3D Modelling and Printing Technology to Produce Patient-Specific 3D Models

被引:33
作者
Birbara, Nicolette S. [1 ]
Otton, James M. [1 ,2 ,3 ]
Pather, Nalini [1 ]
机构
[1] Univ New South Wales, Med, Sch Med Sci, Sydney, NSW, Australia
[2] Victor Chang Cardiac Res Inst, Sydney, NSW, Australia
[3] Liverpool Hosp, Sydney, NSW, Australia
关键词
Mitral valve; 3D modelling; 3D printing; Patient-Specific; MITRAL-VALVE; COMPUTED-TOMOGRAPHY; ANATOMIC MODELS; CARDIAC CT; IN-VITRO; SIMULATION; CLOSURE; HAND;
D O I
10.1016/j.hlc.2017.10.017
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background A comprehensive knowledge of mitral valve (MV) anatomy is crucial in the assessment of MV disease. While the use of three-dimensional (3D) modelling and printing in MV assessment has undergone early clinical evaluation, the precision and usefulness of this technology requires further investigation. This study aimed to assess and validate 3D modelling and printing technology to produce patient-specific 3D MV models. Methods A prototype method for MV 3D modelling and printing was developed from computed tomography (CT) scans of a plastinated human heart. Mitral valve models were printed using four 3D printing methods and validated to assess precision. Cardiac CT and 3D echocardiography imaging data of four MV disease patients was used to produce patient-specific 3D printed models, and 40 cardiac health professionals (CHPs) were surveyed on the perceived value and potential uses of 3D models in a clinical setting. Results The prototype method demonstrated submillimetre precision for all four 3D printing methods used, and statistical analysis showed a significant difference (p < 0.05) in precision between these methods. Patient specific 3D printed models, particularly using multiple print materials, were considered useful by CHPs for preoperative planning, as well as other applications such as teaching and training. Conclusions This study suggests that, with further advances in 3D modelling and printing technology, patient-specific 3D MV models could serve as a useful clinical tool. The findings also highlight the potential of this technology to be applied in a variety of medical areas within both clinical and educational settings.
引用
收藏
页码:302 / 313
页数:12
相关论文
共 49 条
[1]  
Bartel T, 2016, EUR HEART J CARDIOVA
[2]   Stereolithographic biomodeling to create tangible hard copies of cardiac structures from echocardiographic data - In vitro and in vivo validation [J].
Binder, TM ;
Moertl, D ;
Mundigler, G ;
Rehak, G ;
Franke, M ;
Delle-Karth, G ;
Mohl, W ;
Baumgartner, H ;
Maurer, G .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2000, 35 (01) :230-237
[3]   Characterization of Degenerative Mitral Valve Disease Using Morphologic Analysis of Real-Time Three-Dimensional Echocardiographic Images Objective Insight Into Complexity and Planning of Mitral Valve Repair [J].
Chandra, Sonal ;
Salgo, Ivan S. ;
Sugeng, Lissa ;
Weinert, Lynn ;
Tsang, Wendy ;
Takeuchi, Masaaki ;
Spencer, Kirk T. ;
O'Connor, Anne ;
Cardinale, Michael ;
Settlemier, Scott ;
Mor-Avi, Victor ;
Lang, Roberto M. .
CIRCULATION-CARDIOVASCULAR IMAGING, 2011, 4 (01) :24-32
[4]   3D heart model printing for preparation of percutaneous structural interventions: description of the technology and case report [J].
Dankowski, Rafal ;
Baszko, Artur ;
Sutherland, Michael ;
Firek, Ludwik ;
Kalmucki, Piotr ;
Wroblewska, Katarzyna ;
Szyszka, Andrzej ;
Groothuis, Adam ;
Siminiak, Tomasz .
KARDIOLOGIA POLSKA, 2014, 72 (06) :546-551
[5]   3D-Printing in Congenital Cardiology: From Flatland to Spaceland [J].
Deferm, Sebastien ;
Meyns, Bart ;
Vlasselaers, Dirk ;
Budts, Werner .
JOURNAL OF CLINICAL IMAGING SCIENCE, 2016, 6
[6]   Applications of 3D printing in cardiovascular diseases [J].
Giannopoulos, Andreas A. ;
Mitsouras, Dimitris ;
Yoo, Shi-Joon ;
Liu, Peter P. ;
Chatzizisis, YiannisS. ;
Rybicki, Frank J. .
NATURE REVIEWS CARDIOLOGY, 2016, 13 (12) :701-718
[7]   Stereolithographic reproduction of complex cardiac morphology based on high spatial resolution imaging [J].
Greil, G. F. ;
Wolf, I. ;
Kuettner, A. ;
Fenchel, M. ;
Miller, S. ;
Martirosian, P. ;
Schick, F. ;
Oppitz, M. ;
Meinzer, H. -P. ;
Sieverding, L. .
CLINICAL RESEARCH IN CARDIOLOGY, 2007, 96 (03) :176-185
[8]   High-resolution reconstruction of a waxed heart specimen with flat panel volume computed tomography and rapid prototyping [J].
Greil, Gerald F. ;
Kuettner, Axel ;
Flohr, Thomas ;
Grasruck, Michael ;
Sieverding, Ludger ;
Meinzer, Hans-Peter ;
Wolf, Ivo .
JOURNAL OF COMPUTER ASSISTED TOMOGRAPHY, 2007, 31 (03) :444-448
[9]   Patient-Specific Modeling and Quantification of the Aortic and Mitral Valves From 4-D Cardiac CT and TEE [J].
Ionasec, Razvan Ioan ;
Voigt, Ingmar ;
Georgescu, Bogdan ;
Wang, Yang ;
Houle, Helene ;
Vega-Higuera, Fernando ;
Navab, Nassir ;
Comaniciu, Dorin .
IEEE TRANSACTIONS ON MEDICAL IMAGING, 2010, 29 (09) :1636-1651
[10]   Epidemiology of Acquired Valvular Heart Disease [J].
Iung, Bernard ;
Vahanian, Alec .
CANADIAN JOURNAL OF CARDIOLOGY, 2014, 30 (09) :962-970