Development of Three-Dimensional Hollow Elastic Model for Cerebral Aneurysm Clipping Simulation Enabling Rapid and Low Cost Prototyping

被引：182

作者：

Mashiko, Toshihiro ^{[1
]}

Otani, Keisuke ^{[1
]}

Kawano, Ryutaro ^{[2
]}

Konno, Takehiko ^{[1
]}

Kaneko, Naoki ^{[1
]}

Ito, Yumiko ^{[1
]}

Watanabe, Eiju ^{[1
]}

机构：

[1] Jichi Med Univ, Dept Neurosurg, Shimotsuke, Tochigi, Japan

[2] Jichi Med Univ, Med Simulat Ctr, Shimotsuke, Tochigi, Japan

来源：

WORLD NEUROSURGERY | 2015年 / 83卷 / 03期

关键词：

3D model; 3D printing; Cerebral aneurysm; Clipping; Rapid prototyping; Surgical simulation; Surgical training; VIRTUAL-REALITY ENVIRONMENT; NEURAL MECHANISMS; SURGICAL SIMULATION; INFORMATION; EDUCATION; TOMOGRAPHY; RETRACTION; TACTILE; SURGERY; CELLS;

D O I：

10.1016/j.wneu.2013.10.032

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

OBJECTIVE: We developed a method for fabricating a three-dimensional hollow and elastic aneurysm model useful for surgical simulation and surgical training. In this article, we explain the hollow elastic model prototyping method and report on the effects of applying it to presurgical simulation and surgical training. METHODS: A three-dimensional printer using acrylonitrile-butadiene-styrene as a modeling material was used to produce a vessel model. The prototype was then coated with liquid silicone. After the silicone had hardened, the acrylonitrile-butadiene-styrene was melted with xylene and removed, leaving an outer layer as a hollow elastic model. RESULTS: Simulations using the hollow elastic model were performed in 12 patients. In all patients, the clipping proceeded as scheduled. The surgeon's postoperative assessment was favorable in all cases. This method enables easy fabrication at low cost. CONCLUSION: Simulation using the hollow elastic model is thought to be useful for understanding of three-dimensional aneurysm structure.

引用

页码：351 / 361

页数：11

共 28 条

[1] Neural mechanisms for processing binocular information I. Simple cells [J].

Anzai, A ;

Ohzawa, I ;

Freeman, RD .

JOURNAL OF NEUROPHYSIOLOGY, 1999, 82 (02) :891-908

[2] Neural mechanisms for processing binocular information II. Complex cells [J].

Anzai, A ;

Ohzawa, I ;

Freeman, RD .

JOURNAL OF NEUROPHYSIOLOGY, 1999, 82 (02) :909-924

[3] The functional anatomy of visual-tactile integration in man: a study using positron emission tomography [J].

Banati, RB ;

Goerres, GW ;

Tjoa, C ;

Aggleton, JP ;

Grasby, P .

NEUROPSYCHOLOGIA, 2000, 38 (02) :115-124

[4] Neural correlates of cross-modal binding [J].

Bushara, KO ;

Hanakawa, T ;

Immisch, I ;

Toma, K ;

Kansaku, K ;

Hallett, M .

NATURE NEUROSCIENCE, 2003, 6 (02) :190-195

[5] Neurovascular Modeling: Small-Batch Manufacturing of Silicone Vascular Replicas [J].

Chueh, J. Y. ;

Wakhloo, A. K. ;

Gounis, M. J. .

AMERICAN JOURNAL OF NEURORADIOLOGY, 2009, 30 (06) :1159-1164

[6] Cerebrovascular biomodelling: A technical note [J].

D'Urso, PS ;

Thompson, RG ;

Atkinson, RL ;

Weidmann, MJ ;

Redmond, MJ ;

Hall, BI ;

Jeavons, SJ ;

Benson, MD ;

Earwaker, WJS .

SURGICAL NEUROLOGY, 1999, 52 (05) :490-500

[7] Simulation of clipping position for cerebral aneurysms using three-dimensional computed tomography angiography [J].

Futami, K ;

Nakada, M ;

Iwato, M ;

Kita, D ;

Miyamori, T ;

Yamashita, J .

NEUROLOGIA MEDICO-CHIRURGICA, 2004, 44 (01) :6-12

[8] The impact of the international subarachnoid aneurysm trial (ISAT) on the management of aneurysmal subarachnoid haemorrhage in a neurosurgical unit in the UK [J].

Gnanalingham, KK ;

Apostolopoulos, V ;

Barazi, S ;

O'Neill, K .

CLINICAL NEUROLOGY AND NEUROSURGERY, 2006, 108 (02) :117-123

[9] Crossmodal processing of object features in human anterior intraparietal cortex: an fMRI study implies equivalencies between humans and monkeys [J].

Grefkes, C ;

Weiss, PH ;

Zilles, K ;

Fink, GR .

NEURON, 2002, 35 (01) :173-184

[10]

Hadjikhani N, 1998, J NEUROSCI, V18, P1072

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