The Interactive Use of Multi‐Dimensional Modeling and 3D Printing in Preplanning of Type A Aortic Dissection

Objective: To assess the clinical value of three-dimensional (3D) printing technology for treatment strategies for complex double outlet right ventricle (DORV).Methods: Twenty-five patients with complex double outlet right ventricle were enrolled in this study. The patients were divided into two groups: 3D printing group (eight patients) and a non-3-D printing control group (17 patients). The cardiac images of patients in the 3D printing group were transformed to Digital Imaging and Communications and were segmented and reconstructed to create a heart model. No cardiac models were created in the control group. A Pearson coefficient analysis was used to assess the correlation between measurements of 3D printed models and computed tomography angiography (CTA) data. Pre-operative assessment and planning were performed with 3D printed models, and then operative time and recovery time were compared between the two groups. The 3D printing technique is a process of creating 3D solid objects from digital files and this technology has been applied to cardiovascular surgery in recent years. 3D printing technology can print precise heart models which can provide detailed information of intracardiac and extracardiac structures.This has aided in the surgical resection of cardiac tumors and has been used to assist in the repair of type A dissections. 2,3 This study was undertaken to assess the role of 3D printed models in planning pre-operative strategies for the surgical repair of DORV.CONGENITAL HEART DISEASE 24 |

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“…2,3 This study was undertaken to assess the role of 3D printed models in planning pre-operative strategies for the surgical repair of DORV. …”

Section: Introductionmentioning

confidence: 99%

Three-dimensional printing enhances preparation for repair of double outlet right ventricular surgery

et al. 2018

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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%

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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“…The 3D printed contours were crucial in ensuring a proper fit and providing a surface for cutting branching points for branch arteries. Hossien et al (54) used 3D printing in patients with aortic dissections to help determine treatment: open surgery versus endovascular intervention. After surgery, 3D printing can be used to help follow patients’ progress.…”

Section: Introductionmentioning

confidence: 99%

Clinical Applications of 3D Printing

et al. 2018

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Three-dimensional (3D) printing refers to a number of manufacturing technologies that create physical models from digital information. Radiology is poised to advance the application of 3D printing in health care because our specialty has an established history of acquiring and managing the digital information needed to create such models. The 3D Printing Task Force of the Radiology Research Alliance presents a review of the clinical applications of this burgeoning technology, with a focus on the opportunities for radiology. Topics include uses for treatment planning, medical education, and procedural simulation, as well as patient education. Challenges for creating custom implantable devices including financial and regulatory processes for clinical application are reviewed. Precedent procedures that may translate to this new technology are discussed. The task force identifies research opportunities needed to document the value of 3D printing as it relates to patient care.

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The Interactive Use of Multi‐Dimensional Modeling and 3D Printing in Preplanning of Type A Aortic Dissection

Abstract: We report a technique of multidimensional modeling and 3D printing in preplanning of Type A acute aortic dissection (TAAD) repair. doi: 10.1111/jocs.12772 (J Card Surg 2016;31:441-445).

Cited by 21 publications

References 17 publications

Three-dimensional printing enhances preparation for repair of double outlet right ventricular surgery

Three-dimensional printing enhances preparation for repair of double outlet right ventricular surgery

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

Clinical Applications of 3D Printing

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