| Title |
A step towards stereotactic navigation during pelvic surgery: 3D nerve topography
|
|---|---|
| Published in |
Surgical Endoscopy, February 2018
|
| DOI | 10.1007/s00464-018-6086-3 |
| Pubmed ID | |
| Authors |
A. R. Wijsmuller, C. Giraudeau, J. Leroy, G. J. Kleinrensink, E. Rociu, L. G. Romagnolo, A. G. F. Melani, V. Agnus, M. Diana, L. Soler, B. Dallemagne, J. Marescaux, D. Mutter |
| Abstract |
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). 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. The analysis included 61 studies on pelvic nerve anatomy. A main positional reference was defined for each nerve. On MRI, the sacral nerves, the lumbosacral plexus, and the obturator nerve could be identified bilaterally in all volunteers. The sympathetic trunk could be identified in 19 of 20 volunteers bilaterally (95%). The superior hypogastric plexus, the hypogastric nerve, and the inferior hypogastric plexus could be identified bilaterally in 14 (70%), 16 (80%), and 14 (70%) of the 20 volunteers, respectively. The pudendal nerve could be identified in 17 (85%) volunteers on the right side and in 13 (65%) volunteers on the left side. The levator ani nerve could be identified in only a few volunteers. Except for the levator ani nerve, the radiologist and the anatomist agreed that the delineated nerve depicted the correct nerve in 100% of the cases. Pelvic nerves at risk of injury are usually visible on high-resolution MRI with dedicated scanning protocols. A specific knowledge of their course and its application in stereotactic navigation is suggested to improve quality of life by decreasing the likelihood of nerve injury. |
X Demographics
The data shown below were collected from the profiles of 16 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Spain | 3 | 19% |
| Libya | 1 | 6% |
| Italy | 1 | 6% |
| Turkey | 1 | 6% |
| Ecuador | 1 | 6% |
| Mexico | 1 | 6% |
| Poland | 1 | 6% |
| Canada | 1 | 6% |
| United States | 1 | 6% |
| Other | 0 | 0% |
| Unknown | 5 | 31% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 10 | 63% |
| Science communicators (journalists, bloggers, editors) | 2 | 13% |
| Practitioners (doctors, other healthcare professionals) | 2 | 13% |
| Scientists | 2 | 13% |
Mendeley readers
The data shown below were compiled from readership statistics for 57 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 57 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Researcher | 7 | 12% |
| Student > Ph. D. Student | 6 | 11% |
| Student > Master | 6 | 11% |
| Professor > Associate Professor | 5 | 9% |
| Student > Bachelor | 3 | 5% |
| Other | 9 | 16% |
| Unknown | 21 | 37% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 20 | 35% |
| Engineering | 4 | 7% |
| Neuroscience | 4 | 7% |
| Computer Science | 2 | 4% |
| Social Sciences | 1 | 2% |
| Other | 3 | 5% |
| Unknown | 23 | 40% |
Attention Score in Context
This research output has an Altmetric Attention Score of 9. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 27 February 2018.
All research outputs
#4,378,612
of 25,816,430 outputs
Outputs from Surgical Endoscopy
#583
of 6,973 outputs
Outputs of similar age
#91,638
of 457,304 outputs
Outputs of similar age from Surgical Endoscopy
#22
of 120 outputs
Altmetric has tracked 25,816,430 research outputs across all sources so far. Compared to these this one has done well and is in the 83rd percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 6,973 research outputs from this source. They receive a mean Attention Score of 4.0. This one has done particularly well, scoring higher than 91% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 457,304 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 79% of its contemporaries.
We're also able to compare this research output to 120 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 81% of its contemporaries.