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D’Arienzo A, Scognamiglio B, Campo FR, Cosseddu F, Ruinato DA, Ipponi E, Carbone M, Condino S, Ferrari V, Andreani L, Capanna R, Parchi PD. Preliminary Results of Preoperative Planning Using 3D Printing and Augmented Reality in Cryotherapy Treatment of Giant Cell Tumor of Bone-CRIO2AR Project. Healthcare (Basel) 2023; 11:2629. [PMID: 37830669 PMCID: PMC10572172 DOI: 10.3390/healthcare11192629] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2023] [Revised: 09/20/2023] [Accepted: 09/25/2023] [Indexed: 10/14/2023] Open
Abstract
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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Affiliation(s)
- Antonio D’Arienzo
- Department of Orthopedics and Trauma Surgery, University of Pisa, 56124 Pisa, Italy; (A.D.); (F.R.C.); (F.C.); (D.A.R.); (E.I.); (L.A.); (R.C.); (P.D.P.)
| | - Branimir Scognamiglio
- Department of Orthopedics and Trauma Surgery, University of Pisa, 56124 Pisa, Italy; (A.D.); (F.R.C.); (F.C.); (D.A.R.); (E.I.); (L.A.); (R.C.); (P.D.P.)
| | - Francesco Rosario Campo
- Department of Orthopedics and Trauma Surgery, University of Pisa, 56124 Pisa, Italy; (A.D.); (F.R.C.); (F.C.); (D.A.R.); (E.I.); (L.A.); (R.C.); (P.D.P.)
| | - Fabio Cosseddu
- Department of Orthopedics and Trauma Surgery, University of Pisa, 56124 Pisa, Italy; (A.D.); (F.R.C.); (F.C.); (D.A.R.); (E.I.); (L.A.); (R.C.); (P.D.P.)
| | - Damiano Alfio Ruinato
- Department of Orthopedics and Trauma Surgery, University of Pisa, 56124 Pisa, Italy; (A.D.); (F.R.C.); (F.C.); (D.A.R.); (E.I.); (L.A.); (R.C.); (P.D.P.)
| | - Edoardo Ipponi
- Department of Orthopedics and Trauma Surgery, University of Pisa, 56124 Pisa, Italy; (A.D.); (F.R.C.); (F.C.); (D.A.R.); (E.I.); (L.A.); (R.C.); (P.D.P.)
| | - Marina Carbone
- Department of Information Engineering, University of Pisa, 56124 Pisa, Italy; (M.C.); (S.C.); (V.F.)
- EndoCAS Center, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, 56124 Pisa, Italy
| | - Sara Condino
- Department of Information Engineering, University of Pisa, 56124 Pisa, Italy; (M.C.); (S.C.); (V.F.)
- EndoCAS Center, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, 56124 Pisa, Italy
| | - Vincenzo Ferrari
- Department of Information Engineering, University of Pisa, 56124 Pisa, Italy; (M.C.); (S.C.); (V.F.)
- EndoCAS Center, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, 56124 Pisa, Italy
| | - Lorenzo Andreani
- Department of Orthopedics and Trauma Surgery, University of Pisa, 56124 Pisa, Italy; (A.D.); (F.R.C.); (F.C.); (D.A.R.); (E.I.); (L.A.); (R.C.); (P.D.P.)
| | - Rodolfo Capanna
- Department of Orthopedics and Trauma Surgery, University of Pisa, 56124 Pisa, Italy; (A.D.); (F.R.C.); (F.C.); (D.A.R.); (E.I.); (L.A.); (R.C.); (P.D.P.)
| | - Paolo Domenico Parchi
- Department of Orthopedics and Trauma Surgery, University of Pisa, 56124 Pisa, Italy; (A.D.); (F.R.C.); (F.C.); (D.A.R.); (E.I.); (L.A.); (R.C.); (P.D.P.)
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