Initial Experience With a Tailor-made Simulation and Navigation Program Using a 3-D Printer Model of Kidney Transplantation Surgery

Kusaka, Mamoru; Sugimoto, Maki; Fukami, Naohiko; Sasaki, Hidetada; Takenaka, Motoi; Anraku, Tsutomu; Ito, Taihei; Kenmochi, Takashi; Shiroki, Ryoichi; Hoshinaga, Kiyotaka

doi:10.1016/j.transproceed.2014.12.045

Cited by 89 publications

(83 citation statements)

References 4 publications

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“…Three of them showed that patient's understanding of renal anatomy and pathology was improved with use of 3D printed models, with patient's satisfaction score more than 9 out of 10 (15,25,31). Another three studies demonstrated the clinical value of using 3D printed models in pre-operative planning or simulation of surgical procedures, which led to reduction of surgery duration and intraoperative complications, as well as assisting renal transplantation surgery (17,27,28). The remaining study by Dwivedi et al presented their first report of correlating 3D printed renal molds with MRI tumour features, with the aim of providing opportunities for future studies of radiomic and radiogenomic analysis of renal tumours (26).…”

Section: Qualitative Assessment Of 3d Printed Kidney Modelsmentioning

confidence: 99%

“…There are 7 studies reporting the qualitative assessment of 3D printed models in renal disease (15,17,(25)(26)(27)(28)31). Three of them showed that patient's understanding of renal anatomy and pathology was improved with use of 3D printed models, with patient's satisfaction score more than 9 out of 10 (15,25,31).…”

Section: Qualitative Assessment Of 3d Printed Kidney Modelsmentioning

confidence: 99%

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A systematic review of clinical value of three-dimensional printing in renal disease

Sun

Liu

2018

Quant. Imaging Med. Surg.

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The aim of this systematic review is to analyse current literature related to the clinical value of three-dimensional (3D) printed models in renal disease. A literature search of PubMed and Scopus databases was performed to identify studies reporting the clinical application and usefulness of 3D printed models in renal disease. Fifteen studies were found to meet the selection criteria and were included in the analysis. Eight of them provided quantitative assessments with five studies focusing on dimensional accuracy of 3D printed models in replicating renal anatomy and tumour, and on measuring tumour volume between 3D printed models and original source images and surgical specimens, with mean difference less than 10%. The other three studies reported that the use of 3D printed models significantly enhanced medical students and specialists' ability to identify anatomical structures when compared to two-dimensional (2D) images alone; and significantly shortened intraoperative ultrasound duration compared to without use of 3D printed models. Seven studies provided qualitative assessments of the usefulness of 3D printed kidney models with findings showing that 3D printed models improved patient's understanding of renal anatomy and pathology; improved medical trainees' understanding of renal malignant tumours when compared to viewing medical images alone; and assisted surgical planning and simulation of renal surgical procedures with significant reductions of intraoperative complications. The cost and time associated with 3D printed kidney model production was reported in 10 studies, with costs ranging from USD$100 to USD$1,000, and duration of 3D printing production up to 31 h. The entire process of 3D printing could take up to a few days. This review shows that 3D printed kidney models are accurate in delineating renal anatomical structures and renal tumours with high accuracy. Patient-specific 3D printed models serve as a useful tool in preoperative planning and simulation of surgical procedures for treatment of renal tumours. Further studies with inclusion of more cases and with a focus on reducing the cost and 3D model production time deserve to be investigated.

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Section: Qualitative Assessment Of 3d Printed Kidney Modelsmentioning

confidence: 99%

Section: Qualitative Assessment Of 3d Printed Kidney Modelsmentioning

confidence: 99%

A systematic review of clinical value of three-dimensional printing in renal disease

Sun

Liu

2018

Quant. Imaging Med. Surg.

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“…Several of the aforementioned studies examine and conclude generally positive findings: medical models of various types are useful in pre-operative planning of complicated surgery, which reduces operation time. Other conclusions included the fact that medical modelling increases and enhances student understanding in training and patient understanding in consultation [65,[75][76][77]79,81,83], and it can be concluded from these studies that medical models have proven increasingly useful over time for a variety of medical applications. From the studies examined in this paper, it is clear that the development in medical modelling is most notably in the area of materials and processes that allow the production of multi-colour models.…”

Section: Use For Medical Modellingmentioning

confidence: 99%

X-ray computed tomography and additive manufacturing in medicine: a review

Thompson

McNally

Maskery

et al. 2017

Int. J. Metrol. Qual. Eng.

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Abstract. The use of X-ray computed tomography (XCT) with additive manufacture (AM) within a medical context is examined in this review. The seven AM process families and various XCT scanning techniques are explained in brief, and the use of these technologies together is detailed over time. The transition of these technologies from a simple method of medical modelling to a robust method of customised implant manufacture is described, and the state-of-the-art for XCT and AM is examined in detail. XCT and AM are identified as having the potential to improve gold standards in both modelling and implant production, and in the conclusions of this review, primary barriers to the increased adoption of AM and XCT technologies are identified in reference to the main applications of XCT and AM technologies. The primary prohibitive factors generally relate to the cost of production across all of the examined applications, as well as the need for further clinical trials in surgical guidance and applications involving implantation.

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“…A number of other authors have also speculated on the potential for 3D printing in teaching and training after successfully producing accurate models of complex or rare anatomy [15][16][17]. These models have allowed operative planning in urology, specifically renal transplants, neurosurgery and cardiothoracics.…”

Section: Accepted M Manuscriptmentioning

confidence: 99%

“…These models have allowed operative planning in urology, specifically renal transplants, neurosurgery and cardiothoracics. In particular, parallels for pediatric surgery can be drawn from the latter two specialities; they have utilised 3D printing technology in order to recreate procedures that require practice but have limited training opportunities, such as berry aneurysm clipping and cardiac procedures that have been reduced in frequency by the advent of endovascular surgery [16,17].…”

Section: Accepted M Manuscriptmentioning

confidence: 99%

3D printing to simulate laparoscopic choledochal surgery

Burdall

Makin

Davenport

et al. 2016

Journal of Pediatric Surgery

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Aims of the Study:Laparoscopic simulation has transformed skills acquisition for many procedures. However, realistic non-biological simulators for complex reconstructive surgery are rare. Life-like tactile feedback is particularly difficult to reproduce. Technological innovations may contribute novel solutions to these shortages. We describe a hybrid model, harnessing 3D technology to simulate laparoscopic choledochal surgery for the first time. Methods:Digital hepatic anatomy images and standard laparoscopic trainer dimensions were employed to create an entry level laparoscopic choledochal surgery model. The information was fed into a 3D systems project 660pro with visijet pxl core powder to create a free standing liver mould. This included a cuboid portal in which to slot disposable hybrid components representing hepatic and pancreatic ducts and choledochal cyst. The mould was used to create soft silicone replicas with T28 resin and T5 fast catalyst. The model was assessed at a national pediatric surgery training day. Results:The 10 delegates that trialed the simulation felt that the tactile likeness was good (5.6/10 +/-1.71, 10=like the real thing), was not too complex (6.2/10 +/-1.35; where 1=too simple, 10=too complicated), and generally very useful (7.36/10 +/-1.57, 10=invaluable). 100% stated that they felt they could reproduce this in their own centres, and 100% would recommend this simulation to colleagues. Conclusion:Though this first phase choledochal cyst excision simulation requires further development, 3D printing provides a useful means of creating specific and detailed simulations for rare and complex operations with huge potential for development.

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Initial Experience With a Tailor-made Simulation and Navigation Program Using a 3-D Printer Model of Kidney Transplantation Surgery

Cited by 89 publications

References 4 publications

A systematic review of clinical value of three-dimensional printing in renal disease

A systematic review of clinical value of three-dimensional printing in renal disease

X-ray computed tomography and additive manufacturing in medicine: a review

3D printing to simulate laparoscopic choledochal surgery

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