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Computer-assisted surgical planning and intraoperative guidance in fetal surgery: a systematic review

Research output: Contribution to journalReview article

Rosalind Pratt, Jan Deprest, Tom Vercauteren, Sebastien Ourselin, Anna L. David

Original languageEnglish
Pages (from-to)1159-1166
Number of pages8
JournalPrenatal Diagnosis
Volume35
Issue number12
Early online date31 Jul 2015
DOIs
Publication statusPublished - 1 Dec 2015

King's Authors

Abstract

Fetal surgery has become a clinical reality, with interventions for twin-to-twin transfusion syndrome (TTTS) and spina bifida demonstrated to improve outcome. Fetal imaging is evolving, with the use of 3D ultrasound and fetal MRI becoming more common in clinical practise. Medical imaging analysis is also changing, with technology being developed to assist surgeons by creating 3D virtual models that improve understanding of complex anatomy, and prove powerful tools in surgical planning and intraoperative guidance. We introduce the concept of computer-assisted surgical planning, and present the results of a systematic review of image reconstruction for fetal surgical planning that identified six articles using such technology. Indications from other specialities suggest a benefit of surgical planning and guidance to improve outcomes. There is therefore an urgent need to develop fetal-specific technology in order to improve fetal surgical outcome.

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