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100 1 _ |a Darr, Christopher
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245 _ _ |a Three-dimensional Magnetic Resonance Imaging-based Printed Models of Prostate Anatomy and Targeted Biopsy-proven Index Tumor to Facilitate Patient-tailored Radical Prostatectomy-A Feasibility Study.
260 _ _ |a Amsterdam
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500 _ _ |a Volume 5, Issue 3, June 2022, Pages 357-361
520 _ _ |a In this prospective single-center feasibility study, we demonstrate that the use of three-dimensional (3D)-printed prostate models support nerve-sparing radical prostatectomy (RP) and intraoperative frozen sectioning (IFS) in ten men suffering from intermediate- and high-risk prostate cancer (PC), of whom seven harbored pT3 disease. Patient-specific 3D resin models were printed based on preoperative multiparametric magnetic resonance imaging (mpMRI) to provide an exact 3D impression of significant tumor lesions. RP and IFS were planned in a patient-tailored fashion. The 36-region Prostate Imaging Reporting and Data System (PI-RADS) v2.0 scheme was used to compare the MRI/3D print with whole-mount histopathology. In all cases, localization of the index lesion was correctly displayed by MRI and the 3D model. Localization of significant PC lesions correlated significantly (Pearson`s correlation coefficient of 0.88; p <  0.001). In addition, a significant correlation of the width, length, and volume of the tumor and prostate gland, derived from the printed model and histopathology, was found, using Pearson's correlation analyses and Bland-Altman plots. In conclusion, 3D-printed prostate models correlate well with final pathology and can be used to tailor RP. PATIENT SUMMARY: The use of three-dimensional (3D)-printed prostate models based on preoperative magnetic resonance imaging (MRI) may improve prostatectomy outcome. This study confirmed the accuracy of 3D-printed prostates compared with pathology from radical prostatectomy specimens. Thus, MRI-derived 3D-printed prostate models can assist in prostate cancer surgery.
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700 1 _ |a Finis, Friederike
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700 1 _ |a Wiesenfarth, Manuel
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700 1 _ |a Giganti, Francesco
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700 1 _ |a Tschirdewahn, Stephan
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700 1 _ |a Krafft, Ulrich
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700 1 _ |a Kesch, Claudia
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700 1 _ |a Bonekamp, David
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700 1 _ |a Forsting, Michael
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700 1 _ |a Wetter, Axel
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700 1 _ |a Reis, Henning
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700 1 _ |a Hadaschik, Boris A
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700 1 _ |a Haubold, Johannes
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700 1 _ |a Radtke, Jan Philipp
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