Sistema de Salut de Catalunya
Institut Català de la Salut
[Jeri-McFarlane S, Ochogavía-Seguí A, Oseira-Reigosa A, Gil-Catalan A] Colorectal Unit, General and Digestive Surgery Department, Hospital Universitario Son Espases, Palma de Mallorca, Spain. [García-Granero Á] Colorectal Unit, General and Digestive Surgery Department, Hospital Universitario Son Espases, Palma de Mallorca, Spain. Human Embryology and Anatomy Department, University of Islas Baleares, Mallorca, Spain. [Pellino G] Unitat de Cirurgia de Còlon i Recte, Vall d'Hebron Hospital Universitari, Barcelona, Spain. Universitat Autònoma de Barcelona, Bellaterra, Spain. Department of Advanced Medical and Surgical Sciences, Università degli Studi della Campania Luigi Vanvitelli, Naples, Italy
Vall d'Hebron Barcelona Hospital Campus
2023-06-29T06:28:46Z
2023-06-29T06:28:46Z
2023-06
Crohn disease; Artificial intelligence; Three-dimensional imaging
Enfermedad de Crohn; Inteligencia artificial; Imagen tridimensional
Malaltia de Crohn; Intel·ligència artificial; Imatge tridimensional
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.
Article
Published version
English
Crohn, Malaltia de - Tractament; Fístules; Imatgeria tridimensional en medicina; DISEASES::Digestive System Diseases::Gastrointestinal Diseases::Gastroenteritis::Inflammatory Bowel Diseases::Crohn Disease; Other subheadings::Other subheadings::/therapy; DISEASES::Pathological Conditions, Signs and Symptoms::Pathological Conditions, Anatomical::Fistula::Digestive System Fistula::Intestinal Fistula::Rectal Fistula; ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Diagnosis::Diagnostic Techniques and Procedures::Diagnostic Imaging::Tomography::Magnetic Resonance Imaging; ENFERMEDADES::enfermedades del sistema digestivo::enfermedades gastrointestinales::gastroenteritis::enfermedad inflamatoria intestinal::enfermedad de Crohn; Otros calificadores::Otros calificadores::/terapia; ENFERMEDADES::afecciones patológicas, signos y síntomas::afecciones patológicas anatómicas::fístula::fístula del sistema digestivo::fístula intestinal::fístula rectal; TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::diagnóstico::técnicas y procedimientos diagnósticos::diagnóstico por imagen::tomografía::imagen por resonancia magnética
Wiley
Colorectal Disease;25(6)
https://doi.org/10.1111/codi.16539
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
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