Work

The use of three-dimensional models for surgical planning in pediatric neuroblastoma: a multi-institutional case series

Year: 2026

Type: article

Abstract: Background Neuroblastoma resections are complex operations due to the propensity to involve critical adjacent structures. Pre-operative planning is critical to understand relevant anatomy and accurately assess image-defined risk factors. The aim of this case series is to describe the utility of 3D imaging for neuroblastoma. Methods This was a multi-institution case series of patients with neuroblastomas highlighting a variety of anatomic locations and image-defined risk factors. Pre-operative 2D cross-sectional imaging was obtained per institutional routine. 3D segmentation was then completed, and 3D images were created and delivered through a variety of technologies. Surgical teams reported on the usefulness of these 3D renderings. Results Nine patients from six institutions were included. Representative 3D images are included for each case with descriptions of the perceived utility in pre-operative planning and intraoperative considerations. Conclusion This case series highlights the possible advantages of 3D imaging for neuroblastoma surgery. The ability to use this technology across a variety of institutions indicates this may be feasible on a wider scale. Studying the exact benefits of 3D imaging for these operations should be the emphasis of future research.

Source: Journal of Pediatric Surgery Open

DOI: 10.1016/j.yjpso.2026.100281