ObjectiveTo generate physical models of fetuses from images obtained with
three-dimensional ultrasound (3D-US), magnetic resonance imaging (MRI), and,
occasionally, computed tomography (CT), in order to guide additive
manufacturing technology.Materials and MethodsWe used 3D-US images of 31 pregnant women, including 5 who were carrying
twins. If abnormalities were detected by 3D-US, both MRI and in some cases
CT scans were then immediately performed. The images were then exported to a
workstation in DICOM format. A single observer performed slice-by-slice
manual segmentation using a digital high resolution screen. Virtual 3D
models were obtained from software that converts medical images into
numerical models. Those models were then generated in physical form through
the use of additive manufacturing techniques.ResultsPhysical models based upon 3D-US, MRI, and CT images were successfully
generated. The postnatal appearance of either the aborted fetus or the
neonate closely resembled the physical models, particularly in cases of
malformations.ConclusionThe combined use of 3D-US, MRI, and CT could help improve our understanding
of fetal anatomy. These three screening modalities can be used for
educational purposes and as tools to enable parents to visualize their
unborn baby. The images can be segmented and then applied, separately or
jointly, in order to construct virtual and physical 3D models.