Clinical 3D modeling to guide pediatric cardiothoracic surgery and intervention using 3D printed anatomic models, computer aided design and virtual reality.
Clinical 3D modeling to guide pediatric cardiothoracic surgery and intervention using 3D printed anatomic models, computer aided design and virtual reality.
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DOI：
10.1186/s41205-022-00137-9
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发表时间：
2022-04-21
影响因子：
3.7
通讯作者：
中科院分区：
文献类型：
--
作者：
先天性心脏病的手术和基于导管的干预需要对复杂的解剖学有精确的了解。使用三维(3D)打印和虚拟现实来增强视觉空间理解已经有了很好的文献，但将这些方法整合到常规临床实践中还没有很好的描述。我们回顾了临床3D建模服务的成长和发展，为大容量儿科心脏中心内的程序规划提供信息。使用心脏磁共振(CMR)或计算机断层扫描(CT)获得的数据进行临床3D建模。使用FDA批准的软件进行图像分割和后处理。使用3D打印模型、数字平板模型和虚拟现实来可视化患者特定的解剖结构。手术修复选项是使用基于专利和开源计算机辅助设计(CAD)的建模工具进行数字化设计的。从2018年到2020年，共进行了112例个人3D建模，16例用于教育目的，96例临床用于程序规划。在这3年期间，临床建模的需求增加了两倍，2020年，超过四分之一的统计数据类别3、4和5的病例要求进行3D建模。最常见的建模适应症是复杂的双室修补术(n = 30，31%)和多发室间隔缺损修补术(n = 11，12%)。使用多学科方法，3D建模的临床应用可以无缝地集成到先天性心脏病患者的术前护理中。在大容量中心内，这些工具的快速扩展和使用需求的增加表明了外科医生和干预者对这些技术的高度重视。网上版载有补充材料，可在10.1186/s41205-022-00137-9查阅。
Surgical and catheter-based interventions for congenital heart disease require precise understanding of complex anatomy. The use of three-dimensional (3D) printing and virtual reality to enhance visuospatial understanding has been well documented, but integration of these methods into routine clinical practice has not been well described. We review the growth and development of a clinical 3D modeling service to inform procedural planning within a high-volume pediatric heart center. Clinical 3D modeling was performed using cardiac magnetic resonance (CMR) or computed tomography (CT) derived data. Image segmentation and post-processing was performed using FDA-approved software. Patient-specific anatomy was visualized using 3D printed models, digital flat screen models and virtual reality. Surgical repair options were digitally designed using proprietary and open-source computer aided design (CAD) based modeling tools. From 2018 to 2020 there were 112 individual 3D modeling cases performed, 16 for educational purposes and 96 clinically utilized for procedural planning. Over the 3-year period, demand for clinical modeling tripled and in 2020, 3D modeling was requested in more than one-quarter of STAT category 3, 4 and 5 cases. The most common indications for modeling were complex biventricular repair (n = 30, 31%) and repair of multiple ventricular septal defects (VSD) (n = 11, 12%). Using a multidisciplinary approach, clinical application of 3D modeling can be seamlessly integrated into pre-procedural care for patients with congenital heart disease. Rapid expansion and increased demand for utilization of these tools within a high-volume center demonstrate the high value conferred on these techniques by surgeons and interventionalists alike. The online version contains supplementary material available at 10.1186/s41205-022-00137-9.
影响因子：
1.6
作者：
Ghosh RM;Mascio CE;Silvestro E;O'Byrne ML;Whitehead KK
通讯作者：
Whitehead KK