Three-dimensional Medical Printing and Associated Legal Issues in Plastic Surgery: A Scoping Review

Knoedler, Leonard; Knoedler, Samuel; Kauke, Martin; Knoedler, Christoph; Hoefer, Simon; Baecher, Helena; Gassner, Ulrich M.; Machens, Hans‐Guenther; Prantl, Lukas

doi:10.1097/gox.0000000000004965

Cited by 3 publications

(2 citation statements)

References 17 publications

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“…While the FDA distinguishes between over‐the‐counter and point‐of‐care devices, the latter poses compliance issues. 64 , 65 3D printing can reduce dependency on major surgical supply chains but raises legal issues for hospitals and doctors. Hospitals distributing preprinted products may be considered manufacturers under the law.…”

Section: Limitations and Challenges Of 3d Printing In Plastic Surgery...mentioning

confidence: 99%

Sculpting the future: A narrative review of 3D printing in plastic surgery and prosthetic devices

Zahid,

Mavani,

Awuah

et al. 2024

Health Science Reports

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Background and AimsThe advent of 3D printing has revolutionized plastic surgery and prosthetic devices, providing personalized solutions for patients with traumatic injuries, deformities, and appearance‐related conditions. This review offers a comprehensive overview of 3D printing's applications, advantages, limitations, and future prospects in these fields.MethodsA literature search was conducted in PubMed, Google Scholar, and Scopus for studies on 3D printing in plastic surgery.Results3D printing has significantly contributed to personalized medical interventions, with benefits like enhanced design flexibility, reduced production time, and improved patient outcomes. Using computer‐aided design (CAD) software, precise models tailored to a patient's anatomy can be created, ensuring better fit, functionality, and comfort. 3D printing allows for intricate geometries, leading to improved aesthetic outcomes and patient‐specific prosthetic limbs and orthoses. The historical development of 3D printing, key milestones, and breakthroughs are highlighted. Recent progress in bioprinting and tissue engineering shows promising applications in regenerative medicine and transplantation. The integration of AI and automation with 3D printing enhances surgical planning and outcomes. Emerging trends in patient‐specific treatment planning and precision medicine are potential game‐changers. However, challenges like technical considerations, economic implications, and ethical issues exist. Addressing these challenges and advancing research in materials, design processes, and long‐term outcomes are crucial for widespread adoption.ConclusionThe review underscores the increasing adoption of 3D printing in healthcare and its impact on plastic surgery and prosthetic devices. It emphasizes the importance of evaluating the current state and addressing knowledge gaps through future research to foster further advancements

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Section: Limitations and Challenges Of 3d Printing In Plastic Surgery...mentioning

confidence: 99%

Sculpting the future: A narrative review of 3D printing in plastic surgery and prosthetic devices

Zahid,

Mavani,

Awuah

et al. 2024

Health Science Reports

View full text Add to dashboard Cite

show abstract

“…The other case involved a 42-year-old, HIV-positive male from Spain. While pseudosarcomatous spindle cell proliferation was diagnosed eleven months postoperatively and successfully treated, the patient ultimately died of a transplant-related lymphoma (85). AI technology carries promising potential to address this medical complication by facilitating posttransplant screening examinations and allowing for more frequent follow-up checks.…”

Section: Ai-aided Malignancy Screeningmentioning

confidence: 99%

Application possibilities of artificial intelligence in facial vascularized composite allotransplantation—a narrative review

Knoedler,

Allam

et al. 2023

Front. Surg.

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Facial vascularized composite allotransplantation (FVCA) is an emerging field of reconstructive surgery that represents a dogmatic shift in the surgical treatment of patients with severe facial disfigurements. While conventional reconstructive strategies were previously considered the goldstandard for patients with devastating facial trauma, FVCA has demonstrated promising short- and long-term outcomes. Yet, there remain several obstacles that complicate the integration of FVCA procedures into the standard workflow for facial trauma patients. Artificial intelligence (AI) has been shown to provide targeted and resource-effective solutions for persisting clinical challenges in various specialties. However, there is a paucity of studies elucidating the combination of FVCA and AI to overcome such hurdles. Here, we delineate the application possibilities of AI in the field of FVCA and discuss the use of AI technology for FVCA outcome simulation, diagnosis and prediction of rejection episodes, and malignancy screening. This line of research may serve as a fundament for future studies linking these two revolutionary biotechnologies.

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The law code of ChatGPT and artificial intelligence—how to shield plastic surgeons and reconstructive surgeons against Justitia's sword

Knoedler,

Vogt,

Alfertshofer

et al. 2024

Front. Surg.

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Large Language Models (LLMs) like ChatGPT 4 (OpenAI), Claude 2 (Anthropic), and Llama 2 (Meta AI) have emerged as novel technologies to integrate artificial intelligence (AI) into everyday work. LLMs in particular, and AI in general, carry infinite potential to streamline clinical workflows, outsource resource-intensive tasks, and disburden the healthcare system. While a plethora of trials is elucidating the untapped capabilities of this technology, the sheer pace of scientific progress also takes its toll. Legal guidelines hold a key role in regulating upcoming technologies, safeguarding patients, and determining individual and institutional liabilities. To date, there is a paucity of research work delineating the legal regulations of Language Models and AI for clinical scenarios in plastic and reconstructive surgery. This knowledge gap poses the risk of lawsuits and penalties against plastic surgeons. Thus, we aim to provide the first overview of legal guidelines and pitfalls of LLMs and AI for plastic surgeons. Our analysis encompasses models like ChatGPT, Claude 2, and Llama 2, among others, regardless of their closed or open-source nature. Ultimately, this line of research may help clarify the legal responsibilities of plastic surgeons and seamlessly integrate such cutting-edge technologies into the field of PRS.

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Three-dimensional Medical Printing and Associated Legal Issues in Plastic Surgery: A Scoping Review

Cited by 3 publications

References 17 publications

Sculpting the future: A narrative review of 3D printing in plastic surgery and prosthetic devices

Sculpting the future: A narrative review of 3D printing in plastic surgery and prosthetic devices

Application possibilities of artificial intelligence in facial vascularized composite allotransplantation—a narrative review

The law code of ChatGPT and artificial intelligence—how to shield plastic surgeons and reconstructive surgeons against Justitia's sword

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