3D printed kidney model could be an important educational tool for residents.


Journal

Asian journal of endoscopic surgery
ISSN: 1758-5910
Titre abrégé: Asian J Endosc Surg
Pays: Japan
ID NLM: 101506753

Informations de publication

Date de publication:
Apr 2023
Historique:
revised: 19 09 2022
received: 20 07 2022
accepted: 03 10 2022
medline: 4 4 2023
pubmed: 19 10 2022
entrez: 18 10 2022
Statut: ppublish

Résumé

This study aimed to evaluate whether it is useful for junior physicians to use a three-dimensional (3D) kidney model when evaluating the R.E.N.A.L. nephrometry score. An expert and four urology residents retrospectively evaluated the R.E.N.A.L. nephrometry scores of 64 renal tumors (62 patients) that underwent robot-assisted partial nephrectomy at our hospital. The expert evaluated 64 R.E.N.A.L. nephrometry scores with computed tomography (CT), whereas four residents evaluated 32 cases using CT alone and the other 32 cases using CT and a 3D kidney model. The consistency between the expert and residents was assessed by Cohen's kappa score. Patient-specific 3D kidney models were created in a gird style using a 3D printer based on CT or magnetic resonance imaging of the patient. For all four residents, the accuracy of the overall R.E.N.A.L. nephrometry score was significantly higher with the 3D model and CT than with CT alone (P < .001). Regarding the individual components of the R.E.N.A.L. nephrometry score, the accuracy rates of "E," "N," "A," and "L" scores were higher with the 3D model and CT than with the CT alone (P = .020-.089). Patient-specific 3D-printed kidney models could improve the resident's understanding of the renal tumor complexity and could be an important educational tool for residents.

Identifiants

pubmed: 36254752
doi: 10.1111/ases.13136
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

197-202

Informations de copyright

© 2022 Asia Endosurgery Task Force and Japan Society of Endoscopic Surgery and John Wiley & Sons Australia, Ltd.

Références

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Auteurs

Masahiro Yamazaki (M)

Department of Urology, Jichi Medical University, Shimotuke City, Japan.

Tatsuya Takayama (T)

Department of Urology, International University of Health and Welfare Hospital, Nasushiobara-shi, Japan.

Akifumi Fujita (A)

Department of Radiology, Jichi Medical University, Shimotuke City, Japan.

Tomohiro Kikuchi (T)

Department of Radiology, Jichi Medical University, Shimotuke City, Japan.

Tomoki Kamimura (T)

Department of Radiology, Jichi Medical University, Shimotuke City, Japan.

Hiroaki Myoga (H)

Department of Urology, Jichi Medical University, Shimotuke City, Japan.

Shozaburo Mayumi (S)

Department of Urology, Jichi Medical University, Shimotuke City, Japan.

Kai Yazaki (K)

Department of Urology, Jichi Medical University, Shimotuke City, Japan.

Saki Katano (S)

Department of Urology, Jichi Medical University, Shimotuke City, Japan.

Maiko Komatsubara (M)

Department of Urology, Jichi Medical University, Shimotuke City, Japan.

Jun Kamei (J)

Department of Urology, Jichi Medical University, Shimotuke City, Japan.

Toru Sugihara (T)

Department of Urology, Jichi Medical University, Shimotuke City, Japan.

Satoshi Ando (S)

Department of Urology, Jichi Medical University, Shimotuke City, Japan.

Tetsuya Fujimura (T)

Department of Urology, Jichi Medical University, Shimotuke City, Japan.

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