Novel, 3D Display of Heart Models in the Postoperative Care Setting Improves CICU Caregiver Confidence

Olivieri, Laura; Zurakowski, David; Ramakrishnan, Karthik; Su, Lillian; Alfares, Fahad A.; Irwin, Matthew R; Heichel, Jenna; Krieger, Axel; Nath, Dilip S.

doi:10.1177/2150135117745005

Cited by 19 publications

(21 citation statements)

References 18 publications

(22 reference statements)

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“…In the past few years, 3D printing has increasingly gained attention within the cardiovascular domain, due to the potential ability of the technology to improve the patient management of cardiovascular disease (6,8,29,32). In spite of the promising results that 3D-printed heart models have shown in the current literature, the diffusion of this novel technology has been limited mainly due to its cost (9,19,35). To the best of our knowledge, there is currently no study investigating the efficiency and accuracy of the low-cost 3D printed models and whether they are comparable with the more expensive models.…”

Section: Discussionmentioning

confidence: 99%

“…Quantitative and qualitative comparison of low-and high-cost 3D-printed heart models excellent geometric information that 3D-printed heart models provide, this technology has been reported to facilitate the preoperative planning of corrective surgery, improve patient-doctor communication, and enhance the learning experience of medical students (5)(6)(7)(8)(9)(10)(11)(12)(13)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35). A recent multicentre study holistically explored the clinical significance of 3D-printed heart models by examining the practices of an international sample of surgeons and cardiologists from different hospitals.…”

Section: Technical Notementioning

confidence: 99%

“…Several centres have adopted this technology and published case reports and series to share their experience in using 3D-printed heart models (5)(6)(7)(8)(9)(10)(11)(12)(22)(23)(24)27,33,36). The general consensus is that the cost of 3D printing remains one of the main hurdles impeding the wider application of this technology in medicine (9,19,35,37). There have been a few studies which reported on the generation of 3D-printed models using low-cost materials (6,23,24,38).…”

Section: Technical Notementioning

confidence: 99%

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Quantitative and qualitative comparison of low- and high-cost 3D-printed heart models

Lau¹,

Wong²,

Yeong³

et al. 2019

Quant. Imaging Med. Surg

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Current visualization techniques of complex congenital heart disease (CHD) are unable to provide comprehensive visualization of the anomalous cardiac anatomy as the medical datasets can essentially only be viewed from a flat, two-dimensional (2D) screen. Three-dimensional (3D) printing has therefore been used to replicate patient-specific hearts in 3D views based on medical imaging datasets. This technique has been shown to have a positive impact on the preoperative planning of corrective surgery, patient-doctor communication, and the learning experience of medical students. However, 3D printing is often costly, and this impedes the routine application of this technology in clinical practice. This technical note aims to investigate whether reducing 3D printing costs can have any impact on the clinical value of the 3D-printed heart models. Low-cost and a high-cost 3D-printed models based on a selected case of CHD were generated with materials of differing cost. Quantitative assessment of dimensional accuracy of the cardiac anatomy and pathology was compared between the 3D-printed models and the original cardiac computed tomography (CT) images with excellent correlation (r=0.99). Qualitative evaluation of model usefulness showed no difference between the two models in medical applications.

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Section: Discussionmentioning

confidence: 99%

Section: Technical Notementioning

confidence: 99%

Section: Technical Notementioning

confidence: 99%

See 1 more Smart Citation

Quantitative and qualitative comparison of low- and high-cost 3D-printed heart models

Lau¹,

Wong²,

Yeong³

et al. 2019

Quant. Imaging Med. Surg

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“…The breast model assisted in the discussion of surgical options between the patient and the surgical oncologist. Improved patient‐physician communication has been shown to be associated with improved patient care and satisfaction …”

Section: Discussionmentioning

confidence: 99%

“…The breast model assisted in the discussion of surgical options between the patient and the surgical oncologist. Improved patient-physician communication has been shown to be associated with improved patient care and satisfaction 2,[12][13][14]. A personalized approach to breast cancer is important as breast cancer is a heterogeneous disease where management is impacted by multiple factors including anatomic staging, prognostic factors, and patient-specific factors 15.…”

mentioning

confidence: 99%

The role of three‐dimensional printing in the surgical management of breast cancer

Santiago

Adrada

Caudle

et al. 2019

Journal of Surgical Oncology

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A patient‐specific 3‐dimensional printed model (3DPM) of a woman with breast cancer was created. Mastectomy was favored as BCS would necessitate significant breast size alteration due to the extent of disease. After review of the 3D printed model, the patient and surgeon agreed on breast‐conserving surgery. Use of patient‐specific 3DPM in the setting of breast cancer may aid patient decision making and surgical planning, leading to enhanced surgical and oncological outcomes.

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Three‐Dimensional Printed Model Fabrication and Effectiveness Evaluation in Fetuses With Congenital Heart Disease or With a Normal Heart

Huang

Shi

Chen

et al. 2020

J of Ultrasound Medicine

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Objectives-The purpose of this study was to investigate the technical feasibility and accuracy of applying 3-dimensional (3D) printing of normal and abnormal fetal hearts based on spatiotemporal image correlation (STIC) volume-rendered data. Methods-Spatiotemporal image correlation volume images of 15 healthy fetuses and 15 fetuses with cardiac abnormalities were collected, and Mimics software (Materialise NV, Leuven, Belgium) was used to postprocess the volume data to obtain a 3D digital model of fetal heart and large blood vessel morphologic characteristics and to output the file to a 3D printer for printing the 3D model of the fetal heart and large blood vessels. The effect accuracy of the 3D printed model was qualitatively evaluated by showing the 3D anatomic structure of the model combined with echocardiographic or autopsy results, and the dimensional accuracy of the 3D printed model was quantitatively evaluated by comparing the measured data of the model and echocardiography. Results-In all 30 fetuses, STIC volume data of the fetal heart were successfully reprocessed and printed out, which could visually display the morphologic characteristics of the fetal heart chamber and passage of the great vessels under normal and abnormal pathologic conditions. No significant differences in all of the heart size parameters were found between the 3D digital model, 3D printed model, and routine echocardiographic images (all P > .05). Moreover, the size parameters were concordant well between the methods, and all of the data points fell within the limits of agreement. Conclusions-It is feasible to 3D print the fetal heart using STIC volumetric images as the data source, and the 3D printed model can fully and accurately display abnormal anatomic structures of the heart.

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Novel, 3D Display of Heart Models in the Postoperative Care Setting Improves CICU Caregiver Confidence

Abstract: Virtual 3D heart models depicting patient-specific CHDs are perceived to improve understanding and postoperative care delivery in the CICU.

Cited by 19 publications

References 18 publications

Quantitative and qualitative comparison of low- and high-cost 3D-printed heart models

Quantitative and qualitative comparison of low- and high-cost 3D-printed heart models

The role of three‐dimensional printing in the surgical management of breast cancer

Three‐Dimensional Printed Model Fabrication and Effectiveness Evaluation in Fetuses With Congenital Heart Disease or With a Normal Heart

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