Establishing Quality and Safety in Hospital-based 3D Printing                     Programs: Patient-first Approach

Bastawrous, Sarah; Wu, Lei; Strzelecki, Brian; Levin, Dmitry; Li, J.-S.; Coburn, James; Ripley, Beth

doi:10.1148/rg.2021200175

Cited by 22 publications

(18 citation statements)

References 53 publications

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“…Finally, there is careful inspection of the model, possibly simulation of the upcoming procedure, and making clinical judgments and decisions based on the model. This clearly demonstrates that medical 3D printing is a multi-step team effort involving multiple actors with distinct and critical responsibilities [ 184 ].…”

Section: Discussionmentioning

confidence: 99%

“…In contrast, the disseminated nature of the 3DP process precludes such a conventional regulatory framework. Thus, only the tools (software, hardware) and the process itself can be certified, whereas the responsibility to adhere to the manufacturing procedure falls on the healthcare provider, and specifically on each actor involved in the 3DP process [ 184 , 185 ]. Although it is hard to find published documentation of a 3D-printed model having misled clinical decisions, it is not difficult to imagine such a scenario.…”

Section: Discussionmentioning

confidence: 99%

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The Role of 3D Printing in Planning Complex Medical Procedures and Training of Medical Professionals—Cross-Sectional Multispecialty Review

Meyer-Szary

Luis

Mikulski

et al. 2022

IJERPH

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Medicine is a rapidly-evolving discipline, with progress picking up pace with each passing decade. This constant evolution results in the introduction of new tools and methods, which in turn occasionally leads to paradigm shifts across the affected medical fields. The following review attempts to showcase how 3D printing has begun to reshape and improve processes across various medical specialties and where it has the potential to make a significant impact. The current state-of-the-art, as well as real-life clinical applications of 3D printing, are reflected in the perspectives of specialists practicing in the selected disciplines, with a focus on pre-procedural planning, simulation (rehearsal) of non-routine procedures, and on medical education and training. A review of the latest multidisciplinary literature on the subject offers a general summary of the advances enabled by 3D printing. Numerous advantages and applications were found, such as gaining better insight into patient-specific anatomy, better pre-operative planning, mock simulated surgeries, simulation-based training and education, development of surgical guides and other tools, patient-specific implants, bioprinted organs or structures, and counseling of patients. It was evident that pre-procedural planning and rehearsing of unusual or difficult procedures and training of medical professionals in these procedures are extremely useful and transformative.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The Role of 3D Printing in Planning Complex Medical Procedures and Training of Medical Professionals—Cross-Sectional Multispecialty Review

Meyer-Szary

Luis

Mikulski

et al. 2022

IJERPH

View full text Add to dashboard Cite

show abstract

“…and encourages innovation of novel ideas and improvements to current surgical approaches by all team members 7. Limits inefficiencies that may arise if multiple disciplines attempt to implement their own 3D printing program (e.g., centralized quality assurance, no misuse of technology, prevents underutilization of manufacturing infrastructure, and maintains clinical appropriateness of 3D printing applications) [16][17][18] If the institution decides to establish a centralized POC virtual planning and 3D printing program, the facility will need to be embedded within the institutional system. In Mayo Clinic, the Department of Radiology's oversees image Establishing a Point-of-Care Virtual Planning and 3D Printing Program Sears, Morris 135 protocoling, acquisition, processing, interpretation, and data storage, allowing for the best location to administer a POC manufacturing program.…”

Section: Foundation Of the Poc Program: Centralizationmentioning

confidence: 99%

Establishing a Point-of-Care Virtual Planning and 3D Printing Program

Sears

Morris

2022

Semin Plast Surg

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Virtual surgical planning (VSP) and three-dimensional (3D) printing have become a standard of care at our institution, transforming the surgical care of complex patients. Patient-specific, anatomic models and surgical guides are clinically used to improve multidisciplinary communication, presurgical planning, intraoperative guidance, and the patient informed consent. Recent innovations have allowed both VSP and 3D printing to become more accessible to various sized hospital systems. Insourcing such work has several advantages including quicker turnaround times and increased innovation through collaborative multidisciplinary teams. Centralizing 3D printing programs at the point-of-care provides a greater cost-efficient investment for institutions. The following article will detail capital equipment needs, institutional structure, operational personnel, and other considerations necessary in the establishment of a POC manufacturing program.

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“…3D printing, also known as additive manufacturing or rapid prototyping, is a rapidly expanding technology that is beginning to revolutionise the medical and healthcare industry [11,12]. Since its inception in the 1980s for use in design and engineering, it has more recently been introduced in a medical context and is now quickly gaining momentum globally [12][13][14][15]. Initially introduced in maxillofacial surgery, the technology can now be applied in various surgical specialties [12,15].…”

Section: Introductionmentioning

confidence: 99%

Does using 3D printed models for pre-operative planning improve surgical outcomes of foot and ankle fracture fixation? A systematic review and meta-analysis

Wood

Ahmed

2022

Eur J Trauma Emerg Surg

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Purpose The systematic review aims to establish the value of using 3D printing-assisted pre-operative planning, compared to conventional planning, for the operative management of foot and ankle fractures. Methods The systematic review was performed according to PRISMA guidelines. Two authors performed searches on three electronic databases. Studies were included if they conformed to pre-established eligibility criteria. Primary outcome measures included intraoperative blood loss, operation duration, and fluoroscopy time. The American orthopaedic foot and ankle score (AOFAS) was used as a secondary outcome. Quality assessment was completed using the Cochrane RoB2 form and a meta-analysis was performed to assess heterogeneity. Results Five studies met the inclusion and exclusion criteria and were eventually included in the review. A meta-analysis established that using 3D printed models for pre-operative planning resulted in a significant reduction in operation duration (mean difference [MD] = − 23.52 min, 95% CI [− 39.31, − 7.74], p = 0.003), intraoperative blood loss (MD = − 30.59 mL, 95% CI [− 46.31, − 14.87], p = 0.0001), and number of times fluoroscopy was used (MD = − 3.20 times, 95% CI [− 4.69, − 1.72], p < 0.0001). Using 3D printed models also significantly increased AOFAS score results (MD = 2.24, 95% CI [0.69, 3.78], p = 0.005), demonstrating improved ankle health. Conclusion The systematic review provides promising evidence that 3D printing-assisted surgery significantly improves treatment for foot and ankle fractures in terms of operation duration, intraoperative blood loss, number of times fluoroscopy was used intraoperatively, and improved overall ankle health as measured by the AOFAS score.

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Establishing Quality and Safety in Hospital-based 3D Printing Programs: Patient-first Approach

Cited by 22 publications

References 53 publications

The Role of 3D Printing in Planning Complex Medical Procedures and Training of Medical Professionals—Cross-Sectional Multispecialty Review

The Role of 3D Printing in Planning Complex Medical Procedures and Training of Medical Professionals—Cross-Sectional Multispecialty Review

Establishing a Point-of-Care Virtual Planning and 3D Printing Program

Does using 3D printed models for pre-operative planning improve surgical outcomes of foot and ankle fracture fixation? A systematic review and meta-analysis

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