A step towards stereotactic navigation during pelvic surgery: 3D nerve topography.

ABSTRACT: BACKGROUND:Long-term morbidity after multimodal treatment for rectal cancer is suggested to be mainly made up by nerve-injury-related dysfunctions. Stereotactic navigation for rectal surgery was shown to be feasible and will be facilitated by highlighting structures at risk of iatrogenic damage. The aim of this study was to investigate the ability to make a 3D map of the pelvic nerves with magnetic resonance imaging (MRI). METHODS:A systematic review was performed to identify a main positional reference for each pelvic nerve and plexus. The nerves were manually delineated in 20 volunteers who were scanned with a 3-T MRI. The nerve identifiability rate and the likelihood of nerve identification correctness were determined. RESULTS:The analysis included 61 studies on pelvic nerve anatomy. A

SUBMITTER: Wijsmuller AR 

PROVIDER: S-EPMC6061054 | biostudies-literature | 2018 Aug

REPOSITORIES: biostudies-literature