Computer-assisted surgery compared to fluoroscopy in curettage of atypical cartilaginous tumors / chondrosarcoma grade 1 in the long bones

PloS One
Jasper G GerbersP C Jutte

Abstract

Fluoroscopy is currently the standard imaging modality for curettage of atypical cartilaginous tumors/chondrosarcoma grade 1 (ACT/CS1). Computer-assisted surgery (CAS) is a possible alternative, offering higher resolution imaging and continuous three-dimensional feedback without ionizing radiation use. CAS hypothetically makes curettage more accurate, thereby decreasing residue or recurrence rate. This study aims to compare CAS and fluoroscopy in curettage of ACT/CS1. A single center retrospective cohort study was performed. CAS and fluoroscopy were used in parallel. Included were patients who had curettage for ACT/CS1in the long bones, with a minimum follow-up of 24 months. Tumor volume was determined on pre-operative MRI scans. Outcome comprised local recurrence rates, residue rates, complications and procedure time. Seventy-seven patients were included, 17 in the CAS cohort, 60 in the fluoroscopy cohort. Tumor volume was significantly larger in the CAS cohort (p = 0.04). There were no recurrences in either group. Residual tumor (2/17 vs. 7/60), complications did not differ significantly: fracture rate (3/17 vs. 6/60); nor did surgical time (1.26h vs. 1.34h). CAS curettage showed good oncologic results. Outcome was comparable...Continue Reading

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Citations

Feb 16, 2019·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Thomas R F van SteenbergenJurgen J Fütterer
Apr 15, 2020·International Journal of Radiation Oncology, Biology, Physics·Mario TerlizziJuliette Thariat

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Methods Mentioned

BETA
X-ray
biopsies
biopsy
dissection
chips

Software Mentioned

Statistical Package for the Social Sciences ( SPSS )
OrthoMap 3D
GD

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