When this 32 year old patient presented with severe pelvic chondrosarcoma, his surgeons moved quickly to form a surgical plan. Due to the limited effects of radiation therapy and chemotherapy in chondrosarcoma treatment, a surgical resection was the most logical procedural approach. 
Case

When planning for complex procedures, it’s critical for surgeons to have all the necessary information to define a surgical plan. This becomes even more true in cases such as this, where a team of multi-specialist clinicians ranging from Orthopaedics, Vascular and Oncology all had to work together to ensure a successful procedure and outcomes.

With the specialists all interested in different parts of the anatomy, a 3D anatomical visualization of the patient’s pelvis, tumor, and surrounding vessels was requested to ensure the clinicians had the vital insights required to define their plan. 

Axial3D received 2,082 CT and MRI images from the hospital and produced an interactive, multi-color visualization to highlight the key regions of interest. This proved incredibly valuable for pre-operative planning and understanding the full severity of the pathology.

Outcomes

2D imaging did not show the full extent and scale of the tumor, and when the 3D visualization was received, the surgeons revised their plan to include a Femoral Head Ostectomy. The interactive 3D visualization was displayed on a 68” screen in the OR during the procedure.

During the ten hour long procedure, the surgical navigation system failed, which usually would lead to having to reschedule the procedure. This would have resulted in additional surgery for the patient, an increased risk of infection, increased risk of morbidity, and potential injury. Luckily, the team had the Axial3D patient-specific 3D visualization already available, which was used to guide the successful completion of the procedure.

Having access to the 3D visualization gave the surgeons the insight and confidence they needed to carry on during the procedure when other systems failed to ensure that the patient did not have to suffer through a secondary or third intervention and deliver a perfect surgical result. Removing the need for a secondary procedure dramatically reduced the patient’s risk of infection, blood loss, injury and his time in post-operative care.

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