用于微创直接冠状动脉搭桥的桌面 3D 打印解剖模型。

IF 3.2 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Prashanth Ravi, Michael B Burch, Andreas A Giannopoulos, Isabella Liu, Shayne Kondor, Leonid L Chepelev, Tommaso H Danesi, Frank J Rybicki, Antonio Panza
{"title":"用于微创直接冠状动脉搭桥的桌面 3D 打印解剖模型。","authors":"Prashanth Ravi, Michael B Burch, Andreas A Giannopoulos, Isabella Liu, Shayne Kondor, Leonid L Chepelev, Tommaso H Danesi, Frank J Rybicki, Antonio Panza","doi":"10.1186/s41205-024-00222-1","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Three-dimensional (3D) printing technology has impacted many clinical applications across medicine. However, 3D printing for Minimally Invasive Direct Coronary Artery Bypass (MIDCAB) has not yet been reported in the peer-reviewed literature. The current observational cohort study aimed to evaluate the impact of half scaled (50% scale) 3D printed (3DP) anatomic models in the pre-procedural planning of MIDCAB.</p><p><strong>Methods: </strong>Retrospective analysis included 12 patients who underwent MIDCAB using 50% scale 3D printing between March and July 2020 (10 males, 2 females). Distances measured from CT scans and 3DP anatomic models were correlated with Operating Room (OR) measurements. The measurements were compared statistically using Tukey's test. The correspondence between the predicted (3DP & CT) and observed best InterCostal Space (ICS) in the OR was recorded. Likert surveys from the 3D printing registry were provided to the surgeon to assess the utility of the model. The OR time saved by planning the procedure using 3DP anatomic models was estimated subjectively by the cardiothoracic surgeon.</p><p><strong>Results: </strong>All 12 patients were successfully grafted. The 3DP model predicted the optimal ICS in all cases (100%). The distances measured on the 3DP model corresponded well to the distances measured in the OR. The measurements were significantly different between the CT and 3DP (p < 0.05) as well as CT and OR (p < 0.05) groups, but not between the 3DP and OR group. The Likert responses suggested high clinical utility of 3D printing. The mean subjectively estimated OR time saved was 40 min.</p><p><strong>Conclusion: </strong>The 50% scaled 3DP anatomic models demonstrated high utility for MIDCAB and saved OR time while being resource efficient. The subjective benefits over routine care that used 3D visualization for surgical planning warrants further investigation.</p>","PeriodicalId":72036,"journal":{"name":"3D printing in medicine","volume":null,"pages":null},"PeriodicalIF":3.2000,"publicationDate":"2024-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11167900/pdf/","citationCount":"0","resultStr":"{\"title\":\"Desktop 3D printed anatomic models for minimally invasive direct coronary artery bypass.\",\"authors\":\"Prashanth Ravi, Michael B Burch, Andreas A Giannopoulos, Isabella Liu, Shayne Kondor, Leonid L Chepelev, Tommaso H Danesi, Frank J Rybicki, Antonio Panza\",\"doi\":\"10.1186/s41205-024-00222-1\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Three-dimensional (3D) printing technology has impacted many clinical applications across medicine. However, 3D printing for Minimally Invasive Direct Coronary Artery Bypass (MIDCAB) has not yet been reported in the peer-reviewed literature. The current observational cohort study aimed to evaluate the impact of half scaled (50% scale) 3D printed (3DP) anatomic models in the pre-procedural planning of MIDCAB.</p><p><strong>Methods: </strong>Retrospective analysis included 12 patients who underwent MIDCAB using 50% scale 3D printing between March and July 2020 (10 males, 2 females). Distances measured from CT scans and 3DP anatomic models were correlated with Operating Room (OR) measurements. The measurements were compared statistically using Tukey's test. The correspondence between the predicted (3DP & CT) and observed best InterCostal Space (ICS) in the OR was recorded. Likert surveys from the 3D printing registry were provided to the surgeon to assess the utility of the model. The OR time saved by planning the procedure using 3DP anatomic models was estimated subjectively by the cardiothoracic surgeon.</p><p><strong>Results: </strong>All 12 patients were successfully grafted. The 3DP model predicted the optimal ICS in all cases (100%). The distances measured on the 3DP model corresponded well to the distances measured in the OR. The measurements were significantly different between the CT and 3DP (p < 0.05) as well as CT and OR (p < 0.05) groups, but not between the 3DP and OR group. The Likert responses suggested high clinical utility of 3D printing. The mean subjectively estimated OR time saved was 40 min.</p><p><strong>Conclusion: </strong>The 50% scaled 3DP anatomic models demonstrated high utility for MIDCAB and saved OR time while being resource efficient. The subjective benefits over routine care that used 3D visualization for surgical planning warrants further investigation.</p>\",\"PeriodicalId\":72036,\"journal\":{\"name\":\"3D printing in medicine\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":3.2000,\"publicationDate\":\"2024-06-12\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11167900/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"3D printing in medicine\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1186/s41205-024-00222-1\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"3D printing in medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1186/s41205-024-00222-1","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING","Score":null,"Total":0}
引用次数: 0

摘要

背景:三维(3D)打印技术已影响到医学领域的许多临床应用。然而,用于微创直接冠状动脉搭桥术(MIDCAB)的三维打印技术尚未在同行评审文献中报道。本观察性队列研究旨在评估半比例(50%比例)3D打印(3DP)解剖模型对MIDCAB术前规划的影响:回顾性分析包括 2020 年 3 月至 7 月间使用 50% 比例 3D 打印技术进行 MIDCAB 手术的 12 名患者(10 名男性,2 名女性)。通过 CT 扫描和 3DP 解剖模型测量的距离与手术室(OR)的测量结果相关联。采用 Tukey 检验对测量结果进行统计比较。记录了手术室中预测(3DP 和 CT)与观察到的最佳肋间空间(ICS)之间的对应关系。向外科医生提供 3D 打印注册表中的 Likert 调查,以评估模型的实用性。心胸外科医生主观估计了使用3DP解剖模型规划手术所节省的手术室时间:结果:所有 12 名患者都成功进行了移植手术。3DP 模型预测了所有病例的最佳 ICS(100%)。3DP 模型测量的距离与手术室测量的距离非常吻合。CT 和 3DP 的测量结果有明显差异(p 结论:CT 和 3DP 的测量结果有明显差异(p 结论:CT 和 3DP 的测量结果有明显差异(p 结论):比例为 50%的 3DP 解剖模型在 MIDCAB 中表现出很高的实用性,在节省手术室时间的同时也节约了资源。与使用三维可视化进行手术规划的常规护理相比,其主观效益值得进一步研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Desktop 3D printed anatomic models for minimally invasive direct coronary artery bypass.

Background: Three-dimensional (3D) printing technology has impacted many clinical applications across medicine. However, 3D printing for Minimally Invasive Direct Coronary Artery Bypass (MIDCAB) has not yet been reported in the peer-reviewed literature. The current observational cohort study aimed to evaluate the impact of half scaled (50% scale) 3D printed (3DP) anatomic models in the pre-procedural planning of MIDCAB.

Methods: Retrospective analysis included 12 patients who underwent MIDCAB using 50% scale 3D printing between March and July 2020 (10 males, 2 females). Distances measured from CT scans and 3DP anatomic models were correlated with Operating Room (OR) measurements. The measurements were compared statistically using Tukey's test. The correspondence between the predicted (3DP & CT) and observed best InterCostal Space (ICS) in the OR was recorded. Likert surveys from the 3D printing registry were provided to the surgeon to assess the utility of the model. The OR time saved by planning the procedure using 3DP anatomic models was estimated subjectively by the cardiothoracic surgeon.

Results: All 12 patients were successfully grafted. The 3DP model predicted the optimal ICS in all cases (100%). The distances measured on the 3DP model corresponded well to the distances measured in the OR. The measurements were significantly different between the CT and 3DP (p < 0.05) as well as CT and OR (p < 0.05) groups, but not between the 3DP and OR group. The Likert responses suggested high clinical utility of 3D printing. The mean subjectively estimated OR time saved was 40 min.

Conclusion: The 50% scaled 3DP anatomic models demonstrated high utility for MIDCAB and saved OR time while being resource efficient. The subjective benefits over routine care that used 3D visualization for surgical planning warrants further investigation.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
自引率
0.00%
发文量
0
审稿时长
5 weeks
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信