Three‐dimensional printed surgical guides for keratoma removal in horses using computed tomography or magnetic resonance imaging‐based segmentation
Objective To report the technique, surgical approach, and postoperative features in horses treated via a 3‐dimensional (3D) printed guide‐assisted keratoma resection created using computed tomography (CT) or magnetic resonance imaging (MRI)‐based segmentation. Animals Five client‐owned horses. Study...
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Veröffentlicht in: | Veterinary surgery 2022-07, Vol.51 (S1), p.O43-O52 |
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creator | Biedrzycki, Adam H Morton, Alison J Perez‐Jimenez, Erik E Elane, George L Roe, Heather A Trolinger‐Meadows, Kimberly D |
description | Objective
To report the technique, surgical approach, and postoperative features in horses treated via a 3‐dimensional (3D) printed guide‐assisted keratoma resection created using computed tomography (CT) or magnetic resonance imaging (MRI)‐based segmentation.
Animals
Five client‐owned horses.
Study design
Short case series.
Methods
Horses were placed under general anesthesia for imaging (CT and MRI) and underwent a second anesthesia for surgery. Two horses had guides created from CT‐based imaging, 3 horses had guides created from MRI. Various sized nonarbored hole saws were used to create accurate and precise portals for keratoma removal. Surgical sites were managed until keratinized granulation tissue had formed and the defect was sealed with an artificial hoof wall patch.
Results
All keratomas were successfully removed as a single piece either intact with the hoof wall or easily extracted after the hoof wall portal was created in a surgical time between 20 and 90 min. All CT created guides fitted without issue; MRI‐created guides required minor adjustments with a rotary device for proper fit. All cases had minor debridement adjacent to P3 and circumferential lamellar tissue. All horses returned to previous level of performance 2 to 4 months postoperatively.
Conclusion
Use of 3D printed guides led to accurate targeting of keratomas with small surgical portals and short surgical times. Due to challenges with MRI‐based segmentation, CT is preferred. |
doi_str_mv | 10.1111/vsu.13786 |
format | Article |
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To report the technique, surgical approach, and postoperative features in horses treated via a 3‐dimensional (3D) printed guide‐assisted keratoma resection created using computed tomography (CT) or magnetic resonance imaging (MRI)‐based segmentation.
Animals
Five client‐owned horses.
Study design
Short case series.
Methods
Horses were placed under general anesthesia for imaging (CT and MRI) and underwent a second anesthesia for surgery. Two horses had guides created from CT‐based imaging, 3 horses had guides created from MRI. Various sized nonarbored hole saws were used to create accurate and precise portals for keratoma removal. Surgical sites were managed until keratinized granulation tissue had formed and the defect was sealed with an artificial hoof wall patch.
Results
All keratomas were successfully removed as a single piece either intact with the hoof wall or easily extracted after the hoof wall portal was created in a surgical time between 20 and 90 min. All CT created guides fitted without issue; MRI‐created guides required minor adjustments with a rotary device for proper fit. All cases had minor debridement adjacent to P3 and circumferential lamellar tissue. All horses returned to previous level of performance 2 to 4 months postoperatively.
Conclusion
Use of 3D printed guides led to accurate targeting of keratomas with small surgical portals and short surgical times. Due to challenges with MRI‐based segmentation, CT is preferred.</description><identifier>ISSN: 0161-3499</identifier><identifier>EISSN: 1532-950X</identifier><identifier>DOI: 10.1111/vsu.13786</identifier><identifier>PMID: 35225367</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley & Sons, Inc</publisher><subject>Anesthesia ; Computed tomography ; Granulation ; Hoof ; Horses ; Image processing ; Image segmentation ; Magnetic resonance imaging ; Medical imaging ; Resonance ; Saws ; Surgical instruments ; Three dimensional printing ; Tomography</subject><ispartof>Veterinary surgery, 2022-07, Vol.51 (S1), p.O43-O52</ispartof><rights>2022 American College of Veterinary Surgeons.</rights><rights>2022 The American College of Veterinary Surgeons</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3206-87089833854122f84afd9d88877abc381223648cf42c19a0647bbcac4eed1ce93</citedby><cites>FETCH-LOGICAL-c3206-87089833854122f84afd9d88877abc381223648cf42c19a0647bbcac4eed1ce93</cites><orcidid>0000-0003-0122-2564 ; 0000-0001-7750-3640 ; 0000-0002-0549-3452 ; 0000-0001-7335-7623</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fvsu.13786$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fvsu.13786$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35225367$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Biedrzycki, Adam H</creatorcontrib><creatorcontrib>Morton, Alison J</creatorcontrib><creatorcontrib>Perez‐Jimenez, Erik E</creatorcontrib><creatorcontrib>Elane, George L</creatorcontrib><creatorcontrib>Roe, Heather A</creatorcontrib><creatorcontrib>Trolinger‐Meadows, Kimberly D</creatorcontrib><title>Three‐dimensional printed surgical guides for keratoma removal in horses using computed tomography or magnetic resonance imaging‐based segmentation</title><title>Veterinary surgery</title><addtitle>Vet Surg</addtitle><description>Objective
To report the technique, surgical approach, and postoperative features in horses treated via a 3‐dimensional (3D) printed guide‐assisted keratoma resection created using computed tomography (CT) or magnetic resonance imaging (MRI)‐based segmentation.
Animals
Five client‐owned horses.
Study design
Short case series.
Methods
Horses were placed under general anesthesia for imaging (CT and MRI) and underwent a second anesthesia for surgery. Two horses had guides created from CT‐based imaging, 3 horses had guides created from MRI. Various sized nonarbored hole saws were used to create accurate and precise portals for keratoma removal. Surgical sites were managed until keratinized granulation tissue had formed and the defect was sealed with an artificial hoof wall patch.
Results
All keratomas were successfully removed as a single piece either intact with the hoof wall or easily extracted after the hoof wall portal was created in a surgical time between 20 and 90 min. All CT created guides fitted without issue; MRI‐created guides required minor adjustments with a rotary device for proper fit. All cases had minor debridement adjacent to P3 and circumferential lamellar tissue. All horses returned to previous level of performance 2 to 4 months postoperatively.
Conclusion
Use of 3D printed guides led to accurate targeting of keratomas with small surgical portals and short surgical times. Due to challenges with MRI‐based segmentation, CT is preferred.</description><subject>Anesthesia</subject><subject>Computed tomography</subject><subject>Granulation</subject><subject>Hoof</subject><subject>Horses</subject><subject>Image processing</subject><subject>Image segmentation</subject><subject>Magnetic resonance imaging</subject><subject>Medical imaging</subject><subject>Resonance</subject><subject>Saws</subject><subject>Surgical instruments</subject><subject>Three dimensional printing</subject><subject>Tomography</subject><issn>0161-3499</issn><issn>1532-950X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNp1kc9O3DAQxq2qCLbAoS9QWeqph4D_JbGPFaKAhMQBtuotcpxJ1nQTb-2Eam99BG68X5-EWXbhhi-WZn7f941mCPnM2QnHd_qQphMuS118IDOeS5GZnP36SGaMFzyTypgD8imle8aYUUrukwOZC5HLopyRp7tFBPj_77HxPQzJh8Eu6Sr6YYSGpil23mGhm3wDibYh0t8Q7Rh6SyP04QF7fqCLEBO2p-SHjrrQr6aNGqnQRbtarCnqetsNMHqHuoQhgwPqsYYKDK9t2sRBhzOMdsQpjshea5cJjnf_IZn_OL87u8yuby6uzr5fZ04KVmS6ZNpoKXWuuBCtVrZtTKO1LktbO6mxKAulXauE48ayQpV17axTAA13YOQh-br1XcXwZ4I0VvdhiriEVInCIC7LXCD1bUu5GFKK0Fa4ot7GdcVZtTlBhSeoXk6A7Jed41T30LyRrztH4HQL_PVLWL_vVP28nW8tnwFJmpZu</recordid><startdate>202207</startdate><enddate>202207</enddate><creator>Biedrzycki, Adam H</creator><creator>Morton, Alison J</creator><creator>Perez‐Jimenez, Erik E</creator><creator>Elane, George L</creator><creator>Roe, Heather A</creator><creator>Trolinger‐Meadows, Kimberly D</creator><general>John Wiley & Sons, Inc</general><general>Blackwell Publishing Ltd</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8FD</scope><scope>FR3</scope><scope>M7Z</scope><scope>P64</scope><orcidid>https://orcid.org/0000-0003-0122-2564</orcidid><orcidid>https://orcid.org/0000-0001-7750-3640</orcidid><orcidid>https://orcid.org/0000-0002-0549-3452</orcidid><orcidid>https://orcid.org/0000-0001-7335-7623</orcidid></search><sort><creationdate>202207</creationdate><title>Three‐dimensional printed surgical guides for keratoma removal in horses using computed tomography or magnetic resonance imaging‐based segmentation</title><author>Biedrzycki, Adam H ; Morton, Alison J ; Perez‐Jimenez, Erik E ; Elane, George L ; Roe, Heather A ; Trolinger‐Meadows, Kimberly D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3206-87089833854122f84afd9d88877abc381223648cf42c19a0647bbcac4eed1ce93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Anesthesia</topic><topic>Computed tomography</topic><topic>Granulation</topic><topic>Hoof</topic><topic>Horses</topic><topic>Image processing</topic><topic>Image segmentation</topic><topic>Magnetic resonance imaging</topic><topic>Medical imaging</topic><topic>Resonance</topic><topic>Saws</topic><topic>Surgical instruments</topic><topic>Three dimensional printing</topic><topic>Tomography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Biedrzycki, Adam H</creatorcontrib><creatorcontrib>Morton, Alison J</creatorcontrib><creatorcontrib>Perez‐Jimenez, Erik E</creatorcontrib><creatorcontrib>Elane, George L</creatorcontrib><creatorcontrib>Roe, Heather A</creatorcontrib><creatorcontrib>Trolinger‐Meadows, Kimberly D</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biochemistry Abstracts 1</collection><collection>Biotechnology and BioEngineering Abstracts</collection><jtitle>Veterinary surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Biedrzycki, Adam H</au><au>Morton, Alison J</au><au>Perez‐Jimenez, Erik E</au><au>Elane, George L</au><au>Roe, Heather A</au><au>Trolinger‐Meadows, Kimberly D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Three‐dimensional printed surgical guides for keratoma removal in horses using computed tomography or magnetic resonance imaging‐based segmentation</atitle><jtitle>Veterinary surgery</jtitle><addtitle>Vet Surg</addtitle><date>2022-07</date><risdate>2022</risdate><volume>51</volume><issue>S1</issue><spage>O43</spage><epage>O52</epage><pages>O43-O52</pages><issn>0161-3499</issn><eissn>1532-950X</eissn><abstract>Objective
To report the technique, surgical approach, and postoperative features in horses treated via a 3‐dimensional (3D) printed guide‐assisted keratoma resection created using computed tomography (CT) or magnetic resonance imaging (MRI)‐based segmentation.
Animals
Five client‐owned horses.
Study design
Short case series.
Methods
Horses were placed under general anesthesia for imaging (CT and MRI) and underwent a second anesthesia for surgery. Two horses had guides created from CT‐based imaging, 3 horses had guides created from MRI. Various sized nonarbored hole saws were used to create accurate and precise portals for keratoma removal. Surgical sites were managed until keratinized granulation tissue had formed and the defect was sealed with an artificial hoof wall patch.
Results
All keratomas were successfully removed as a single piece either intact with the hoof wall or easily extracted after the hoof wall portal was created in a surgical time between 20 and 90 min. All CT created guides fitted without issue; MRI‐created guides required minor adjustments with a rotary device for proper fit. All cases had minor debridement adjacent to P3 and circumferential lamellar tissue. All horses returned to previous level of performance 2 to 4 months postoperatively.
Conclusion
Use of 3D printed guides led to accurate targeting of keratomas with small surgical portals and short surgical times. Due to challenges with MRI‐based segmentation, CT is preferred.</abstract><cop>Hoboken, USA</cop><pub>John Wiley & Sons, Inc</pub><pmid>35225367</pmid><doi>10.1111/vsu.13786</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0003-0122-2564</orcidid><orcidid>https://orcid.org/0000-0001-7750-3640</orcidid><orcidid>https://orcid.org/0000-0002-0549-3452</orcidid><orcidid>https://orcid.org/0000-0001-7335-7623</orcidid></addata></record> |
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source | Wiley Journals |
subjects | Anesthesia Computed tomography Granulation Hoof Horses Image processing Image segmentation Magnetic resonance imaging Medical imaging Resonance Saws Surgical instruments Three dimensional printing Tomography |
title | Three‐dimensional printed surgical guides for keratoma removal in horses using computed tomography or magnetic resonance imaging‐based segmentation |
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