Personalized 3D printed model of kidney and tumor anatomy: a useful tool for patient education

被引:232
作者
Bernhard, Jean-Christophe [1 ,2 ,3 ]
Isotani, Shuji [4 ]
Matsugasumi, Toru [1 ]
Duddalwar, Vinay [5 ]
Hung, Andrew J. [1 ]
Suer, Evren [1 ]
Baco, Eduard [1 ]
Satkunasivam, Raj [1 ]
Djaladat, Hooman [1 ]
Metcalfe, Charles [1 ]
Hu, Brian [1 ]
Wong, Kelvin [1 ]
Park, Daniel [1 ]
Nguyen, Mike [1 ]
Hwang, Darryl [5 ]
Bazargani, Soroush T. [1 ]
Abreu, Andre Luis de Castro [1 ]
Aron, Monish [1 ]
Ukimura, Osamu [1 ]
Gill, Inderbir S. [1 ]
机构
[1] Univ So Calif, Glenn & Wendy Miller Inderbir Gill Kidney Canc Pr, USC Inst Urol, Los Angeles, CA USA
[2] Univ Bordeaux, CHU Bordeaux, Dept Urol, Pl Amelie Raba Leon, F-33076 Bordeaux, France
[3] French Res Network Kidney Canc UroCCR, Bordeaux, France
[4] Teikyo Univ, Dept Urol, Tokyo 173, Japan
[5] Univ So Calif, Dept Radiol, Los Angeles, CA USA
关键词
3D printing; Renal cancer; Kidney tumors; Partial nephrectomy; Education; 3-DIMENSIONAL PRINTERS;
D O I
10.1007/s00345-015-1632-2
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Purpose To assess the impact of 3D printed models of renal tumor on patient's understanding of their conditions. Patient understanding of their medical condition and treatment satisfaction has gained increasing attention in medicine. Novel technologies such as additive manufacturing [also termed three-dimensional (3D) printing] may play a role in patient education. Methods A prospective pilot study was conducted, and seven patients with a primary diagnosis of kidney tumor who were being considered for partial nephrectomy were included after informed consent. All patients underwent four-phase multi-detector computerized tomography (MDCT) scanning from which renal volume data were extracted to create life-size patient-specific 3D printed models. Patient knowledge and understanding were evaluated before and after 3D model presentation. Patients' satisfaction with their specific 3D printed model was also assessed through a visual scale. Results After viewing their personal 3D kidney model, patients demonstrated an improvement in understanding of basic kidney physiology by 16.7 % (p = 0.018), kidney anatomy by 50 % (p = 0.026), tumor characteristics by 39.3 % (p = 0.068) and the planned surgical procedure by 44.6 % (p = 0.026). Conclusion Presented herein is the initial clinical experience with 3D printing to facilitate patient's pre-surgical understanding of their kidney tumor and surgery.
引用
收藏
页码:337 / 345
页数:9
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