Early experiences of planning stereotactic radiosurgery using 3D printed models of eyes with uveal melanomas

Šramka, M; Thurzo, Andrej; Furdová, Alena

doi:10.2147/opth.s123640

Cited by 23 publications

(19 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…6 3D printing was also used in surgical planning for orbital fracture repair 7 and in stereotactic surgery for uveal melanomas. 8 Other uses include the manufacturing of ocular prostheses 9 as well as various surgical instruments. 10 This is the first report in which a 3D printer was not only used for the creation of surgical and educational tools but was used in itself as a tool to foster innovation and creativity in an academic ophthalmic educational program.…”

Section: Discussionmentioning

confidence: 99%

Educational Value of a 3D Printer in Ophthalmology Training

et al. 2018

View full text Add to dashboard Cite

Three-dimensional (3D) printers are increasingly being used in medicine for surgical planning, medical education, patient education, research, and device development. Ophthalmology is a field that relies heavily on direct visualization of ocular structures and is rich in instrumentation, making 3D printing potentially very useful.1 3D printers and the plastic filament (printing material) have become increasingly affordable. Software for driving the printer and designing 3D models has also become more user-friendly. Therefore, it has become feasible to provide trainees with access to a 3D printer for education and experimentation. Here, we describe some of the innovative uses of this technology that were performed by trainees in an ophthalmology residency program. MethodsA MakerGear M2 3D printer (MakerGear, Beachwood, OH) was connected to a dedicated computer which was made available to medical students, residents, as well as clinical and research fellows in the Department of Ophthalmology. It was placed in a common area of the department offices that is only accessible to ophthalmology staff and where trainees frequently take their breaks. The availability of the 3D printer was communicated to individual trainees and during ophthalmology grand rounds to the entire department. One medical student who was familiar with the technology helped trainees assess the feasibility of their ideas and transmitted his knowledge to them. Sources of training such as online videos and Web sites were also used. ResultsProject ideas originated from trainees with help from the faculty, and were based on a need for certain items in the department or a gap that was identified by the trainees and students. Having the physical 3D-printed item available for use drew more individuals to suggest improvements in design and come up with other novel ideas.Keywords AbstractThree-dimensional (3D) printers are increasingly being used in medicine for surgical planning, medical education, patient education, research, and device development. We explore the educational value of a 3D printer for trainees in an ophthalmology residency program. A 3D printer was made available to medical students, residents, and clinical and research fellows in the Department of Ophthalmology at Case Western Reserve University. One of the medical students was proficient in the technology and was available to help. Multiple projects were initiated including the manufacturing of slit-lamp cellphone adapters and various interface and integral custom-made parts for research applications. The 3D printer was found to be useful by 20 of 21 trainees surveyed with 17 of 20 saying they would use it after graduation if they had access to one. All the respondents felt that the availability of the technology can contribute to increased innovation in the ophthalmology department. We encourage other ophthalmology departments to experiment with 3D printing as a tool to foster innovation and creativity for trainees.Ã Authors Jawad Arshad and Richard W. Helms contributed equally to thi...

show abstract

Section: Discussionmentioning

confidence: 99%

Educational Value of a 3D Printer in Ophthalmology Training

et al. 2018

View full text Add to dashboard Cite

show abstract

“…Obtained patient observations confirmed that stereotactic irradiation for uveal melanoma using LINAC is feasible and well tolerated. This treatment preserves the patient's eye globe and is offered in the case of moderate or unfavorably localized uveal melanomas [5].…”

Section: Discussionmentioning

confidence: 99%

“…We introduced the 3D printing technology into a process of planning stereotactic radiosurgery (SRS) in patients as a treatment of intraocular tumor-uveal melanoma [5,6].…”

Section: For Surgical Planningmentioning

confidence: 99%

See 1 more Smart Citation

3D Printing Planning Stereotactic Radiosurgery in Uveal Melanoma Patients

Furdová¹,

Šramka²,

Furda³

et al. 2018

3D Printing

Self Cite

View full text Add to dashboard Cite

The aim of our work is to use a new modality for visualization of intraocular tumors in three-dimensional space for planning of stereotactic radiosurgery procedure on linear accelerator. Malignant uveal melanoma is the most common malignant tumor of the inner eye structures in adults. Stereotactic radiosurgery on linear accelerator is the method of treatment that requires precise planning. However, in some cases, it is very difficult to imagine the structures based only on fusion of two-dimensional computed tomography (CT) and magnetic resonance imaging (MRI) scans. For the team of specialists planning the procedure, 3D printed models represent the way how to perceive the real shape of the tumor and its location considering the important structures of the eye globe. By using the open-source software for segmentation (3D Slicer), we created a virtual 3D model of the eye globe with a tumor that utilized tissue density information based on CT and/or MRI dataset. By creating and introducing a new imaging modality for tumor visualization, we provided real 3D model of the eye globe for the specialists that enabled them more effective planning of the stereotactic radiosurgery.

show abstract

“…To preserve the eye globe is the main goal in conservative treatment. Secondary neovascular glaucoma as complication after LSRS is the most frequent reason for enucleation; it varies from 10 % to 20 % [22]. Single dose one-day session LSRS with 35.0 Gy is adequate to treat small and medium stage melanoma [21].…”

Section: Discussionmentioning

confidence: 99%