMCPMC10931272

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.