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

Santiago, Lumarie; Adrada, Beatriz E.; Caudle, Abigail S.; Clemens, Mark W.; Black, Dalliah M.; Arribas, Elsa

doi:10.1002/jso.25680

Cited by 13 publications

(10 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Prior studies have demonstrated the need to overcome gaps in knowledge that may lead to increased DC 23,27,29 . 3D‐BMs have been used in medicine for the creation of personalized anatomical models, surgical guides, and custom implants enhancing preoperative planning and intraoperative efficiency 12‐17,38‐42 . 3D‐printed personalized models have also been used to enhance patient‐physician communication and the consent process in various diseases 43‐46 .…”

Section: Discussionmentioning

confidence: 99%

“…Several case studies have reported how personalized 3D‐printed models facilitate a patient's understanding of anatomy and the goal of the proposed surgical management 12‐17 . A personalized 3D‐printed breast model (3D‐BM) is a physical representation of the findings identified in the patient's contrast‐enhanced breast magnetic resonance imaging (MRI) exam.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Acceptability of 3D‐printed breast models and their impact on the decisional conflict of breast cancer patients: A feasibility study

Santiago

Volk

Checka

et al. 2021

Journal of Surgical Oncology

Self Cite

View full text Add to dashboard Cite

Purpose To evaluate the acceptability and impact of 3D‐printed breast models (3D‐BMs) on treatment‐related decisional conflict (DC) of breast cancer patients. Methods Patients with breast cancer were accrued in a prospective institutional review board‐approved trial. All patients underwent contrast‐enhanced breast magnetic resonance imaging (MRI). A personalized 3D‐BM was derived from MRI. DC was evaluated pre‐ and post‐3D‐BM review. 3D‐BM acceptability was assessed post‐3D‐BM review. Results DC surveys before and after 3D‐BM review and 3D‐BM acceptability surveys were completed by 25 patients. 3D‐BM were generated in two patients with bilateral breast cancer. The mean patient age was 48.8 years (28−72). The tumor stage was Tis (7), 1 (8), 2 (8), and 3 (4). The nodal staging was 0 (19), 1 (7), and 3 (1). Tumors were unifocal (15), multifocal (8), or multicentric (4). Patients underwent mastectomy (13) and segmental mastectomy (14) with (20) or without (7) oncoplastic intervention. Neoadjuvant therapy was given to seven patients. Patients rated the acceptability of the 3D‐BM as good/excellent in understanding their condition (24/24), understanding disease size (25/25), 3D‐BM detail (22/25), understanding their surgical options (24/25), encouraging to ask questions (23/25), 3D‐BM size (24/25), and impartial to surgical options (17/24). There was a significant reduction in the overall DC post‐3D‐BM review, indicating patients became more assured of their treatment choice (p = 0.002). Reduction post‐3D‐BM review was also observed in the uncertainty (p = 0.012), feeling informed about options (p = 0.005), clarity about values (p = 0.032), and effective (p = 0.002) Decisional Conflict Scale subscales. Conclusions 3D‐BMs are an acceptable tool to decrease DC in breast cancer patients.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Acceptability of 3D‐printed breast models and their impact on the decisional conflict of breast cancer patients: A feasibility study

Santiago

Volk

Checka

et al. 2021

Journal of Surgical Oncology

Self Cite

View full text Add to dashboard Cite

show abstract

“…3D printed breast models have been used to in preoperative planning, simulation of multiple surgical techniques, and as phantoms for assessing imaging parameters for both MRI and x-ray based mammography [13][14][15][22][23][24][25][26]. Conceptually, 3D printed models are also feasible for US-guided procedural training, provided the printed material is adequate for proprioceptive simulation of real human tissue and image production.…”

Section: Discussionmentioning

confidence: 99%

Imaging properties of 3D printed breast phantoms for lesion localization and Core needle biopsy training

et al. 2020

View full text Add to dashboard Cite

Background: Breast cancer is the most commonly diagnosed malignancy in females and frequently requires core needle biopsy (CNB) to guide management. Adequate training resources for CNB suffer tremendous limitations in reusability, accurate simulation of breast tissue, and cost. The relatively recent advent of 3D printing offers an alternative for the development of breast phantoms for training purposes. However, the feasibility of this technology for the purpose of ultrasound (US) guided breast intervention has not been thoroughly studied. Methods: We designed three breast phantom models that were printed in multiple resins available through Stratasys, including VeroClear, TangoPlus and Tissue Matrix. We also constructed several traditional breast phantoms using chicken breast and Knox gelatin for comparison. These phantoms were compared side-by-side for ultrasound penetrance, simulation of breast tissue integrity, anatomic accuracy, reusability, and cost. Results: 3D printed breast phantoms were more anatomically accurate models than traditional breast phantoms. The chicken breast phantom provided acceptable US beam penetration and material hardness for simulation of human breast tissue integrity. Sonographic image quality of the chicken breast phantom was the most accurate overall. The gelatin-based phantom also had acceptable US beam penetration and image quality; however, this material was too soft and poorly simulated breast tissue integrity. 3D printed phantoms were not visible under US. Conclusions: There is a large unmet need for a printable material that is truly compatible with multimodality imaging for breast and other soft tissue intervention. Further research is warranted to create a realistic, reusable and affordable material to 3D print phantoms for US-guided intervention training.

show abstract

“…Breast reconstruction: Breast reconstruction surgeriesinclude either implant-based or autologous ap reconstructions. In autologous ap reconstructions, 3D printed models have been shown to facilitate the intramuscular dissection of perforator vessels by depicting the course and trajectory of the subfascial vascular tree and allowing the surgeon to view the model from various vantage points 24,30,31 . Improved understanding of the course of perforators and perfusion characteristics may be useful in reducing the risk of fat necrosis, unintended vessel injury, and the need for secondary procedures 32 .…”

Section: Pubmed Search: ((3d Printing) and ( Brocystic Change)) Or ((...mentioning

confidence: 99%

Radiological Society of North America (RSNA) 3D Printing Special Interest Group (SIG) clinical situations for which 3D printing is considered an appropriate representation or extension of data contained in a medical imaging examination: Breast Conditions

Arribas

Kelil

Santiago

et al. 2022

Preprint

Self Cite

View full text Add to dashboard Cite

The use of medical 3D printing has expanded dramatically for breast diseases. A writing group composed of the Radiological Society of North America (RSNA) Special Interest Group on 3D Printing (SIG) provides updated appropriateness criteria for breast 3D printing in various clinical scenarios. Evidence-based appropriateness criteria are provided for the following clinical scenarios: benign breast lesions and high-risk breast lesions, breast cancer, breast reconstruction, and breast radiation (treatment planning and radiation delivery).

show abstract

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

Cited by 13 publications

References 19 publications

Acceptability of 3D‐printed breast models and their impact on the decisional conflict of breast cancer patients: A feasibility study

Acceptability of 3D‐printed breast models and their impact on the decisional conflict of breast cancer patients: A feasibility study

Imaging properties of 3D printed breast phantoms for lesion localization and Core needle biopsy training

Radiological Society of North America (RSNA) 3D Printing Special Interest Group (SIG) clinical situations for which 3D printing is considered an appropriate representation or extension of data contained in a medical imaging examination: Breast Conditions

Contact Info

Product

Resources

About