Clinical application of 3D-Slicer + 3D printing guide combined with transcranial neuroendoscopic in minimally invasive neurosurgery

Abstract

To explore the clinical advantages of 3D-Slicer + 3D printing guide combined with transcranial neuroendoscopic in minimally invasive neurosurgery. By collecting the datum of patients who underwent craniotomy under 3D-Slicer + 3D printing guide plate positioning combined with transcranial neuroendoscopic in our hospital from October 2021 to February 2022, this paper introduces the accurate planning and positioning lesions of patients before operation and the minimally invasive operation of intraoperative neuroendoscopic and analyses clinical data such as lesion size and surgical bone window size. We collected the case datum of 16 patients who underwent craniocerebral surgery with 3D-Slicer + 3D printing guide combined with transcranial neuroendoscopic, including 5 males and 11 females, aged 46–76 years, including 6 brain tumors (3 meningiomas, 1 glioblastoma, 2 lung cancer brain metastases), 2 cavernous hemangioma, 7 hydrocephalus and 1 chronic subdural hematoma. The lesions of the 16 patients were located accurately before operation and the target areas were reached quickly during operation. Postoperative imaging datum confirmed that the lesions was removed fully, and the ventricular end of shunt tube was in good position. The technology of 3D-Slicer + 3D printing guide plate combined with transcranial neuroendoscopic is not difficult, which has many advantages such as inexpensive equipment, simple operation, easy learning, accurate positioning, and minimally invasive surgery. It is considered to be a practical technology that is feasible, reliable, convenient for diagnosis, preoperative planning and minimally invasive surgery. It is suitable for promotion in neurosurgery and other surgical departments of all medical institutions.

Application of 3D Printing Positioning Technology in Parasagittal Meningioma Surgery: A Single-center Retrospective Study

“…An article published in 2021, which included 13 patients with meningioma, reported that 3D printing technology was helpful for the accurate location of meningioma before operation 20 . Another article published in 2022 found that 3D slicer + 3D printing guide technology could accurately locate the intracranial lesions, and this study included 6 patients with brain tumors 21 .…”

3D slicer combined with neuroendoscope in treatment of a distal segment aneurysm of the anterior choroidal artery complicated intraventricular hemorrhage: A case report and literature review

“…Transcranial neuroendoscope minimally invasive surgery technology, using the advantages of neuroendoscope such as good light, flexible freedom, and close observation, has natural advantages in intracerebral hemorrhage surgery [ [8] , [9] , [10] ]. It is undoubtedly the best choice to cooperate with our team's newly developed 3D slicer reconstruction and precise positioning system [ 11 , 12 ]. In this case, we preliminarily decided to choose the frontal horn approach of lateral ventricle to clear the intraventricular hematoma according to the cerebral CT results of the patient in the external hospital.…”

“…Transcranial neuroendoscopic minimally invasive surgery has the advantages of good light, flexible freedom, and close observation. Combined with 3D slicer reconstruction and precise positioning system [ 11 , 12 ], it may be a good choice for the treatment of distal terminal artery aneurysms that lack collateral circulation.…”

Exploring the Application of the Artificial-Intelligence-Integrated Platform 3D Slicer in Medical Imaging Education

“…Moreover, it supports extensions, with over a hundred open-source extensions available on the platform. These extensions range from radiomics analysis [10,11] to artificial intelligence (AI)-based automatic organ segmentation for medical image analysis [12,13] and from surgical navigation [14,15] to target delineation [16,17] and dose calculation for radiation therapy clinical tools [18,19]. Its extensive functionality surpasses that of professional workstations utilized in clinical environments [20][21][22][23][24].…”