Use of modern three‐dimensional imaging models to guide surgical planning for local control of pediatric extracranial solid tumors

• Published in: Pediatric blood & cancer 2024-05, Vol.71 (5), p.e30933-n/a
• Main Authors: Shah, Nikhil R., Weadock, William J., Williams, Keyonna M., Moreci, Rebecca, Stoll, Tammy, Joshi, Aparna, Petroze, Robin, Geiger, James, Newman, Erika A.
• Format: Article
• Language: English
• Subjects: 3D modeling; 3D printing; Computed tomography; Ewing's sarcoma; Ewings sarcoma; Image processing; Magnetic resonance imaging; Oncology; Osteosarcoma; Patients; pediatric surgery; pediatric surgical oncology; Pediatrics; Printing; Solid tumors; surgical planning; Synovial sarcoma
• ISSN: 1545-5009; 1545-5017; 1545-5017
• DOI: 10.1002/pbc.30933

Introduction In complex pediatric surgical oncology, surgical planning is contingent upon data gathered from preoperative imaging. Three‐dimensional (3D) modeling and printing has been shown to be beneficial for adult presurgical planning, though pediatric literature is less robust. The study reviews our institutional experience with the use of 3D image segmentation and printed models in approaching resection of extracranial solid tumors in children. Methods This is a single institutional series from 2021 to 2023. Models were based on computed tomography and magnetic resonance imaging studies, optimized for 3D imaging. The feasibility and creation of the models is reviewed, including specific techniques, software, and printing materials from our institution. Clinical implications for surgical planning are also described, along with detailed preoperative and intraoperative images. Results 3D modeling and printing was performed for four pediatric patients diagnosed with extracranial solid tumors. Diagnoses included Ewing sarcoma, hepatoblastoma, synovial sarcoma, and osteosarcoma. No intraoperative complications or discrepancies with the preoperative 3D‐printed model were noted. No evidence of local recurrence was identified in any patient thus far. Conclusion Our institutional series demonstrates a wide spectrum of clinical application for 3D modeling and printing technology within pediatric surgical oncology. This technology may aid in surgical planning for both resection and reconstruction, can be applied to a diverse breadth of diagnoses, and may potentially augment patient and/or family education about their condition.