Evidence map›Paper›PMID 40948835›Full record

ReviewTranslational lung cancer research2025

Advancements in 3D lung models for minimally invasive lung cancer surgery: from static to real-time dynamic modeling.

Iris E W G Laven, Aimée J P M Franssen, Lori M van Roozendaal, Juliette H R J Degens, Alex Korsten, Frank R Halfwerk, Amir H Sadeghi, Francesco Guerrera, Karel W E Hulsewé, Yvonne L J Vissers and 1 more

Abstract readReview
In one paragraph

Review in Translational lung cancer research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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

  1. Pooled it
  2. Review
  3. Review
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

11 authors.

Iris E W G LavenDivision of General Thoracic Surgery, Department of Surgery, Zuyderland Medical Center, Heerlen, the Netherlands.ORCID https://orcid.org/0000-0001-8976-5293
Aimée J P M FranssenDivision of General Thoracic Surgery, Department of Surgery, Zuyderland Medical Center, Heerlen, the Netherlands.ORCID https://orcid.org/0000-0001-6399-1663
Lori M van RoozendaalDivision of General Thoracic Surgery, Department of Surgery, Zuyderland Medical Center, Heerlen, the Netherlands.ORCID https://orcid.org/0000-0003-4831-1679
Juliette H R J DegensDepartment of Respiratory Medicine, Zuyderland Medical Center, Sittard-Geleen, the Netherlands.ORCID https://orcid.org/0000-0003-0279-9656
Alex KorstenDepartment of Medical Imaging, Zuyderland Medical Center, Heerlen, the Netherlands.
Frank R HalfwerkDepartment of Cardiothoracic Surgery, Thorax Centrum Twente, Medisch Spectrum Twente, Enschede, the Netherlands.ORCID https://orcid.org/0000-0003-2928-9728
Amir H SadeghiDepartment of Cardiothoracic Surgery, University Medical Center Utrecht, Utrecht, the Netherlands.ORCID https://orcid.org/0000-0002-6118-2341
Francesco GuerreraDepartment of Cardio-Thoracic and Vascular Surgery, Azienda Ospedaliera-Universitaria Città della Salute e della Scienza di Torino, Turin, Italy.ORCID https://orcid.org/0000-0002-4125-4379
Karel W E HulsewéDivision of General Thoracic Surgery, Department of Surgery, Zuyderland Medical Center, Heerlen, the Netherlands.ORCID https://orcid.org/0000-0002-9713-873X
Yvonne L J VissersDivision of General Thoracic Surgery, Department of Surgery, Zuyderland Medical Center, Heerlen, the Netherlands.ORCID https://orcid.org/0000-0002-2890-8390
Erik R de LoosDivision of General Thoracic Surgery, Department of Surgery, Zuyderland Medical Center, Heerlen, the Netherlands.ORCID https://orcid.org/0000-0001-6313-2658

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Three-dimensional (3D) lung models have become a valuable tool in surgical planning and intraoperative navigation by providing detailed visualizations of pulmonary structures (e.g., bronchial tree, pulmonary vasculature, lung parenchyma, and tumor). These models are useful in minimally invasive lung cancer surgery, particularly for more complex segmentectomy procedures, where precise anatomical understanding is important. Enhancing the spatial insight of patient-specific anatomical variations facilitates precise lung nodule localization, supports decision-making regarding the extent of lung resection, and contributes to a smoother surgical procedure and intraoperative efficiency. In contrast to earlier reports that have addressed specific technologies, this review article provides a thorough overview of the advancements in 3D lung modeling, covering various technologies and their clinical applications-from conventional on-screen visualizations to advanced imaging modalities such as virtual reality (VR), augmented reality (AR), mixed reality (MR), and insights into the future of real-time dynamic lung simulations in minimally invasive lung cancer surgery. In addition, this review touches upon the various segmentation methods, such as surface rendering, volume rendering, and artificial intelligence (AI) algorithms, and different types of software programs (i.e., commercial and open-source software programs) for developing these 3D lung models. It emphasizes its practical integration in thoracic surgical practice, highlighting the clinical value in preoperative planning and intraoperative guidance, with evidence showing improved surgical outcomes and reduced surgery duration for both segmentectomy and lobectomy, along with the added value for education, training purposes, and enhanced patient counseling. Evidence should be strengthened through more robust comparative studies evaluating different (advanced) imaging modalities and software programs to demonstrate their cost-effectiveness. Moreover, technical challenges in the integration of these 3D modeling tools must be overcome to limit the need for specialized software and personnel.

Indexed as

augmented reality (AR)lung neoplasmsthree-dimensional imaging (3D imaging)Video-assisted thoracic surgery (VATS)virtual reality (VR)

Identifiers

PMID40948835
PMCPMC12432649

What OpenQuestion holds

Textmetadata
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.