Personalized 3D printed model of kidney and tumor anatomy: a useful tool for patient education

Bernhard, Jean-Christophe; Isotani, Shuji; Matsugasumi, Toru; Duddalwar, Vinay; Hung, Andrew J.; Süer, Evren; Baco, Eduard; Satkunasivam, Raj; Djaladat, Hooman; Metcalfe, Charles; Hu, Brian; Wong, Kelvin; Park, Daniel; Nguyen, Mike; Hwang, Darryl; Bazargani, Soroush; Abreu, André Luís de Castro; Aron, Monish; Ukimura, Osamu; Gill, Inderbir S.

doi:10.1007/s00345-015-1632-2

Cited by 263 publications

(211 citation statements)

References 10 publications

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“…Several studies demonstrate the application of 3D printed models in pre-surgical planning of complex renal tumours and renal transplantation (15)(16)(17)(18). Despite promising results reported in these studies, there is no systematic review of the current literature about the accuracy of 3D printed models and their clinical applications in renal disease.…”

Section: Introductionmentioning

confidence: 98%

A systematic review of clinical value of three-dimensional printing in renal disease

Sun

Liu

2018

Quant. Imaging Med. Surg.

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The aim of this systematic review is to analyse current literature related to the clinical value of three-dimensional (3D) printed models in renal disease. A literature search of PubMed and Scopus databases was performed to identify studies reporting the clinical application and usefulness of 3D printed models in renal disease. Fifteen studies were found to meet the selection criteria and were included in the analysis. Eight of them provided quantitative assessments with five studies focusing on dimensional accuracy of 3D printed models in replicating renal anatomy and tumour, and on measuring tumour volume between 3D printed models and original source images and surgical specimens, with mean difference less than 10%. The other three studies reported that the use of 3D printed models significantly enhanced medical students and specialists' ability to identify anatomical structures when compared to two-dimensional (2D) images alone; and significantly shortened intraoperative ultrasound duration compared to without use of 3D printed models. Seven studies provided qualitative assessments of the usefulness of 3D printed kidney models with findings showing that 3D printed models improved patient's understanding of renal anatomy and pathology; improved medical trainees' understanding of renal malignant tumours when compared to viewing medical images alone; and assisted surgical planning and simulation of renal surgical procedures with significant reductions of intraoperative complications. The cost and time associated with 3D printed kidney model production was reported in 10 studies, with costs ranging from USD$100 to USD$1,000, and duration of 3D printing production up to 31 h. The entire process of 3D printing could take up to a few days. This review shows that 3D printed kidney models are accurate in delineating renal anatomical structures and renal tumours with high accuracy. Patient-specific 3D printed models serve as a useful tool in preoperative planning and simulation of surgical procedures for treatment of renal tumours. Further studies with inclusion of more cases and with a focus on reducing the cost and 3D model production time deserve to be investigated.

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Section: Introductionmentioning

confidence: 98%

A systematic review of clinical value of three-dimensional printing in renal disease

Sun

Liu

2018

Quant. Imaging Med. Surg.

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“…For an example, in partial nephrectomy patient's previous perception of assessment was found to be altered after presentation of the personalized 3D printed model. [2,3] Before a partial nephrectomy, understanding of the treatment strategies like ablation, excision with their specific risks of complications will be very easy with 3D model in front of both the patient and the surgeon. Also just before an organ removing surgeries like penectomy, orchiectomy etc.…”

Section: Clinical and Research Consequencesmentioning

confidence: 99%

3D printing in urology: Is it really promising?

Özgür

Ayyıldız

2018

Turkish Journal of Urology

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Three-dimensional (3D) printings are gaining a place in a variety of the medical sectors. With applications in urogenital diseases, 3D printing is a new tool that present difficulties at stages of imaging, planning, and carry out therapeutic interventions. In this review we tried to find answers to the questions that come to mind on this new topic by empasizing the suitable 3D printing models in urology, their clinical usage, and the limitations.

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“…With development and innovation of the technology driving down costs, the use of 3Dp has become more widespread, eventually resulting in United States Food and Drug Administration approval for several 3Dp devices (Lee, 2016). As described above, 3Dp has many advantages for surgical usage and has become particularly popular in orthopaedic, maxillofacial, cranial and spinal surgery (Guenette et al, 2016;Liew et al, 2015;Onerci Altunay et al, 2016;Schwam et al, 2016;Tack et al, 2016;Wiedermann, et al, 2017;Xiao et al, 2016;Yang et al, 2016), whilst a growing number of case studies have described its use in fields such as interventional radiology (Ghisiawan, et al, 2017;Hossien et al, 2016;Kurup et al, 2015;Schmauss et al, 2015;Shi, et al, 2015;Sodian et al, 2009), paediatric surgery (Morrison et al, 2015;Schmauss et al, 2015) and oncological surgery (Al Jabbari et al, 2016;Bernhard et al, 2016;Matsumoto et al, 2016). To date, 3Dp models have been used primarily as surgical guides and for pre-operative surgical planning (Tack et al, 2016).…”

Section: Medical Usagementioning

confidence: 99%

“…To date, 3Dp models have been used primarily as surgical guides and for pre-operative surgical planning (Tack et al, 2016). Using them in complex surgical cases appears to have several benefits: a reduced operative time (Ghisiawan et al, 2017;Govsa, et al, 2017;Tack et al, 2016;Yang et al, 2016), reduced intraoperative blood loss (Govsa et al, 2017;Tack et al, 2016;Yang et al, 2016), reduced contrast and radiation exposure (Ghisiawan et al, 2017;Tack et al, 2016) and better patient education (Bernhard et al, 2016;Fariha et al, 2014;Govsa et al, 2017;Liew et al, 2015;Yang et al, 2016). Other described benefits include the ability to use 3Dp as an intraoperative guide (Matsumoto et al, 2016;Wiedermann et al, 2017) , to test a surgical approach (Ghisiawan et al, 2017;Guenette et al, 2016), to visualize minute lesions difficult to appreciate on 2D or 3D images (Guenette et al, 2016) and as described above, to enhance multi-disciplinary team discussions (Matsumoto et al, 2016).…”

Section: Medical Usagementioning

confidence: 99%

The role of 3D printing in anatomy education and surgical training: A narrative review

Li¹,

Kui²,

Lee³

et al. 2017

MedEdPublish

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Recent expansions in the development and availability of three-dimensional printing (3Dp) have led to the uptake of this valuable and effective technology within the modern context of medical education. It is proposed that 3Dp is entirely appropriate for the creation of anatomical models for purposes of teaching and training due to the ability of this technology to produce accurate 3D physical representations based on a processed data set acquired from sources including magnetic resonance imaging (MRI) and computed tomography (CT). When investigating the currently available educational research with respect to 3Dp, it is important that the best evidence supporting the practical and theoretical benefits of this technology in teaching and training can be identified, while any obstacles to the effective implementation of 3Dp can also be determined. Here, literature describing recent primary research with respect to the capability and utility of 3Dp in anatomy and surgery have been explored in a narrative review. The impact on resources of implementing this technology within medical education have also been investigated. In order to emphasise wider applications in medicine, the role of 3Dp in medical practice and research have also been examined. To identify recent literature appropriate for this review published up to March 2017, suitable search terms were determined and applied using PubMed and results were judged against an established checklist. The research identified was then allocated with respect to the agreed topic areas of anatomy education, surgical training, medical usage and medical research. A student partnership approach was utilised for this review and the focus of the work was driven by undergraduate students in collaboration with anatomy and medical educators. Preliminary findings from this narrative review support the implementation of 3Dp in anatomy education and surgical training as a supplement to traditional learning approaches.

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Personalized 3D printed model of kidney and tumor anatomy: a useful tool for patient education

Abstract: Presented herein is the initial clinical experience with 3D printing to facilitate patient's pre-surgical understanding of their kidney tumor and surgery.

Cited by 263 publications

References 10 publications

A systematic review of clinical value of three-dimensional printing in renal disease

A systematic review of clinical value of three-dimensional printing in renal disease

3D printing in urology: Is it really promising?

The role of 3D printing in anatomy education and surgical training: A narrative review

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