scholarly journals A háromdimenziós virtuális és nyomtatott szívmodellek megkönnyítik a komplex műtétek megtervezését és javítják a betegbiztonságot a csecsemő- és gyermekszívsebészetben

2019 ◽  
Vol 160 (19) ◽  
pp. 747-755 ◽  
Author(s):  
László Király
Keyword(s):  
Individualized Medicine ◽  
Three Dimensional ◽  
3D Models ◽  
Major Drawback ◽  
Intracardiac Repair ◽  
Flexible Material ◽  
Complex Anatomy ◽  
Great Vessels ◽  
Clinical Benefits ◽  
3D Printed

Abstract: Introduction: Three-dimensional (3D) modelling and printing greatly supports advances in individualized medicine and surgery. In congenital cardiac surgery, 3D-models and printed prototypes offer advantages of better understanding of complex anatomy, hands-on preoperative surgical planning and emulation, improved communication within the multidisciplinary team and to patients. 3D-virtual and printed models often add important new anatomical findings and prompt alternative operative scenarios. Aim: Validity and realisation of possible clinical benefits were studied. Method: Computed tomography-angiography raw-data were segmented into 3D-virtual models of the heart-great vessels. Prototypes were 3D-printed as real-size “blood-volume” (rigid material), and 1.5×-scaled “hollow” (translucent, flexible material). Accuracy of the models was evaluated intraoperatively. Results: We produced 3D-prototypes of the heart-great vessels for 12 case-scenarios (6 males, median age: 11 months) undergoing complex intracardiac repairs. Accuracy was excellent in millimeter-range. Representation of the atrioventricular valves is currently unsatisfactory. Models refined diagnostics in 8/12 and provided new anatomic information in 6/12 cases (e.g., aberrant coronary origin/course, newly-discovered intracardiac communication, etc.); in 10/12 cases they contributed to an improved operative plan (surgical approach, modification of intracardiac repair, etc.); an alternative operative plan emerged in 6/12 cases. Complex operative procedures (staged reoperations in 10/12; Aristotle-score median: 11; 10–14) emulated on 3D-models were materialized successfully. No morbidity/mortality occurred. Acceptance-index of the 3D-models was maximal among the multidisciplinary clinical team and patients/relatives. Conclusion: 3D-printed models can contribute to the safety of complex congenital cardiac surgeries in selected scenarios. Besides their numerous benefits, currently inadequate financial coverage of the extra time/labour and material/machinery by insurance is mentioned as a major drawback. Orv Hetil. 2019; 160(19): 747–755.

scholarly journals Three-Dimensional Virtual and Printed Prototypes in Complex Congenital and Pediatric Cardiac Surgery—A Multidisciplinary Team-Learning Experience

Biomolecules ◽  
2021 ◽  
Vol 11 (11) ◽  
pp. 1703
Author(s):  
Laszlo Kiraly ◽  
Nishant C. Shah ◽  
Osama Abdullah ◽  
Oraib Al-Ketan ◽  
Reza Rowshan
Keyword(s):  
Cardiac Surgery ◽  
Clinical Research ◽  
Surgical Planning ◽  
Team Learning ◽  
Learning Experience ◽  
Three Dimensional ◽  
3D Models ◽  
Research Partnership ◽  
Great Vessels ◽  
3D Printed

Three-dimensional (3D) virtual modeling and printing advances individualized medicine and surgery. In congenital cardiac surgery, 3D virtual models and printed prototypes offer advantages of better understanding of complex anatomy, hands-on preoperative surgical planning and emulation, and improved communication within the multidisciplinary team and to patients. We report our single center team-learning experience about the realization and validation of possible clinical benefits of 3D-printed models in surgical planning of complex congenital cardiac surgery. CT-angiography raw data were segmented into 3D-virtual models of the heart-great vessels. Prototypes were 3D-printed as rigid “blood-volume” and flexible “hollow”. The accuracy of the models was evaluated intraoperatively. Production steps were realized in the framework of a clinical/research partnership. We produced 3D prototypes of the heart-great vessels for 15 case scenarios (nine males, median age: 11 months) undergoing complex intracardiac repairs. Parity between 3D models and intraoperative structures was within 1 mm range. Models refined diagnostics in 13/15, provided new anatomic information in 9/15. As a team-learning experience, all complex staged redo-operations (13/15; Aristotle-score mean: 10.64 ± 1.95) were rehearsed on the 3D models preoperatively. 3D-printed prototypes significantly contributed to an improved/alternative operative plan on the surgical approach, modification of intracardiac repair in 13/15. No operative morbidity/mortality occurred. Our clinical/research partnership provided coverage for the extra time/labor and material/machinery not financed by insurance. 3D-printed models provided a team-learning experience and contributed to the safety of complex congenital cardiac surgeries. A clinical/research partnership may open avenues for bioprinting of patient-specific implants.

scholarly journals Midface Reconstruction: Planning and Outcome

2020 ◽  
Vol 53 (03) ◽  
pp. 324-334
Author(s):  
Gautam Biswas
Keyword(s):  
Digital Imaging ◽  
3D Structure ◽  
Three Dimensional ◽  
The Past ◽  
Complex Anatomy ◽  
Osseointegrated Implants ◽  
Low Profile ◽  
3D Printed ◽  
Midface Reconstruction ◽  
Reconstruction Planning

Abstract Reconstruction of the complex anatomy and aesthetics of the midface is often a challenge. A careful understanding of this three-dimensional (3D) structure is necessary. Anticipating the extent of excision and its planning following oncological resections is critical.In the past over two decades, with the advances in microsurgical procedures, contributions toward the reconstruction of this area have generated interest. Planning using digital imaging, 3D printed models, osseointegrated implants, and low-profile plates, has favorably impacted the outcome. However, there are still controversies in the management: to use single composite tissues versus multiple tissues; implants versus autografts; vascularized versus nonvascularized bone; prosthesis versus reconstruction.This article explores the present available options in maxillary reconstruction and outlines the approach in the management garnered from past publications and experiences.

scholarly journals Three-dimensional printing for heart diseases: clinical application review

2021 ◽  
Author(s):  
Yanyan Ma ◽  
Peng Ding ◽  
Lanlan Li ◽  
Yang Liu ◽  
Ping Jin ◽  
...  
Keyword(s):  
3D Printing ◽  
Clinical Application ◽  
Heart Diseases ◽  
Three Dimensional ◽  
Convincing Evidence ◽  
Surgical Interventions ◽  
Three Dimensional Printing ◽  
Complex Anatomy ◽  
Precise Understanding ◽  
3D Printed

AbstractHeart diseases remain the top threat to human health, and the treatment of heart diseases changes with each passing day. Convincing evidence shows that three-dimensional (3D) printing allows for a more precise understanding of the complex anatomy associated with various heart diseases. In addition, 3D-printed models of cardiac diseases may serve as effective educational tools and for hands-on simulation of surgical interventions. We introduce examples of the clinical applications of different types of 3D printing based on specific cases and clinical application scenarios of 3D printing in treating heart diseases. We also discuss the limitations and clinically unmet needs of 3D printing in this context.

Effect of 3D Manipulatives on Students with Visual Impairments Who Are Learning Chemistry Constructs: A Pilot Study

2020 ◽  
Vol 114 (5) ◽  
pp. 370-381
Author(s):  
Derrick W. Smith ◽  
Sandra A. Lampley ◽  
Bob Dolan ◽  
Greg Williams ◽  
David Schleppenbach ◽  
...  
Keyword(s):  
Stem Education ◽  
3D Model ◽  
Atomic Orbital ◽  
Visual Impairments ◽  
Three Dimensional ◽  
3D Models ◽  
Specific Content ◽  
3D Printed ◽  
Printed Materials ◽  
Tactile Graphics

Introduction: The emerging technology of three-dimensional (3D) printing has the potential to provide unique 3D modeling to support specific content in science, technology, engineering, and mathematics (STEM) education, particularly chemistry. Method: Seventeen ( n = 17) students with visual impairments were provided direct instruction on chemistry atomic orbital content and allowed to use either print or tactile graphics or 3D models in rotating order. Participants were asked specific content questions based upon the atomic orbitals. Results: The students were asked two sets of comprehension questions: general and specific. Overall, students’ responses for general questions increased per iteration regardless of which manipulative was used. For specific questions, the students answered more questions correctly when using the 3D model regardless of order. When asked about their perceptions toward the manipulatives, the students preferred the 3D model over print or tactile graphics. Discussion: The findings show the potential for 3D printed materials in learning complex STEM content. Although the students preferred the 3D models, they all mentioned that a combination of manipulatives helped them better understand the material. Implications for practitioners: Practitioners should consider the use of manipulatives that include 3D printed materials to support STEM education.

Performance of 3D computers and 3D printed models as a fundamental means for spatial engineering information visualization

2014 ◽  
Vol 41 (10) ◽  
pp. 869-877 ◽  
Author(s):  
Gabriel B. Dadi ◽  
Timothy R.B. Taylor ◽  
Paul M. Goodrum ◽  
William F. Maloney
Keyword(s):  
Computer Aided Design ◽  
Three Dimensional ◽  
3D Models ◽  
The Body ◽  
Information Modeling ◽  
Simple Task ◽  
Great Opportunity ◽  
Cad Models ◽  
Engineering Information ◽  
3D Printed

Engineering information delivery can be a source of inefficient communication of design, leading to construction rework and lower worker morale. Due to errors, omissions, and misinterpretations, there remains a great opportunity to improve the traditional documentation of engineering information that craft professionals use to complete their work. Historically, physical three dimensional (3D) models built by hand provided 3D physical representations of the project to assist in sequencing, visualization, and planning of critical construction activities. This practice has greatly diminished since the adoption of 3D computer-aided design (CAD) and building information modeling technologies. Recently, additive manufacturing (a.k.a. 3D printing) technologies have allowed for three dimensional printing of 3D CAD models. A cognitive experiment was established to measure the effectiveness of 2D drawings, a 3D computer model, and a 3D printed model in delivering engineering information to an end-user are scientifically measured. The 3D printed model outperformed the 2D drawings and 3D computer interface in productivity measures. This paper’s primary contribution to the body of knowledge is identification of how different mediums of engineering information influence the performance of a simple task execution.

Custom Patient-Specific Three-Dimensional Printed Mitral Valve Models for Pre-Operative Patient Education Enhance Patient Satisfaction and Understanding

2019 ◽  
Vol 13 (3) ◽  
Author(s):  
Kay S. Hung ◽  
Michael J. Paulsen ◽  
Hanjay Wang ◽  
Camille Hironaka ◽  
Y. Joseph Woo
Keyword(s):  
Patient Education ◽  
Mitral Valve ◽  
Three Dimensional ◽  
3D Models ◽  
Patient Specific ◽  
Imaging Data ◽  
Anatomical Models ◽  
Mitral Valves ◽  
Flexible Polymer ◽  
3D Printed

In recent years, advances in medical imaging and three-dimensional (3D) additive manufacturing techniques have increased the use of 3D-printed anatomical models for surgical planning, device design and testing, customization of prostheses, and medical education. Using 3D-printing technology, we generated patient-specific models of mitral valves from their pre-operative cardiac imaging data and utilized these custom models to educate patients about their anatomy, disease, and treatment. Clinical 3D transthoracic and transesophageal echocardiography images were acquired from patients referred for mitral valve repair surgery and segmented using 3D modeling software. Patient-specific mitral valves were 3D-printed using a flexible polymer material to mimic the precise geometry and tissue texture of the relevant anatomy. 3D models were presented to patients at their pre-operative clinic visit and patient education was performed using either the 3D model or the standard anatomic illustrations. Afterward, patients completed questionnaires assessing knowledge and satisfaction. Responses were calculated based on a 1–5 Likert scale and analyzed using a nonparametric Mann–Whitney test. Twelve patients were presented with a patient-specific 3D-printed mitral valve model in addition to standard education materials and twelve patients were presented with only standard educational materials. The mean survey scores were 64.2 (±1.7) and 60.1 (±5.9), respectively (p = 0.008). The use of patient-specific anatomical models positively impacts patient education and satisfaction, and is a feasible method to open new opportunities in precision medicine.

Three-Dimensional Printing of Prenatal Ultrasonographic Diagnosis of Cleft Lip and Palate: Presenting the Needed “Know-How” and Discussing Its Use in Parental Education

2020 ◽  
Vol 57 (8) ◽  
pp. 1041-1044
Author(s):  
Matthias Schlund ◽  
Jean-Marc Levaillant ◽  
Romain Nicot
Keyword(s):  
Parental Education ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Three Dimensional ◽  
3D Models ◽  
Prenatal Counseling ◽  
Three Dimensional Printing ◽  
3D Printed ◽  
3D Information ◽  
Dimensional Printing

Parental prenatal counseling is of paramount significance since parents often experience an emotional crisis with feelings of disappointment and helplessness. Three-dimensional (3D) printed model of the unborn child’s face presenting with cleft lip and palate, based on ultrasonographic information, could be used to provide visual 3D information, further enhancing the prospective parent’s comprehension of their unborn child’s pathology and morphology, helping them to be psychologically prepared and improving the communication with the caretaking team. Prospective parents appreciate if prenatal counseling is available with the most detailed information as well as additional resources. The technique necessary to create 3D models after ultrasonographic information is explained, and the related costs are evaluated. The use of such models in parental education is then discussed.

scholarly journals Alternative Divulgation of the Local Sculptural Heritage: Construction of Paper Toys and Use of the Minecraft Video Game

2018 ◽  
Vol 10 (11) ◽  
pp. 4262 ◽  
Author(s):  
Cecile Meier ◽  
Jose Saorín ◽  
Jorge de la Torre-Cantero ◽  
Manuel Díaz-Alemán
Keyword(s):  
Video Game ◽  
User Satisfaction ◽  
Three Dimensional ◽  
3D Models ◽  
Alternative Methods ◽  
Pilot Studies ◽  
Cultural Patrimony ◽  
3D Printed ◽  
Three Dimensional Models ◽  
The One

At present it is easy to digitalize sculptural heritage in 3D. Three-dimensional models allow for visualization of the work from all angles. The result can be seen in three-dimensional visors, in virtual reality, or by means of 3D-printed replicas. However, the recipient continues to be, as is also the case in books and videos, a passive spectator of the cultural patrimony. In order to promote participation and to increase interest in local heritage, alternative methods for promotion of the digital patrimony have been developed. In this article, two means of publicizing local (less-known) heritage in an active manner have been described. On the one hand, the transformation of 3D models into cut-outs (paper toys) where it is necessary to make the sculptures by hand, and on the other hand, the incorporation of the models into the video game Minecraft, an immersed 3D world which permits visiting or generating content. To validate these alternatives, two examples based on the sculptures of Santa Cruz de Tenerife (Spain) have been created, and they have been used in pilot studies in schools in order to obtain a first appraisal of user satisfaction.

Virtual Reality Angiogram vs 3-Dimensional Printed Angiogram as an Educational tool—A Comparative Study

Neurosurgery ◽  
2019 ◽  
Vol 85 (2) ◽  
pp. E343-E349 ◽  
Author(s):  
David Bairamian ◽  
Shinuo Liu ◽  
Behzad Eftekhar
Keyword(s):  
Virtual Reality ◽  
Depth Perception ◽  
3D Visualization ◽  
Three Dimensional ◽  
3D Models ◽  
Stereoscopic Depth ◽  
Educational Tool ◽  
Immersive Virtual Environment ◽  
3D Printed ◽  
Educational Potential

Abstract BACKGROUND Three-dimensional (3D) visualization of the neurovascular structures has helped preoperative surgical planning. 3D printed models and virtual reality (VR) devices are 2 options to improve 3D stereovision and stereoscopic depth perception of cerebrovascular anatomy for aneurysm surgery. OBJECTIVE To investigate and compare the practicality and potential of 3D printed and VR models in a neurosurgical education context. METHODS The VR angiogram was introduced through the development and testing of a VR smartphone app. Ten neurosurgical trainees from Australia and New Zealand participated in a 2-part interactive exercise using 3 3D printed and VR angiogram models followed by a questionnaire about their experience. In a separate exercise to investigate the learning curve effect on VR angiogram application, a qualified neurosurgeon was subjected to 15 exercises involving manipulating VR angiograms models. RESULTS VR angiogram outperformed 3D printed model in terms of resolution. It had statistically significant advantage in ability to zoom, resolution, ease of manipulation, model durability, and educational potential. VR angiogram had a higher questionnaire total score than 3D models. The 3D printed models had a statistically significant advantage in depth perception and ease of manipulation. The results were independent of trainee year level, sequence of the tests, or anatomy. CONCLUSION In selected cases with challenging cerebrovascular anatomy where stereoscopic depth perception is helpful, VR angiogram should be considered as a viable alternative to the 3D printed models for neurosurgical training and preoperative planning. An immersive virtual environment offers excellent resolution and ability to zoom, potentiating it as an untapped educational tool.

scholarly journals A review and guide to creating patient specific 3D printed anatomical models from MRI for benign gynecologic surgery

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Teresa E. Flaxman ◽  
Carly M. Cooke ◽  
Olivier X. Miguel ◽  
Adnan M. Sheikh ◽  
Sukhbir S. Singh
Keyword(s):  
3D Printing ◽  
Clinical Benefit ◽  
Three Dimensional ◽  
Uterine Fibroids ◽  
3D Models ◽  
Gynecologic Surgery ◽  
Patient Specific ◽  
Mr Images ◽  
Adjacent Structures ◽  
3D Printed

Abstract Background Patient specific three-dimensional (3D) models can be derived from two-dimensional medical images, such as magnetic resonance (MR) images. 3D models have been shown to improve anatomical comprehension by providing more accurate assessments of anatomical volumes and better perspectives of structural orientations relative to adjacent structures. The clinical benefit of using patient specific 3D printed models have been highlighted in the fields of orthopaedics, cardiothoracics, and neurosurgery for the purpose of pre-surgical planning. However, reports on the clinical use of 3D printed models in the field of gynecology are limited. Main text This article aims to provide a brief overview of the principles of 3D printing and the steps required to derive patient-specific, anatomically accurate 3D printed models of gynecologic anatomy from MR images. Examples of 3D printed models for uterine fibroids and endometriosis are presented as well as a discussion on the barriers to clinical uptake and the future directions for 3D printing in the field of gynecological surgery. Conclusion Successful gynecologic surgery requires a thorough understanding of the patient’s anatomy and burden of disease. Future use of patient specific 3D printed models is encouraged so the clinical benefit can be better understood and evidence to support their use in standard of care can be provided.

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