Cost of 3-Dimensional Imaging-Based Surgery

Abstract

I read the recent publication by Schendel et al 1 Schendel S.A. Jacobson R. Three-dimensional imaging and computer simulation for office-based surgery. J Oral Maxillofac Surg. 2009; 67: 2107 Abstract Full Text Full Text PDF PubMed Scopus (38) Google Scholar with great interest. Schendel et al 1 Schendel S.A. Jacobson R. Three-dimensional imaging and computer simulation for office-based surgery. J Oral Maxillofac Surg. 2009; 67: 2107 Abstract Full Text Full Text PDF PubMed Scopus (38) Google Scholar mentioned that 3-dimensional (3D) imaging and computer simulation could be used effectively for planning office-based procedures, and this technique was helpful for treatment planning for correction of a facial deformity. In addition, Schendel et al 1 Schendel S.A. Jacobson R. Three-dimensional imaging and computer simulation for office-based surgery. J Oral Maxillofac Surg. 2009; 67: 2107 Abstract Full Text Full Text PDF PubMed Scopus (38) Google Scholar also noted that “The end result is improved patient care and decreased expense.” It is acceptable that 3D imaging and simulation technology can help achieve a better plan for performing a procedure. However, the cost of the system is of concern. According to the study by Schendel et al, 1 Schendel S.A. Jacobson R. Three-dimensional imaging and computer simulation for office-based surgery. J Oral Maxillofac Surg. 2009; 67: 2107 Abstract Full Text Full Text PDF PubMed Scopus (38) Google Scholar the cost identification was not done fully and no comparison was done between the new 3D imaging-based technology and the classic approach. Nevertheless, in assessing the cost of the 3D imaging-based system, one must also include the cost of implementing the system (ie, software, hardware, IT connection, place setting, personal training). I suggest the need for a complete assessment of the cost-effectiveness and cost utility of the new 3D-based approach compared with the classic approach.