Personalized Three-Dimensional Printed Models in Congenital Heart Disease

Sun, Zhonghua; Lau, Ivan; Wong, Yin How; Yeong, Chai Hong

doi:10.3390/jcm8040522

Cited by 63 publications

(60 citation statements)

References 57 publications

(105 reference statements)

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“…In our opinion based on the presented results, prototyping of anatomical models can aid the surgeon in planning the intervention, by actually manipulating a 3D model of the structure, which is intuitively better than only seeing the 3D reconstruction on screen. Our proposal sums to pioneering examples of surgical planning aided by 3D image reconstruction and patient avatars, either supported by physical prototypes or not, which have proven successful for bone tumor surgeries [17], for craniofacial surgeries [18], for orthognathic surgery [19], for kidney surgeries [20], for general surgery [21], and for heart surgery [22], to cite just some relevant studies.…”

Section: Discussionmentioning

confidence: 99%

Surgical Planning of Sacral Nerve Stimulation Procedure in Presence of Sacral Anomalies by Using Personalized Polymeric Prototypes Obtained with Additive Manufacturing Techniques

Rubio-Pérez

Lantada

2020

Polymers

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Sacral nerve stimulation or sacral neuromodulation involves the implantation of a stimulating electrode lead through the sacral foramina. In patients with anatomical sacral anomalies, it can constitute a challenging procedure due to a lack of common reference points present in the normal anatomy. In this study, we present an innovative application of additive manufacturing for the planning of sacral nerve stimulation techniques and related surgical procedures in complex cases, and we verify that the use of personalized patient models may help to manage the presence of sacral anomalies. The use of two alternative additive manufacturing technologies working with thermoplastic and thermoset polymers, including fused deposition modeling as low-cost alternative and laser stereolithography as industrial gold standard, is compared in terms of viability, precision and overall production costs. They pay special attention to fidelity in terms of the bone microstructure reconstruction, which is necessary for adequately planning electrode insertion. Advantages and limitations of the alternative approaches are discussed and ideas for future developments and for solving current challenges are presented.

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Section: Discussionmentioning

confidence: 99%

Surgical Planning of Sacral Nerve Stimulation Procedure in Presence of Sacral Anomalies by Using Personalized Polymeric Prototypes Obtained with Additive Manufacturing Techniques

Rubio-Pérez

Lantada

2020

Polymers

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“…A study reports that the use of 3D printed cardiac models for surgical planning has an impact on surgical approach in 47.5% of the cases. [37] A survey among cardiothoracic specialists illustrates that 85% of the participants would like to integrate 3D printed models for surgical planning in their future practice. [38] Several studies report the lack of realism of surgical simulators.…”

Section: Discussionmentioning

confidence: 99%

Physical patient simulators for surgical training: a review

Shao¹,

Parraman²,

Huson³

2020

lim

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The purpose of this article is to review the fabrication process of physical patient simulators for surgical training and describes current research areas. Medical image acquisition and analysis are tools to reproduce human anatomy in 3D models. Data acquisition techniques include CT scans, MRI, and ultrasound. Postprocessing of this data is necessary to obtain a file for 3D printing. Two available fabrication methods are direct 3D printing of an organ model and 3D printing a mould to cast an organ replica. Direct 3D printing presents several limitations. Therefore, casting techniques with silicones and hydrogels are better suited for the fabrication of softer tissue models. Surgeons qualitatively evaluate the simulators and their ability to train students. It is also possible to make a quantitative evaluation to compare the properties of the simulators to the physical properties of organs. Different methods exist to measure the physical properties of soft tissues, mainly to find the Young modulus of the soft tissue. The tests can be in vivo, in situ or in vitro. Researchers perform tests on human tissues or animal tissues. The use of surgical simulators has shown satisfactory results in surgical training. Nonetheless, limitations remain, simulators lack realism and are not available for some pathologies. Future work in this area could be of benefit to surgical training.

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“…Further research in this field with a larger sample size and more information on the segmentation and post-processing step is required to generate a more robust analysis of the feasibility of 3D-printed kidney models for implementation into medical education and treatment of renal disease. More robust studies such as randomised controlled trials (RCTs) are still lacking in this area when compared to 3D printing in heart disease, with several RCTs available in the literature [34,35,36].…”

Section: Discussionmentioning

confidence: 99%

A Systematic Review of the Clinical Value and Applications of Three-Dimensional Printing in Renal Surgery

Lupulescu

Sun

2019

JCM

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The purpose of this systematic review is to collate and analyse the current literature which examines clinical applications of 3D printing for renal disease, alongside cost and time duration factors associated with the printing process. A comprehensive search of the literature was performed across five different databases to identify studies that qualitatively and quantitatively assessed the value of 3D-printed kidney models for renal disease. Twenty-seven studies met the selection criteria for inclusion in the review. Twenty-five were original studies, and two were case reports. Of the 22 studies reporting a qualitative evaluation, the analysis of findings demonstrated the value of the 3D-printed models in areas of clinician and patient education, and pre-surgical simulation for complex cases of renal disease. Of five studies performing a quantitative analysis, the analysis of results displayed a high level of spatial and anatomical accuracy amongst models, with benefits including reducing estimated blood loss and risk of intra-operative complications. Fourteen studies evaluated manufacturing costs and time duration, with costs ranging from USD 1 to 1000 per model, and time duration ranging from 15 min to 9 days. This review shows that the use of customised 3D-printed models is valuable in the education of junior surgeons as well as the enhancement of operative skills for senior surgeons due to a superior visualisation of anatomical networks and pathologic morphology compared to volumetric imaging alone. Furthermore, 3D-printed kidney models may facilitate interdisciplinary communication and decision-making regarding the management of patients undergoing operative treatment for renal disease. It cannot be suggested that a more expensive material constitutes a higher level of user-satisfaction and model accuracy. However, higher costs in the manufacturing of the 3D-printed models reported, on average, a slightly shorter time duration for the 3D-printing process and total manufacturing time.

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Personalized Three-Dimensional Printed Models in Congenital Heart Disease

Cited by 63 publications

References 57 publications

Surgical Planning of Sacral Nerve Stimulation Procedure in Presence of Sacral Anomalies by Using Personalized Polymeric Prototypes Obtained with Additive Manufacturing Techniques

Surgical Planning of Sacral Nerve Stimulation Procedure in Presence of Sacral Anomalies by Using Personalized Polymeric Prototypes Obtained with Additive Manufacturing Techniques

Physical patient simulators for surgical training: a review

A Systematic Review of the Clinical Value and Applications of Three-Dimensional Printing in Renal Surgery

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