PMID- 36974360
OWN - NLM
STAT- MEDLINE
DCOM- 20230628
LR  - 20230628
IS  - 1463-1318 (Electronic)
IS  - 1462-8910 (Linking)
VI  - 25
IP  - 6
DP  - 2023 Jun
TI  - Three-dimensional modelling as a novel interactive tool for preoperative planning 
      for complex perianal fistulas in Crohn's disease.
PG  - 1279-1284
LID - 10.1111/codi.16539 [doi]
AB  - AIM: The aim of this study is to demonstrate the added value of three-dimensional 
      (3D) reconstruction models and artificial intelligence for preoperative planning 
      in complex perianal Crohn's disease. MRI is the gold standard for diagnosis of 
      complex perianal fistulas and abscess due to its high sensitivity, but it lacks 
      high specificity values. This creates the need for better diagnostic models such 
      as 3D image processing and reconstruction (3D-IPR) with artificial intelligence 
      (AI) algorithms. METHOD: This is a prospective study evaluating the utility of 3D 
      reconstruction models from MRI in four patients with perineal Crohn's disease 
      (pCD). RESULTS: Four pCD patients had 3D reconstruction models made from pelvic 
      MRI. This provided a more visual representation of perianal disease and made 
      possible location of the internal fistula orifice, seton placement in fistula 
      tracts and abscess drainage. CONCLUSION: Three-dimensional reconstruction in 
      CD-associated complex perianal fistulas can facilitate disease interpretation, 
      anatomy and surgical strategy, potentially improving preoperative planning as 
      well as intraoperative assistance. This could probably result in better surgical 
      outcomes to control perianal sepsis and reduce the number of surgical procedures 
      required in these patients.
CI  - (c) 2023 The Authors. Colorectal Disease published by John Wiley & Sons Ltd on 
      behalf of Association of Coloproctology of Great Britain and Ireland.
FAU - Jeri-McFarlane, Sebastian
AU  - Jeri-McFarlane S
AUID- ORCID: 0000-0003-0319-2872
AD  - Colorectal Unit, General and Digestive Surgery Department, Hospital Universitario 
      Son Espases, Palma de Mallorca, Spain.
FAU - Garcia-Granero, Alvaro
AU  - Garcia-Granero A
AUID- ORCID: 0000-0003-1644-1241
AD  - Colorectal Unit, General and Digestive Surgery Department, Hospital Universitario 
      Son Espases, Palma de Mallorca, Spain.
AD  - Human Embryology and Anatomy Department, University of Islas Baleares, Mallorca, 
      Spain.
FAU - Ochogavia-Segui, Aina
AU  - Ochogavia-Segui A
AUID- ORCID: 0000-0002-1874-7845
AD  - Colorectal Unit, General and Digestive Surgery Department, Hospital Universitario 
      Son Espases, Palma de Mallorca, Spain.
FAU - Pellino, Gianluca
AU  - Pellino G
AUID- ORCID: 0000-0002-8322-6421
AD  - Colorectal Surgery Unit, Vall d'Hebron University Hospital, Universitat Autonoma 
      de Barcelona UAB, Barcelona, Spain.
AD  - Department of Advanced Medical and Surgical Sciences, Universita degli Studi 
      della Campania Luigi Vanvitelli, Naples, Italy.
FAU - Oseira-Reigosa, Anai
AU  - Oseira-Reigosa A
AUID- ORCID: 0000-0002-2234-7705
AD  - Colorectal Unit, General and Digestive Surgery Department, Hospital Universitario 
      Son Espases, Palma de Mallorca, Spain.
FAU - Gil-Catalan, Alejandro
AU  - Gil-Catalan A
AUID- ORCID: 0000-0001-8642-3925
AD  - Colorectal Unit, General and Digestive Surgery Department, Hospital Universitario 
      Son Espases, Palma de Mallorca, Spain.
FAU - Brogi, Leandro
AU  - Brogi L
AD  - Simulation and 3D Reconstruction Area, Hospital Universitario Son Espases, Palma 
      de Mallorca, Spain.
FAU - Ginard-Vicens, Daniel
AU  - Ginard-Vicens D
AD  - Gastroenterology Department, Hospital Universitario Son Espases, Palma de 
      Mallorca, Spain.
FAU - Gamundi-Cuesta, Margarita
AU  - Gamundi-Cuesta M
AD  - Colorectal Unit, General and Digestive Surgery Department, Hospital Universitario 
      Son Espases, Palma de Mallorca, Spain.
FAU - Gonzalez-Argente, Francisco Xavier
AU  - Gonzalez-Argente FX
AUID- ORCID: 0000-0003-0003-9055
AD  - Colorectal Unit, General and Digestive Surgery Department, Hospital Universitario 
      Son Espases, Palma de Mallorca, Spain.
LA  - eng
PT  - Journal Article
DEP - 20230327
PL  - England
TA  - Colorectal Dis
JT  - Colorectal disease : the official journal of the Association of Coloproctology of 
      Great Britain and Ireland
JID - 100883611
SB  - IM
MH  - Humans
MH  - *Crohn Disease/complications/surgery/diagnosis
MH  - Abscess/surgery
MH  - Prospective Studies
MH  - Artificial Intelligence
MH  - *Rectal Fistula/diagnostic imaging/etiology/surgery
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Crohn disease
OT  - artificial intelligence
OT  - rectal fistula
OT  - three-dimensional imaging
EDAT- 2023/03/29 06:00
MHDA- 2023/06/28 06:42
CRDT- 2023/03/28 02:22
PHST- 2022/05/26 00:00 [revised]
PHST- 2022/03/17 00:00 [received]
PHST- 2022/09/04 00:00 [accepted]
PHST- 2023/06/28 06:42 [medline]
PHST- 2023/03/29 06:00 [pubmed]
PHST- 2023/03/28 02:22 [entrez]
AID - 10.1111/codi.16539 [doi]
PST - ppublish
SO  - Colorectal Dis. 2023 Jun;25(6):1279-1284. doi: 10.1111/codi.16539. Epub 2023 Mar 
      27.