Journal
HEALTHCARE
Volume 11, Issue 19, Pages -Publisher
MDPI
DOI: 10.3390/healthcare11192629
Keywords
giant cell tumor of bone; cryotherapy; augmented reality; preoperative planning
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Giant Cell Tumor of Bone is a highly aggressive benign tumor that can have metastasis. Surgical treatment, although effective, can reduce the quality of life for patients. The use of augmented reality and 3D printing technologies for preoperative planning of cryotherapy probes placement shows promising results, providing surgeons with better understanding of patient anatomy and tumor localization.
Giant Cell Tumor of Bone is a benign tumor with high local aggressive expansion, which, in rare cases, spreads metastasis. Surgical treatment, which often consists of wide curettage to reduce recurrence risk, can lower the quality of life for those affected. Along with aggressive surgery, adjuvant intraoperative techniques have been implemented such as PMMA and cryotherapy. One of the most widely used cryotherapy techniques involves the use of probes to generate ice balls, which have been scientifically shown to have various impacts on the tumor. Although this has been acknowledged, no one has yet tested a way to accurately plan the positioning of cryotherapy probes before surgery, according to the research conducted by the authors. CRIO2AR is a randomized clinical prospective ongoing study by which it will be experimented via preoperative planning of ice probes placement using AR and 3D printing technologies. By studying a single clinical case with these technologies, the surgeon gains better awareness of patient's anatomy and tumor localization. Preliminary results are shown in the article. The first results are confirming that these technologies are applicable in clinical practice. Secondly, preoperative planning is proving to be reliable, easily replicable, and useful for the surgeon.
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