Three-dimensional patient-specific cardiac model for surgical planning in Nikaidoh procedure

Valverde, Israel; Gómez, Gorka; González, Antonio; Suárez-Mejías, Cristina; Adsuar, Alejandro; Coserria, Jose F.; Uribe, Sergio; Gómez-Cía, Tomás; Hosseinpour, Amir-Reza

doi:10.1017/s1047951114000742

Cited by 99 publications

(87 citation statements)

References 9 publications

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“…The use of 3D models enhances physicians' understanding of the complex anatomy, so these models are valuable for perioperative planning and intraoperative orientation [9][10][11]. Because of this, the use of models can avoid improvisation, save intraoperative time, and improve the chances of a better outcome [2]. We experienced these invaluable benefits of 3D models in patients with a wide spectrum of complex congenital heart defects, either native or after previous surgery.…”

Section: Resultsmentioning

confidence: 99%

“…This invaluable information is extremely helpful for surgical decision-making because even minor anatomical details can indicate the optimal surgical approach in each individual patient with a complex congenital heart defect. Hence, the use of 3D heart models allows one to avoid unexpected findings, especially in very rare congenital heart defects [2]. Thanks to these benefits, 3D model printing has nowadays become an established complementary imaging technique in paediatric cardiology [3,4].…”

Section: Introductionmentioning

confidence: 99%

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Utilisation of three-dimensional printed heart models for operative planning of complex congenital heart defects

Olejník¹,

Nosál²,

Havran³

et al. 2017

Kardiol Pol

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A b s t r a c t Background and aim:To evaluate the accuracy of the three-dimensional (3D) printing of cardiovascular structures. To explore whether utilisation of 3D printed heart replicas can improve surgical and catheter interventional planning in patients with complex congenital heart defects. Methods:Between December 2014 and November 2015 we fabricated eight cardiovascular models based on computed tomography data in patients with complex spatial anatomical relationships of cardiovascular structures. A Bland-Altman analysis was used to assess the accuracy of 3D printing by comparing dimension measurements at analogous anatomical locations between the printed models and digital imagery data, as well as between printed models and in vivo surgical findings. The contribution of 3D printed heart models for perioperative planning improvement was evaluated in the four most representative patients. Results:Bland-Altman analysis confirmed the high accuracy of 3D cardiovascular printing. Each printed model offered an improved spatial anatomical orientation of cardiovascular structures.Conclusions: Current 3D printers can produce authentic copies of patients` cardiovascular systems from computed tomography data. The use of 3D printed models can facilitate surgical or catheter interventional procedures in patients with complex congenital heart defects due to better preoperative planning and intraoperative orientation.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Utilisation of three-dimensional printed heart models for operative planning of complex congenital heart defects

Olejník¹,

Nosál²,

Havran³

et al. 2017

Kardiol Pol

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show abstract

“…3D TTE/TEE Left atrial appendage occlusion [14], postoperative hemodynamic testing following MitraClip procedure [41] MRI TGA, VSD, PS [42], DORV [43], hypoplastic aortic arch [44], aortic arch aneurysm [45], pulmonary atresia, ASD, tricuspid regurgitation, dextrocardia [46], retroesophageal LSA + right aortic arch [47] MSCT ASD [48,49], VSD [50], LAA occlusion [51], severe AS [52], extensive AA [53], severe mitral valve regurgitation [54], neopulmonary stenosis [55], primary dilated cardiomyopathy [56], primary cardiac schwannoma [57], double-chambered right ventricle [58], severe pulmonary venous stenosis [59], complex aortic obstruction [60], juxtarenal AA [61], DOLV, VSD, PS [62], left atrium osteosarcoma [63], hypertrophic cardiomyopathy [64], prosthetic MV perivalvular leak [65], ventricular aneurysm [66], pulmonary venous baffle to the systemic right ventricle [67], tricuspid atresia [67], His bundle pacing [68] AA -atherosclerotic aneurysm; rest abbreviations are the same with the Table 1 www.cardiologyjournal.org three challenges are discussed which need to be addressed in the future.…”

Section: Imaging Techniques Diseasesmentioning

confidence: 99%

Three-dimensional printing in cardiology: Current applications and future challenges

et al. 2017

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“…Patient-specific 3D printed models based on computed tomography (CT) or magnetic resonance imaging (MRI) data have been shown to accurately replicate complex anatomical structures and pathologies when compared to original source images (2)(3)(4)7). 3D printed models can also be used to assist pre-surgical planning and simulation, improve understanding of anatomy and individual lesions (8)(9)(10).…”

Section: Introductionmentioning

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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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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Three-dimensional patient-specific cardiac model for surgical planning in Nikaidoh procedure

Abstract: Cardiovascular models constructed by rapid prototyping techniques are extremely helpful for planning corrective surgery in patients with complex congenital malformations. Therefore they may potentially reduce operative time and morbi-mortality.

Cited by 99 publications

References 9 publications

Utilisation of three-dimensional printed heart models for operative planning of complex congenital heart defects

Utilisation of three-dimensional printed heart models for operative planning of complex congenital heart defects

Three-dimensional printing in cardiology: Current applications and future challenges

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

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