Modern Imaging Guidelines for 3-D Modeling of Pediatric Solid Tumors: A New Era of Surgical Oncology Operative Planning
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- National guidelines establish 12 recommendations for 3D modeling in pediatric solid tumor surgery, divided into imaging acquisition and viewing techniques.
- High consensus achieved on imaging acquisition parameters: optimize resolution, use contrast appropriately, and maintain low noise index.
- Moderate agreement on processing guidelines (segmentation, display) reflects varying expertise levels; consensus expected to improve with wider adoption.
- 3D modeling represents an evolving standard for operative planning in pediatric oncology as technology and clinical experience advance.
- Guidelines aim to standardize practice across institutions, improving surgical planning consistency for complex pediatric tumor cases.
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Do you use 3D modeling for operative planning for your pediatric patients with solid tumors? I'm Jill Knerath with Stay Current MD, and this is an article you should know. Abramson et al. published national recommendations for 3D modeling based on literature and experts in the field. They came up with 12. Guidelines that could be separated into two groups imaging acquisition and viewing techniques. Image acquisition guidelines were highly agreed upon. These included things such as optimizing resolution, contrast use, and using a low noise index. Most processing guidelines were moderately agreed upon. And included things such as segmentation and display recommendations. The authors propose that this variability in agreement is likely due to differences in experiences and expertise in 3D modeling. However, as this modality is more widely accepted, experience will improve as well. We can agree that technology continues to advance, and that includes 3D modeling. Will you be adopting it into your practice, or maybe you already have?