Development and Proof of Concept of a Low-Cost Ultrasound Training Model for Diagnosis of Giant Cell Arteritis Using 3D Printing

被引:8
作者
Recker, Florian [1 ]
Jin, Lei [2 ,3 ]
Veith, Patrick [4 ]
Lauterbach, Mark [4 ]
Karakostas, Pantelis [2 ,3 ]
Schafer, Valentin Sebastian [2 ,3 ]
机构
[1] Univ Hosp Bonn, Dept Obstet & Prenatal Med, D-53127 Bonn, Germany
[2] Univ Hosp Bonn, Clin Internal Med 3, Dept Oncol Hematol Rheumatol, D-53127 Bonn, Germany
[3] Univ Hosp Bonn, Clin Immunol, D-53127 Bonn, Germany
[4] Univ Bonn, Hochschulrechenzentrum, D-53115 Bonn, Germany
关键词
giant cell arteritis; model development; diagnosis; ultrasound; 3D printing;
D O I
10.3390/diagnostics11061106
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objectives: Currently, ultrasound (US) is widely used for the diagnosis of giant cell arteritis (GCA). Our aim was to develop a low-cost US training model for diagnosis of GCA of the temporal and axillary artery using a modern 3D printing system. Methods: We designed an US training model, which enables measurement of the intima-media thickness (IMT) of temporal and axillary arteries using Autodesk Fusion360. This model was printed using a modern 3D printer (Formlabs Form3) and embedded in ballistic gelatine. The ultrasound images including measurement of the IMT by ultrasound specialists in GCA were compared to ultrasound images in acute GCA and healthy subjects. Results: Our ultrasound training model of the axillary and temporal artery displayed a very similar ultrasound morphology compared to real US images and fulfilled the OMERACT ultrasound definitions of normal and pathological temporal and axillary arteries in GCA. The IMT measurements were in line with published cut-off values for normal and pathological IMT values in GCA and healthy individuals. When testing the models on blinded US specialists in GCA, they were identified correctly in all test rounds with an intra-class coefficient of 0.99. Conclusion: The production of low-cost ultrasound training models of normal and pathological temporal and axillary arteries in GCA, which fulfil the OMERACT ultrasound definitions and adhere to the published IMT cut-off values in GCA, is feasible. Ultrasound specialists identified each respective model correctly in every case.
引用
收藏
页数:9
相关论文
共 23 条
  • [1] The application of 3D printing in anatomy education
    AbouHashem, Yousef
    Dayal, Manisha
    Savanah, Stephane
    Strkalj, Goran
    [J]. MEDICAL EDUCATION ONLINE, 2015, 20
  • [2] A paradigm shift in surgical planning and simulation using 3Dgraphy: Experience of first 50 surgeries done using 3D-printed biomodels
    Bagaria, Vaibhav
    Chaudhary, Kshitij
    [J]. INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, 2017, 48 (11): : 2501 - 2508
  • [3] EULAR recommendations for the use of imaging in large vessel vasculitis in clinical practice summary
    Bardi, Mohammad
    Diamantopoulos, Andreas P.
    [J]. RADIOLOGIA MEDICA, 2019, 124 (10): : 965 - 972
  • [4] STATISTICAL METHODS FOR ASSESSING AGREEMENT BETWEEN TWO METHODS OF CLINICAL MEASUREMENT
    BLAND, JM
    ALTMAN, DG
    [J]. LANCET, 1986, 1 (8476) : 307 - 310
  • [5] Definitions and reliability assessment of elementary ultrasound lesions in giant cell arteritis: a study from the OMERACT Large Vessel Vasculitis Ultrasound Working Group
    Chrysidis, Stavros
    Duftner, Christina
    Dejaco, Christian
    Schaefer, Valentin S.
    Ramiro, Sofia
    Carrara, Greta
    Scire, Carlo Alberto
    Hocevar, Alojzija
    Diamantopoulos, Andreas P.
    Iagnocco, Annamaria
    Mukhtyar, Chetan
    Ponte, Cristina
    Naredo, Esperanza
    De Miguel, Eugenio
    Bruyn, George A.
    Warrington, Kenneth J.
    Terslev, Lene
    Milchert, Marcin
    D'Agostino, Maria Antonietta
    Koster, Mattew J.
    Rastalsky, Naina
    Hanova, Petra
    Macchioni, Pierluigi
    Kermani, Tanaz A.
    Lorenzen, Tove
    Dohn, Uffe Moller
    Fredberg, Ulrich
    Hartung, Wolfgang
    Dasgupta, Bhaskar
    Schmidt, Wolfgang A.
    [J]. RMD OPEN, 2018, 4 (01):
  • [6] Czihal M, 2017, CLIN EXP RHEUMATOL, V35, pS128
  • [7] De Miguel E, 2009, CLIN EXP RHEUMATOL, V27, pS53
  • [8] Atherosclerosis as a potential pitfall in the diagnosis of giant cell arteritis
    De Miguel, Eugenio
    Beltran, Luis M.
    Monjo, Irene
    Deodati, Francesco
    Schmidt, Wolfgang A.
    Garcia-Puig, Juan
    [J]. RHEUMATOLOGY, 2018, 57 (02) : 318 - 321
  • [9] Comparing the Pearson and Spearman Correlation Coefficients Across Distributions and Sample Sizes: A Tutorial Using Simulations and Empirical Data
    de Winter, Joost C. F.
    Gosling, Samuel D.
    Potter, Jeff
    [J]. PSYCHOLOGICAL METHODS, 2016, 21 (03) : 273 - 290
  • [10] EULAR recommendations for the use of imaging in large vessel vasculitis in clinical practice
    Dejaco, Christian
    Ramiro, Sofia
    Duftner, Christina
    Besson, Florent L.
    Bley, Thorsten A.
    Blockmans, Daniel
    Brouwer, Elisabeth
    Cimmino, Marco A.
    Clark, Eric
    Dasgupta, Bhaskar
    Diamantopoulos, Andreas P.
    Direskeneli, Haner
    Iagnocco, Annamaria
    Klink, Thorsten
    Neill, Lorna
    Ponte, Cristina
    Salvarani, Carlo
    Slart, Riemer H. J. A.
    Whitlock, Madeline
    Schmidt, Wolfgang A.
    [J]. ANNALS OF THE RHEUMATIC DISEASES, 2018, 77 (05) : 636 - 643