Application of an individualized and reassemblable 3D printing navigation template for accurate puncture during sacral neuromodulation

Zhang, Jianzhong; Zhang, Peng; Wu, Liyang; Su, Jun; Shen, Jianwu; Fan, Hao; Zhang, Xiaodong

doi:10.1002/nau.23769

Cited by 14 publications

(20 citation statements)

References 20 publications

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“…Furthermore, relevant anatomical parameters have provided a reference for surgeons to establish bone tunnels. 2 , 25 , 26 , 27 However, due to different results among studies, there remains controversy regarding the selection of the optimal position to drill bone tunnels in clinical practice. Inaccurate bone tunnel location or inappropriate diameter may lead to failure of the reduction and fixation of the acromioclavicular joint and may also increase the risk of coracoid process and clavicle fractures 27 .…”

Section: Discussionmentioning

confidence: 99%

Computed Tomography‐Based Determination of the Optimal Locations of Bone Tunnels for Coracoclavicular Ligament Reconstruction

Zhang

Xiong

Zhou

et al. 2022

Orthopaedic Surgery

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Objective: An agreement has not been reached on optimal locations of bone tunnels for coracoclavicular ligament (CCL) reconstruction for acromioclavicular joint dislocation (ACD). This study aims to identify the convergence point (cP) between the coracoid process and clavicle in the Chinese population to assist surgeons in reconstructing the CCL for ACD.Methods: From 2014 to 2020, 483 CT scans of the shoulders of 270 male and 213 female patients (247 right and 236 left shoulders) were collected and studied retrospectively. By overlapping the images of the transverse plane of the coracoid process and the clavicle, points a and b, and the midpoint ab (cP) were determined. Then, a series of parameters through point cP in the transverse and sagittal planes were measured. In the transverse plane this included the distance from point cP to the tip of the coracoid process (cP-cor),the distance between the medial and lateral margins of the coracoid process through point cP (Med-lat cor), the distance from point cP to the acromioclavicular joint (cP-ac), and the distance between the anteroposterior margin of the clavicle through point cP (Ap-clav). In the sagittal plane, this included the craniocaudal segment of the coracoid process (Cc-cor), and the craniocaudal segment of the clavicle (Cc-clav). The sex and side differences of these measurements were also analyzed by two radiologists.Results: Based on the following measurements, point cP was determined. For male patients, the cP-cor was 28.02

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Section: Discussionmentioning

confidence: 99%

Computed Tomography‐Based Determination of the Optimal Locations of Bone Tunnels for Coracoclavicular Ligament Reconstruction

Zhang

Xiong

Zhou

et al. 2022

Orthopaedic Surgery

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“…Third, conventional sterilization via an Image process variable Pixel size 0.5 mm 0.5 mm 0.5 mm 0.5 mm 0.5 mm 0.5 mm N/A 0.5 mm Slice thickness 1 mm 1 mm 1 mm 1 mm 1 mm 1 mm N/A 1 mm autoclave requires contact with high temperatures (121-132 °C) and significant pressure, which most 3D-printed materials cannot withstand [19]. When the recent literature was reviewed for urological 3DP, most of the work was related to soft tissue modeling of the kidney [20][21][22][23][24][25][26][27][28][29][30][31][32], and few were related to the prostate [31], vesico-urethral anastomosis [33], and sacral neuromodulation [34]. Adams et al [20] reconstructed detailed anatomical kidney models directly acquired from high-resolution CT data sets of human cadaveric kidneys.…”

Section: Discussionmentioning

confidence: 99%

Review of the effect of 3D medical printing and virtual reality on urology training with ‘MedTRain3DModsim’ Erasmus + European Union Project

Tatar¹,

Hurі²,

Selçuk³

et al. 2019

Turk J Med Sci

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Background/aim: It is necessary to incorporate novel training modalities in medical education, especially in surgical fields, because of the limitations of cadaveric training. Traditional medical education has many drawbacks, such as residency working hour restrictions, patient safety conflicts with the learning needs, and the lack of hands-on workshops. The MedTRain3DModsim Project aimed to produce 3-dimensional (3D) medical printed models, simulations, and innovative applications for every level of medical training using novel worldwide technologies. It was aimed herein to improve the interdisciplinary and transnational approaches, and accumulate existing experience for medical education, postgraduate studies, and specialty training. Materials and methods: This project focused on models of solid organs and the urinary system, including the kidney, prostate, ureter, and liver. With 3D medical printing, it is possible to produce a body part from inert materials in just a few hours with the standardization of medical 3D modeling. Results: The target groups of this project included medical students and residents, graduate students from engineering departments who needed medical education and surgical training, and medical researchers interested in health technology or clinical and surgical anatomy. Conclusion: It was also intended to develop a novel imaging platform for education and training by reevaluating the existing data using new software and 3D modalities. Therefore, it was believed that our methodology could be implemented in all related medical fields.

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“…This method of surgical guide has been utilized to implant tined leads for sacral nerve modulation with Zhang et al reporting reduced punctures, procedural time and fluoroscopy use (24). A statistically significant reduction in effective voltage after using the surgical guide also indicated a more optimally positioned lead.…”

Section: Surgical Planningmentioning

confidence: 99%

Innovation in Urology: Three Dimensional Printing and Its Clinical Application

2020

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Three-dimensional (3D) printing allows rapid prototyping of novel equipment as well as the translation of medical imaging into tangible replicas of patient-specific anatomy. The technology has emerged as a versatile medium for innovation in medicine but with ever-expanding potential uses, does 3D printing represent a valuable adjunct to urological practice? We present a concise systematic review of articles on 3D printing within urology, outlining proposed benefits and the limitations in evidence supporting its utility. We review publications prior to December 2019 using guidelines outlined by the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) statement. Of 117 identified articles, 67 are included highlighting key areas of research as the use of patient-specific models for patient education, surgical planning, and surgical training. Further novel applications included printed surgical tools, patient-specific surgical guides, and bioprinting of graft tissues. We conclude to justify its adoption within standard practice, further research is required demonstrating that use of 3D printing can produce; direct and measurable improvements in patient experience, consistent evidence of superior surgical outcomes or simulation which surpasses existing means' both in fidelity and enhancement of surgical skills. Although exploration of 3D printing's urological applications remains nascent, the seemingly limitless scope for innovation and collaborative design afforded by the technology presents undeniable value as a resource and assures a place at the forefront of future advances.

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Application of an individualized and reassemblable 3D printing navigation template for accurate puncture during sacral neuromodulation

Cited by 14 publications

References 20 publications

Computed Tomography‐Based Determination of the Optimal Locations of Bone Tunnels for Coracoclavicular Ligament Reconstruction

Computed Tomography‐Based Determination of the Optimal Locations of Bone Tunnels for Coracoclavicular Ligament Reconstruction

Review of the effect of 3D medical printing and virtual reality on urology training with ‘MedTRain3DModsim’ Erasmus + European Union Project

Innovation in Urology: Three Dimensional Printing and Its Clinical Application

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