scholarly journals Clinical Applications of Additive Manufacturing Models in Neurosurgery: a Systematic Review

2021 ◽  
Vol 40 (04) ◽  
pp. e349-e360
Author(s):  
André Giacomelli Leal ◽  
Ricardo Ramina ◽  
Paulo Henrique Pires de Aguiar ◽  
Beatriz Luci Fernandes ◽  
Mauren Abreu de Souza ◽  
...  

Abstract Introduction Three-dimensional (3D) printing technologies provide a practical and anatomical way to reproduce precise tailored-made models of the patients and of the diseases. Those models can allow surgical planning, besides training and surgical simulation in the treatment of neurosurgical diseases. Objective The aim of the present article is to review the scenario of the development of different types of available 3D printing technologies, the processes involved in the creation of biomodels, and the application of those advances in the neurosurgical field. Methods We searched for papers that addressed the clinical application of 3D printing in neurosurgery on the PubMed, Ebsco, Web of Science, Scopus, and Science Direct databases. All papers related to the use of any additive manufacturing technique were included in the present study. Results Studies involving 3D printing in neurosurgery are concentrated on three main areas: (1) creation of anatomical tailored-made models for planning and training; (2) development of devices and materials for the treatment of neurosurgical diseases, and (3) biological implants for tissues engineering. Biomodels are extremely useful in several branches of neurosurgery, and their use in spinal, cerebrovascular, endovascular, neuro-oncological, neuropediatric, and functional surgeries can be highlighted. Conclusions Three-dimensional printing technologies are an exclusive way for direct replication of specific pathologies of the patient. It can identify the anatomical variation and provide a way for rapid construction of training models, allowing the medical resident and the experienced neurosurgeon to practice the surgical steps before the operation.

Materials ◽  
2021 ◽  
Vol 14 (21) ◽  
pp. 6261
Author(s):  
Tuhin Mukherjee

Additive manufacturing, commonly known as three-dimensional printing (3D printing), is becoming an increasingly popular method for making components that are difficult to fabricate using traditional manufacturing processes [...]


2016 ◽  
Vol 156 (6) ◽  
pp. 999-1010 ◽  
Author(s):  
Trevor D. Crafts ◽  
Susan E. Ellsperman ◽  
Todd J. Wannemuehler ◽  
Travis D. Bellicchi ◽  
Taha Z. Shipchandler ◽  
...  

Objective Three-dimensional (3D)-printing technology is being employed in a variety of medical and surgical specialties to improve patient care and advance resident physician training. As the costs of implementing 3D printing have declined, the use of this technology has expanded, especially within surgical specialties. This article explores the types of 3D printing available, highlights the benefits and drawbacks of each methodology, provides examples of how 3D printing has been applied within the field of otolaryngology–head and neck surgery, discusses future innovations, and explores the financial impact of these advances. Data Sources Articles were identified from PubMed and Ovid MEDLINE. Review Methods PubMed and Ovid Medline were queried for English articles published between 2011 and 2016, including a few articles prior to this time as relevant examples. Search terms included 3-dimensional printing, 3 D printing, otolaryngology, additive manufacturing, craniofacial, reconstruction, temporal bone, airway, sinus, cost, and anatomic models. Conclusions Three-dimensional printing has been used in recent years in otolaryngology for preoperative planning, education, prostheses, grafting, and reconstruction. Emerging technologies include the printing of tissue scaffolds for the auricle and nose, more realistic training models, and personalized implantable medical devices. Implications for Practice After the up-front costs of 3D printing are accounted for, its utilization in surgical models, patient-specific implants, and custom instruments can reduce operating room time and thus decrease costs. Educational and training models provide an opportunity to better visualize anomalies, practice surgical technique, predict problems that might arise, and improve quality by reducing mistakes.


2018 ◽  
Vol 12 (2) ◽  
pp. 365-371 ◽  
Author(s):  
Akshay Gadia ◽  
Kunal Shah ◽  
Abhay Nene

<p>In the last decade, spine surgery has advanced tremendously. Tissue engineering and three-dimensional (3D) printing/additive manufacturing have provided promising new research avenues in the fields of medicine and orthopedics in recent literature, and their emergent role in spine surgery is encouraging. We reviewed recent articles that highlighted the role of 3D printing in medicine, orthopedics, and spine surgery and summarized the utility of 3D printing. 3D printing has shown promising results in various aspects of spine surgery and can be a useful tool for spine surgeons. The growing research on tissue bioengineering and its application in conjunction with additive manufacturing has revealed great potential for tissue bioengineering in the treatment of spinal ailments.</p>


Author(s):  
Antonio Sartal ◽  
Diego Carou ◽  
Rubén Dorado-Vicente ◽  
Lorenzo Mandayo

Our research explores how additive manufacturing can support the food industry in facing its current global challenges. Although information technologies are usually highlighted as the main driver of the Industry 4.0 concept, which was first introduced during the Hannover Fair event in 2011, we posit that additive manufacturing can be the true generator of a sustainable competitive advantage in this sector. This evidence stems from a case study in a plant of one of the world’s largest fishing multinational companies. Our results show how, through robotic claw optimization using three-dimensional printing, we not only reduce the manufacturing costs but also increase the flexibility of the line and reduce time to market. On the one hand, our findings should encourage managers to test this technology at their facilities; on the other hand, policymakers should promote the adoption of additive manufacturing, highlighting the potential of this technology within the Industry 4.0 context.


Author(s):  
K. G. Siree ◽  
T. M. Amulya ◽  
T. M. Pramod Kumar ◽  
S. Sowmya ◽  
K. Divith ◽  
...  

Three-dimensional (3D) printing is a unique technique that allows for a high degree of customisation in pharmacy, dentistry and in designing of medical devices. 3D printing satiates the increasing exigency for consumer personalisation in these fields as custom-made medicines catering to the patients’ requirements are novel advancements in drug therapy. Current research in 3D printing indicates towards reproducing an organ in the form of a chip; paving the way for more studies and opportunities to perfecting the existing technique. In addition, we will also attempt to shed light on the impact of 3D printing in the COVID-19 pandemic.


2016 ◽  
Author(s):  
Hongxing Luo ◽  
Zhongmin Wang

We comment on the recent developments and problems of three-dimensional printing in cardiology. Since there are currently no standards or consensuses for 3D printing in clinical medicine and the technology is at its infancy in cardiology, it’s very important to detail the procedures to allow more similar studies to further our understandings of this novel technology. Most studies have employed computed tomography to obtain source data for 3D printing, the use of real-time 3D transesophageal echocardiography for data acquisition remains rare, so it would be very valuable and inspiring to detail the image postprocessing steps, or the reliability of the study results will be doubtful.


2019 ◽  
Vol 109 (2) ◽  
pp. 166-173 ◽  
Author(s):  
A.B.V. Pettersson ◽  
M. Salmi ◽  
P. Vallittu ◽  
W. Serlo ◽  
J. Tuomi ◽  
...  

Background and Aims: Additive manufacturing or three-dimensional printing is a novel production methodology for producing patient-specific models, medical aids, tools, and implants. However, the clinical impact of this technology is unknown. In this study, we sought to characterize the clinical adoption of medical additive manufacturing in Finland in 2016–2017. We focused on non-dental usage at university hospitals. Materials and Methods: A questionnaire containing five questions was sent by email to all operative, radiologic, and oncologic departments of all university hospitals in Finland. Respondents who reported extensive use of medical additive manufacturing were contacted with additional, personalized questions. Results: Of the 115 questionnaires sent, 58 received answers. Of the responders, 41% identified as non-users, including all general/gastrointestinal (GI) and vascular surgeons, urologists, and gynecologists; 23% identified as experimenters or previous users; and 36% identified as heavy users. Usage was concentrated around the head area by various specialties (neurosurgical, craniomaxillofacial, ear, nose and throat diseases (ENT), plastic surgery). Applications included repair of cranial vault defects and malformations, surgical oncology, trauma, and cleft palate reconstruction. Some routine usage was also reported in orthopedics. In addition to these patient-specific uses, we identified several off-the-shelf medical components that were produced by additive manufacturing, while some important patient-specific components were produced by traditional methodologies such as milling. Conclusion: During 2016–2017, medical additive manufacturing in Finland was routinely used at university hospitals for several applications in the head area. Outside of this area, usage was much less common. Future research should include all patient-specific products created by a computer-aided design/manufacture workflow from imaging data, instead of concentrating on the production methodology.


2019 ◽  
Vol 70 (14) ◽  
pp. 3453-3466 ◽  
Author(s):  
Bernard Thibaut

AbstractWood is well defined as an engineering material. However, living wood in the tree is often regarded only as a passive skeleton consisting of a sophisticated pipe system for the ascent of sap and a tree-like structure made of a complex material to resist external forces. There are two other active key roles of living wood in the field of biomechanics: (i) additive manufacturing of the whole structure by cell division and expansion, and (ii) a ‘muscle’ function of living fibres or tracheids generating forces at the sapwood periphery. The living skeleton representing most of the sapwood is a mere accumulation of dead tracheids and libriform fibres after their programmed cell death. It keeps a record of the two active roles of living wood in its structure, chemical composition, and state of residual stresses. Models and field experiments define four biomechanical traits based on stem geometry and parameters of wood properties resulting from additive manufacturing and force generation. Geometric parameters resulting from primary and secondary growth play the larger role. Passive wood properties are only secondary parameters, while dissymmetric force generation is key for movement, posture control, and tree reshaping after accidents.


2020 ◽  
Vol 2020 ◽  
pp. 1-6 ◽  
Author(s):  
Marcin Metlerski ◽  
Katarzyna Grocholewicz ◽  
Aleksandra Jaroń ◽  
Mariusz Lipski ◽  
Grzegorz Trybek ◽  
...  

Three-dimensional printing is a rapidly developing area of technology and manufacturing in the field of oral surgery. The aim of this study was comparison of presurgical models made by two different types of three-dimensional (3D) printing technology. Digital reference models were printed 10 times using fused deposition modelling (FDM) and digital light processing (DLP) techniques. All 3D printed models were scanned using a technical scanner. The trueness, linear measurements, and printing time were evaluated. The diagnostic models were compared with the reference models using linear and mean deviation for trueness measurements with computer software. Paired t-tests were performed to compare the two types of 3D printing technology. A P value < 0.05 was considered statistically significant. For FDM printing, all average distances between the reference points were smaller than the corresponding distances measured on the reference model. For the DLP models, the average distances in the three measurements were smaller than the original. Only one average distance measurement was greater. The mean deviation for trueness was 0.1775 mm for the FDM group and 0.0861 mm for the DLP group. Mean printing time for a single model was 517.6 minutes in FDM technology and 285.3 minutes in DLP. This study confirms that presurgical models manufactured with FDM and DLP technologies are usable in oral surgery. Our findings will facilitate clinical decision-making regarding the best 3D printing technology to use when planning a surgical procedure.


Sign in / Sign up

Export Citation Format

Share Document