Why is 3d Rendering of CT not more widely used

I have recently been speaking to several hernia surgeons about using MDCT scans and rendering them in 3d for preoperative planning. I would think it would be great for abdominal wall reconstruction. They stated they did not know what MDCT is and they said they didn't use 3d. It is been available for more than 15 years and is not significantly more expensive. I know it is more commonly used by cardiac/vascular surgeons as well as orthopedics and neurosurgeons routinely. Anyone know why it is not used more widely?

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