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Porumb (Chifor) I, Leucuta DC, Nigoghossian M, Culic B, Lucaciu PO, Culic C, Badea IC, Leghezeu AN, Nicoara AG, Simu MR. Caries Lesion Assessment Using 3D Virtual Models by Examiners with Different Degrees of Clinical Experience. Medicina (Kaunas) 2023; 59:2157. [PMID: 38138260 PMCID: PMC10744345 DOI: 10.3390/medicina59122157] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/09/2023] [Revised: 12/04/2023] [Accepted: 12/11/2023] [Indexed: 12/24/2023]
Abstract
Background and Objectives: Dental caries is a preventable, reversible disease in its early stages. This study evaluated the intra-rater agreement of International Caries Assessment and Detection System (ICDAS) scores with Medit i500® and Omnicam® scanners versus traditional clinical examinations and the inter-rater agreement using the Omnicam® among senior dentists and dental students and between these two groups. Materials and Methods: A total of 24 patients aged between 21 and 34 years, randomly selected from dental students and interns, underwent four examinations (three intraoral scans and one clinical examination), and the corresponding ICDAS scores were recorded by a randomly selected rater out of the 31 available examiners. The examination team consisted of dental students, dentists with less than 3 years, and dentists with more than 5 years of clinical experience. The following inter- and intra-rater agreement tests for the ordinal data were chosen: Fleiss' kappa coefficient, Cohen's weighted kappa, and inter-class correlations. Results: For all examination techniques, there was statistically significant agreement for the experienced raters (p < 0.05). The highest positive interclass correlation was obtained for inter-rater agreement tests of 288 observations recorded by senior dentists: ICC = 0.969 (95% CI 0.949-0.981). Conclusions: Intra-rater reliability was excellent for Omnicam compared to clinical exams conducted by senior dentists but moderate for Medit i500. Although inter-rater agreement using Omnicam was poor between students and between senior dentists and students, it was excellent among senior dentists.
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Affiliation(s)
- Ioana Porumb (Chifor)
- Department of Preventive Dentistry, Iuliu Hatieganu University of Medicine and Pharmacy, 31 A Iancu Str., 400083 Cluj-Napoca, Romania; (I.C.B.)
- SC Chifor Meddent SRL, 9 Gh Doja Str., 400068 Cluj-Napoca, Romania
| | - Daniel-Corneliu Leucuta
- Department of Medical Informatics and Biostatistics, Iuliu Hatieganu University of Medicine and Pharmacy, 4 Pasteur Str., 400349 Cluj-Napoca, Romania;
| | - Marion Nigoghossian
- Faculty of Dental Medicine, Iuliu Hatieganu University of Medicine and Pharmacy, Avram Iancu Str., No 31, 400083 Cluj-Napoca, Romania; (A.-N.L.); (A.G.N.)
| | - Bogdan Culic
- Dental Propedeutics and Aesthetics Department, Iuliu Hatieganu University of Medicine and Pharmacy, 32 Clinicilor Str., 400006 Cluj-Napoca, Romania;
| | - Patricia Ondine Lucaciu
- Department of Oral Health, Iuliu Hatieganu University of Medicine and Pharmacy, 15 Victor Babes Str., 400012 Cluj-Napoca, Romania;
| | - Carina Culic
- Department of Odontology, Iuliu Hatieganu University of Medicine and Pharmacy, 33 Motilor Str., 400001 Cluj-Napoca, Romania
| | - Iulia Clara Badea
- Department of Preventive Dentistry, Iuliu Hatieganu University of Medicine and Pharmacy, 31 A Iancu Str., 400083 Cluj-Napoca, Romania; (I.C.B.)
| | - Alexa-Nicole Leghezeu
- Faculty of Dental Medicine, Iuliu Hatieganu University of Medicine and Pharmacy, Avram Iancu Str., No 31, 400083 Cluj-Napoca, Romania; (A.-N.L.); (A.G.N.)
| | - Andra Gabriela Nicoara
- Faculty of Dental Medicine, Iuliu Hatieganu University of Medicine and Pharmacy, Avram Iancu Str., No 31, 400083 Cluj-Napoca, Romania; (A.-N.L.); (A.G.N.)
| | - Meda-Romana Simu
- Department of Pediatric Dentistry, Iuliu Hatieganu University of Medicine and Pharmacy, 400083 Cluj-Napoca, Romania;
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Della Corte M, Cerchia E, Oderda M, Quarello P, Fagioli F, Gontero P, Gerocarni Nappo S. Prechemotherapy Transperitoneal Robotic-Assisted Partial Nephrectomy (RAPN) for a Wilms Tumor: Surgical and Oncological Outcomes in a Four-Year-Old Patient. Pediatr Rep 2023; 15:560-570. [PMID: 37755411 PMCID: PMC10534699 DOI: 10.3390/pediatric15030051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/06/2023] [Revised: 09/19/2023] [Accepted: 09/20/2023] [Indexed: 09/28/2023] Open
Abstract
BACKGROUND Wilms tumor (WT) is the most frequent renal tumor in children. The SIOP-UMBRELLA Guidelines allow for nephron-sparing surgery (NSS) in syndromic patients, as well as in cases of small (<300 mL) non-syndromic unilateral WTs, without lymph node involvement, and with a substantial expected remnant renal function, following neoadjuvant chemotherapy. We present a case of prechemotherapy transperitoneal robot-assisted partial nephrectomy (RAPN) for a unilateral, non-syndromic Wilms tumor. METHODS A four-year-old child presented with a solid mass measuring 3.6 cm in diameter involving the upper right renal pole, incidentally detected during an abdominal echotomography. CT scan and abdominal MRI revealed no local infiltration or lymph node involvement, suggesting that the exophytic mass could be easily resected via an NSS robotic approach. Preoperative imaging did not strongly suggest WT. A virtual 3D reconstruction of the tumor was performed. RESULTS After the oncologic board approval, a robot-assisted partial nephrectomy with an intraperitoneal approach was performed. Histopathological analysis confirmed the diagnosis of WT. The patient subsequently received 10 doses of vincristine as adjuvant chemotherapy. A 28-month follow-up showed no tumor recurrence. CONCLUSIONS Intraperitoneal RAPN may be an option for selected WT and warrants consideration as a challenging but advantageous approach.
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Affiliation(s)
- Marcello Della Corte
- Division of Urology, Department of Oncology, School of Medicine, San Luigi Gonzaga Hospital, University of Turin, Regione Gonzole 10, 10043 Orbassano, Italy
- Division of Pediatric Urology, Regina Margherita Hospital, 10126 Turin, Italy
| | - Elisa Cerchia
- Division of Pediatric Urology, Regina Margherita Hospital, 10126 Turin, Italy
| | - Marco Oderda
- Department of Urology, Città della Salute e della Scienza, Molinette University Hospital, Corso Bramante 88, 10126 Turin, Italy
| | - Paola Quarello
- Division of Onco-Hematology, Department of Pediatrics and Pediatric Specialties, Regina Margherita Children Hospital, 10126 Turin, Italy
| | - Franca Fagioli
- Division of Onco-Hematology, Department of Pediatrics and Pediatric Specialties, Regina Margherita Children Hospital, 10126 Turin, Italy
| | - Paolo Gontero
- Department of Urology, Città della Salute e della Scienza, Molinette University Hospital, Corso Bramante 88, 10126 Turin, Italy
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Elbashti M, Aswehlee A, Nguyen CT, Ella B, Naveau A. Technical Protocol for Presenting Maxillofacial Prosthetics Concepts to Dental Students using Interactive 3D Virtual Models within a Portable Document Format. J Prosthodont 2020; 29:546-549. [PMID: 32536004 DOI: 10.1111/jopr.13210] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2020] [Revised: 06/07/2020] [Accepted: 06/08/2020] [Indexed: 11/29/2022] Open
Abstract
An appropriate presentation of maxillofacial defects and their prosthetic rehabilitation concepts using traditional two-dimensional educational materials is challenging for dental students and prosthodontics residents. This technique article introduces a simple approach to visualize and communicate three-dimensional (3D) virtual models embedded into a portable document format (PDF) file for presenting maxillofacial prosthetics concepts and enhancing students' spatial ability when learning maxillofacial prosthetics. MeVisLab software was used to combine various maxillofacial models and save them as a single 3D model. Adobe Acrobat Pro DC software was used to import the 3D model and create interactive visualization PDF documents. Adobe reader software was then used to visualize the content of the PDF documents. This approach allows educators to develop PDF files with multiple 3D models for teaching maxillofacial prosthetics concepts and communicate them with their students. Students can simply open the PDF file, activate the 3D mode, and interactively manipulate the 3D models to enhance their spatial ability for learning maxillofacial prosthetics.
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Affiliation(s)
- Mahmoud Elbashti
- Department of Maxillofacial Prosthetics, Graduate School, Tokyo Medical and Dental University, Tokyo, Japan.,Laboratory of Bioengineering of Tissues (BioTis), INSERM U1026, University of Bordeaux, Bordeaux, France
| | - Amel Aswehlee
- Department of Dental Technology, University of Tripoli, Tripoli, Libya
| | - Caroline Tram Nguyen
- Department of Oral Health Sciences, Faculty of Dentistry, University of British Columbia, Vancouver, BC, Canada.,Department of Dentistry and Oral Oncology, British Columbia Cancer, Vancouver, BC, Canada
| | - Bruno Ella
- Oral Surgery Department, School of Surgery, Bordeaux University Hospital, Bordeaux, France
| | - Adrien Naveau
- Prosthodontics Department, School of Dentistry, University of Bordeaux, Bordeaux, France
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Ooms J, Minet M, Daemen J, Van Mieghem N. Pre-procedural planning of transcatheter mitral valve replacement in mitral stenosis with multi-detector tomography-derived 3D modeling and printing: a case report. Eur Heart J Case Rep 2020; 4:1-6. [PMID: 32617498 PMCID: PMC7319843 DOI: 10.1093/ehjcr/ytaa098] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2019] [Revised: 01/14/2020] [Accepted: 04/01/2020] [Indexed: 11/30/2022]
Abstract
Background Transcatheter mitral valve replacement (TMVR) may be a valuable treatment option for mitral annular calcification and severe mitral stenosis (MS) in patients at high operative risk. Pre-procedural virtual and printed simulations may aid in procedure planning, device sizing, and mitigate complications such as valve embolization or left ventricular outflow tract (LVOT) obstruction. Case summary We describe a case of TMVR in which multi-detector computed tomography (MDCT) derived, three-dimensional virtual planning and a 3D-printed model of the patients’ left heart provided enhanced understanding of an individual patient’s unique anatomy to determine feasibility, device sizing, and risk stratification. This resulted in deployment of an adequately sized valve. Post-TMVR LVOT obstruction was treated with LVOT balloon dilatation and percutaneous transluminal septal myocardial ablation. Discussion Advanced MDCT-derived planning techniques introduce consistent 3D modeling and printing to enhance understanding of intracardiac anatomical relationships and test device implantation. Still, static measurements do not feature haemodynamic factors, tissue, or device characteristics and do not predict device host interaction. Transcatheter mitral valve replacement is feasible in MS when adequately pre-procedurally planned. Multi-detector computed tomography-derived, 3D, virtual and printed models contribute to adequate planning in terms of determining patient eligibility, procedure feasibility, and device sizing. However, static 3D modeling cannot completely eliminate the risk of peri-procedural complications.
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Affiliation(s)
- Joris Ooms
- Department of Interventional Cardiology, Thoraxcenter, Erasmus University Medical Center, Rotterdam, The Netherlands
| | - Magali Minet
- Materialise NV, Materialise Medical, Technologielaan 15, 3001 Leuven, Belgium
| | - Joost Daemen
- Department of Interventional Cardiology, Thoraxcenter, Erasmus University Medical Center, Rotterdam, The Netherlands
| | - Nicolas Van Mieghem
- Department of Interventional Cardiology, Thoraxcenter, Erasmus University Medical Center, Rotterdam, The Netherlands
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Cui D, Wilson TD, Rockhold RW, Lehman MN, Lynch JC. Evaluation of the effectiveness of 3D vascular stereoscopic models in anatomy instruction for first year medical students. Anat Sci Educ 2017; 10:34-45. [PMID: 27273896 DOI: 10.1002/ase.1626] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/02/2015] [Revised: 05/04/2016] [Accepted: 05/04/2016] [Indexed: 05/26/2023]
Abstract
The head and neck region is one of the most complex areas featured in the medical gross anatomy curriculum. The effectiveness of using three-dimensional (3D) models to teach anatomy is a topic of much discussion in medical education research. However, the use of 3D stereoscopic models of the head and neck circulation in anatomy education has not been previously studied in detail. This study investigated whether 3D stereoscopic models created from computed tomographic angiography (CTA) data were efficacious teaching tools for the head and neck vascular anatomy. The test subjects were first year medical students at the University of Mississippi Medical Center. The assessment tools included: anatomy knowledge tests (prelearning session knowledge test and postlearning session knowledge test), mental rotation tests (spatial ability; presession MRT and postsession MRT), and a satisfaction survey. Results were analyzed using a Wilcoxon rank-sum test and linear regression analysis. A total of 39 first year medical students participated in the study. The results indicated that all students who were exposed to the stereoscopic 3D vascular models in 3D learning sessions increased their ability to correctly identify the head and neck vascular anatomy. Most importantly, for students with low-spatial ability, 3D learning sessions improved postsession knowledge scores to a level comparable to that demonstrated by students with high-spatial ability indicating that the use of 3D stereoscopic models may be particularly valuable to these students with low-spatial ability. Anat Sci Educ 10: 34-45. © 2016 American Association of Anatomists.
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Affiliation(s)
- Dongmei Cui
- Department of Neurobiology and Anatomical Sciences, University of Mississippi Medical Center, Jackson, Mississippi
| | - Timothy D Wilson
- Schulich School of Medicine and Dentistry, Department of Anatomy and Cell Biology, Western University, London, Ontario, Canada
- Corps for Research of Instructional and Perceptual Technologies (CRIPT), Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada
| | - Robin W Rockhold
- Department of Pharmacology and Toxicology, and Health Sciences, University of Mississippi Medical Center, Jackson, Mississippi
| | - Michael N Lehman
- Department of Neurobiology and Anatomical Sciences, University of Mississippi Medical Center, Jackson, Mississippi
| | - James C Lynch
- Department of Neurobiology and Anatomical Sciences, University of Mississippi Medical Center, Jackson, Mississippi
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Cui D, Lynch JC, Smith AD, Wilson TD, Lehman MN. Stereoscopic vascular models of the head and neck: A computed tomography angiography visualization. Anat Sci Educ 2016; 9:179-85. [PMID: 25929248 DOI: 10.1002/ase.1537] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/05/2015] [Revised: 04/10/2015] [Accepted: 04/12/2015] [Indexed: 05/26/2023]
Abstract
Computer-assisted 3D models are used in some medical and allied health science schools; however, they are often limited to online use and 2D flat screen-based imaging. Few schools take advantage of 3D stereoscopic learning tools in anatomy education and clinically relevant anatomical variations when teaching anatomy. A new approach to teaching anatomy includes use of computed tomography angiography (CTA) images of the head and neck to create clinically relevant 3D stereoscopic virtual models. These high resolution images of the arteries can be used in unique and innovative ways to create 3D virtual models of the vasculature as a tool for teaching anatomy. Blood vessel 3D models are presented stereoscopically in a virtual reality environment, can be rotated 360° in all axes, and magnified according to need. In addition, flexible views of internal structures are possible. Images are displayed in a stereoscopic mode, and students view images in a small theater-like classroom while wearing polarized 3D glasses. Reconstructed 3D models enable students to visualize vascular structures with clinically relevant anatomical variations in the head and neck and appreciate spatial relationships among the blood vessels, the skull and the skin.
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Affiliation(s)
- Dongmei Cui
- Department of Neurobiology and Anatomical Sciences, University of Mississippi Medical Center, Jackson, Mississippi
| | - James C Lynch
- Department of Neurobiology and Anatomical Sciences, University of Mississippi Medical Center, Jackson, Mississippi
| | - Andrew D Smith
- Department of Radiology, University of Mississippi Medical Center, Jackson, Mississippi
| | - Timothy D Wilson
- Department of Anatomy and Cell Biology, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada
- Corps for Research of Instructional and Perceptual Technologies (CRIPT), Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada
| | - Michael N Lehman
- Department of Neurobiology and Anatomical Sciences, University of Mississippi Medical Center, Jackson, Mississippi
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