scholarly journals Information Recall in Pre-Operative Consultation for Glioma Surgery Using Actual Size Three-Dimensional Models

2020 ◽  
Vol 9 (11) ◽  
pp. 3660
Author(s):  
Sümeyye Sezer ◽  
Vitoria Piai ◽  
Roy P.C. Kessels ◽  
Mark ter Laan
Keyword(s):  
3D Model ◽  
Three Dimensional ◽  
3D Models ◽  
Patient Specific ◽  
Mr Images ◽  
Glioma Surgery ◽  
Information Recall ◽  
Cohen’S D ◽  
Real Size ◽  
Cohen's D

Three-dimensional (3D) technologies are being used for patient education. For glioma, a personalized 3D model can show the patient specific tumor and eloquent areas. We aim to compare the amount of information that is understood and can be recalled after a pre-operative consult using a 3D model (physically printed or in Augmented Reality (AR)) versus two-dimensional (2D) MR images. In this explorative study, healthy individuals were eligible to participate. Sixty-one participants were enrolled and assigned to either the 2D (MRI/fMRI), 3D (physical 3D model) or AR groups. After undergoing a mock pre-operative consultation for low-grade glioma surgery, participants completed two assessments (one week apart) testing information recall using a standardized questionnaire. The 3D group obtained the highest recall scores on both assessments (Cohen’s d = 1.76 and Cohen’s d = 0.94, respectively, compared to 2D), followed by AR and 2D, respectively. Thus, real-size 3D models appear to improve information recall as compared to MR images in a pre-operative consultation for glioma cases. Future clinical studies should measure the efficacy of using real-size 3D models in actual neurosurgery patients.

scholarly journals A review and guide to creating patient specific 3D printed anatomical models from MRI for benign gynecologic surgery

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Teresa E. Flaxman ◽  
Carly M. Cooke ◽  
Olivier X. Miguel ◽  
Adnan M. Sheikh ◽  
Sukhbir S. Singh
Keyword(s):  
3D Printing ◽  
Clinical Benefit ◽  
Three Dimensional ◽  
Uterine Fibroids ◽  
3D Models ◽  
Gynecologic Surgery ◽  
Patient Specific ◽  
Mr Images ◽  
Adjacent Structures ◽  
3D Printed

Abstract Background Patient specific three-dimensional (3D) models can be derived from two-dimensional medical images, such as magnetic resonance (MR) images. 3D models have been shown to improve anatomical comprehension by providing more accurate assessments of anatomical volumes and better perspectives of structural orientations relative to adjacent structures. The clinical benefit of using patient specific 3D printed models have been highlighted in the fields of orthopaedics, cardiothoracics, and neurosurgery for the purpose of pre-surgical planning. However, reports on the clinical use of 3D printed models in the field of gynecology are limited. Main text This article aims to provide a brief overview of the principles of 3D printing and the steps required to derive patient-specific, anatomically accurate 3D printed models of gynecologic anatomy from MR images. Examples of 3D printed models for uterine fibroids and endometriosis are presented as well as a discussion on the barriers to clinical uptake and the future directions for 3D printing in the field of gynecological surgery. Conclusion Successful gynecologic surgery requires a thorough understanding of the patient’s anatomy and burden of disease. Future use of patient specific 3D printed models is encouraged so the clinical benefit can be better understood and evidence to support their use in standard of care can be provided.

Fabrication of 3D Models for Microtia Reconstruction Using Smartphone-Based Technology

2021 ◽  
pp. 000348942110240
Author(s):  
Peng You ◽  
Yi-Chun Carol Liu ◽  
Rodrigo C. Silva
Keyword(s):  
3D Model ◽  
Low Cost ◽  
Tertiary Care ◽  
Three Dimensional ◽  
Basic Research ◽  
3D Models ◽  
University Hospital ◽  
Patient Specific ◽  
Surface Scanning ◽  
Barrier To Entry

Objective: Microtia reconstruction is technically challenging due to the intricate contours of the ear. It is common practice to use a two-dimensional tracing of the patient’s normal ear as a template for the reconstruction of the affected side. Recent advances in three-dimensional (3D) surface scanning and printing have expanded the ability to create surgical models preoperatively. This study aims to describe a simple and affordable process to fabricate patient-specific 3D ear models for use in the operating room. Study design: Applied basic research on a novel 3D optical scanning and fabrication pathway for microtia reconstruction. Setting: Tertiary care university hospital. Methods: Optical surface scanning of the patient’s normal ear was completed using a smartphone with facial recognition capability. The Heges application used the phone’s camera to capture the 3D image. The 3D model was digitally isolated and mirrored using the Meshmixer software and printed with a 3D printer (MonopriceTM Select Mini V2) using polylactic acid filaments. Results: The 3D model of the ear served as a helpful intraoperative reference and an adjunct to the traditional 2D template. Collectively, time for imaging acquisition, editing, and fabrication was approximately 3.5 hours. The upfront cost was around $210, and the recurring cost was approximately $0.35 per ear model. Conclusion: A novel, low-cost approach to fabricate customized 3D models of the ear is introduced. It is feasible to create individualized 3D models using currently available consumer technology. The low barrier to entry raises the possibility for clinicians to incorporate 3D printing into various clinical applications.

Combining patient-specific, digital 3D models with tele-education for adolescents with CHD

2021 ◽  
pp. 1-6
Author(s):  
David Liddle ◽  
Sheri Balsara ◽  
Karin Hamann ◽  
Adam Christopher ◽  
Laura Olivieri ◽  
...  
Keyword(s):  
Medical Condition ◽  
Three Dimensional ◽  
Medical Knowledge ◽  
3D Models ◽  
Patient Specific ◽  
Coarctation Of Aorta ◽  
Education Session ◽  
Post Intervention ◽  
Cardiac Defects ◽  
Transposition Of Great Arteries

Abstract Introduction: Adolescents with CHD require transition to specialised adult-centred care. Previous studies have shown that adolescents’ knowledge of their medical condition is correlated with transition readiness. Three-dimensional printed models of CHD have been used to educate medical trainees and patients, although no studies have focused on adolescents with CHD. This study investigates the feasibility of combining patient-specific, digital 3D heart models with tele-education interventions to improve the medical knowledge of adolescents with CHD. Methods: Adolescent patients with CHD, aged between 13 and 18 years old, were enrolled and scheduled for a tele-education session. Patient-specific digital 3D heart models were created using images from clinically indicated cardiac magnetic resonance studies. The tele-education session was performed using commercially available, web-conferencing software (Zoom, Zoom Video Communications Inc.) and a customised software (Cardiac Review 3D, Indicated Inc.) incorporating an interactive display of the digital 3D heart model. Medical knowledge was assessed using pre- and post-session questionnaires that were scored by independent reviewers. Results: Twenty-two adolescents completed the study. The average age of patients was 16 years old (standard deviation 1.5 years) and 56% of patients identified as female. Patients had a variety of cardiac defects, including tetralogy of Fallot, transposition of great arteries, and coarctation of aorta. Post-intervention, adolescents’ medical knowledge of their cardiac defects and cardiac surgeries improved compared to pre-intervention (p < 0.01). Conclusions: Combining patient-specific, digital 3D heart models with tele-education sessions can improve adolescents’ medical knowledge and may assist with transition to adult-centred care.

Evaluation of Spherical Parameterization Methods for Three-Dimensional Reconstruction of Medical Images

2013 ◽  
Vol 365-366 ◽  
pp. 1342-1349
Author(s):  
Xing Hui Wu ◽  
Zhi Xiu Hao
Keyword(s):  
Medical Images ◽  
Three Dimensional ◽  
3D Models ◽  
Mapping Method ◽  
Geometric Error ◽  
Patient Specific ◽  
Shape Modelling ◽  
Dimensional Reconstruction ◽  
Statistical Shape ◽  
Spherical Parameterization

The spherical parameterization is important for the correspondence problem that is a major part of statistical shape modelling for the reconstruction of patient-specific 3D models from medical images. In this paper, we present comparative studies of five common spherical mapping methods applied to the femur and tibia models: the Issenburg et al. method, the Alexa method, the Saba et al. method, the Praun et al. method and the Shen et al. method. These methods are evaluated using three sets of measures: distortion property, geometric error and distance to standard landmarks. Results show that the Praun et al. method performs better than other methods while the Shen et al. method can be regarded as the most reliable one for providing an acceptable correspondence result. We suggest that the area preserving property can be used as a sufficient condition while the angle preserving property is not important when choosing a spherical mapping method for correspondence application.

Effect of 3D Manipulatives on Students with Visual Impairments Who Are Learning Chemistry Constructs: A Pilot Study

2020 ◽  
Vol 114 (5) ◽  
pp. 370-381
Author(s):  
Derrick W. Smith ◽  
Sandra A. Lampley ◽  
Bob Dolan ◽  
Greg Williams ◽  
David Schleppenbach ◽  
...  
Keyword(s):  
Stem Education ◽  
3D Model ◽  
Atomic Orbital ◽  
Visual Impairments ◽  
Three Dimensional ◽  
3D Models ◽  
Specific Content ◽  
3D Printed ◽  
Printed Materials ◽  
Tactile Graphics

Introduction: The emerging technology of three-dimensional (3D) printing has the potential to provide unique 3D modeling to support specific content in science, technology, engineering, and mathematics (STEM) education, particularly chemistry. Method: Seventeen ( n = 17) students with visual impairments were provided direct instruction on chemistry atomic orbital content and allowed to use either print or tactile graphics or 3D models in rotating order. Participants were asked specific content questions based upon the atomic orbitals. Results: The students were asked two sets of comprehension questions: general and specific. Overall, students’ responses for general questions increased per iteration regardless of which manipulative was used. For specific questions, the students answered more questions correctly when using the 3D model regardless of order. When asked about their perceptions toward the manipulatives, the students preferred the 3D model over print or tactile graphics. Discussion: The findings show the potential for 3D printed materials in learning complex STEM content. Although the students preferred the 3D models, they all mentioned that a combination of manipulatives helped them better understand the material. Implications for practitioners: Practitioners should consider the use of manipulatives that include 3D printed materials to support STEM education.

Digital Design and 3D Printing of Aortic Arch Reconstruction in HLHS for Surgical Simulation and Training

2018 ◽  
Vol 9 (4) ◽  
pp. 454-458 ◽  
Author(s):  
Sarah A. Chen ◽  
Chin Siang Ong ◽  
Nagina Malguria ◽  
Luca A. Vricella ◽  
Juan R. Garcia ◽  
...  
Keyword(s):  
3D Printing ◽  
Aortic Arch ◽  
Surgical Simulation ◽  
Three Dimensional ◽  
3D Models ◽  
Digital Design ◽  
Patient Specific ◽  
Aortic Arch Reconstruction ◽  
Arch Reconstruction ◽  
And Training

Purpose: Patients with hypoplastic left heart syndrome (HLHS) present a diverse spectrum of aortic arch morphology. Suboptimal geometry of the reconstructed aortic arch may result from inappropriate size and shape of an implanted patch and may be associated with poor outcomes. Meanwhile, advances in diagnostic imaging, computer-aided design, and three-dimensional (3D) printing technology have enabled the creation of 3D models. The purpose of this study is to create a surgical simulation and training model for aortic arch reconstruction. Description: Specialized segmentation software was used to isolate aortic arch anatomy from HLHS computed tomography scan images to create digital 3D models. Three-dimensional modeling software was used to modify the exported segmented models and digitally design printable customized patches that were optimally sized for arch reconstruction. Evaluation: Life-sized models of HLHS aortic arch anatomy and a digitally derived customized patch were 3D printed to allow simulation of surgical suturing and reconstruction. The patient-specific customized patch was successfully used for surgical simulation. Conclusions: Feasibility of digital design and 3D printing of patient-specific patches for aortic arch reconstruction has been demonstrated. The technology facilitates surgical simulation. Surgical training that leads to an understanding of optimal aortic patch geometry is one element that may potentially influence outcomes for patients with HLHS.

Custom Patient-Specific Three-Dimensional Printed Mitral Valve Models for Pre-Operative Patient Education Enhance Patient Satisfaction and Understanding

2019 ◽  
Vol 13 (3) ◽  
Author(s):  
Kay S. Hung ◽  
Michael J. Paulsen ◽  
Hanjay Wang ◽  
Camille Hironaka ◽  
Y. Joseph Woo
Keyword(s):  
Patient Education ◽  
Mitral Valve ◽  
Three Dimensional ◽  
3D Models ◽  
Patient Specific ◽  
Imaging Data ◽  
Anatomical Models ◽  
Mitral Valves ◽  
Flexible Polymer ◽  
3D Printed

In recent years, advances in medical imaging and three-dimensional (3D) additive manufacturing techniques have increased the use of 3D-printed anatomical models for surgical planning, device design and testing, customization of prostheses, and medical education. Using 3D-printing technology, we generated patient-specific models of mitral valves from their pre-operative cardiac imaging data and utilized these custom models to educate patients about their anatomy, disease, and treatment. Clinical 3D transthoracic and transesophageal echocardiography images were acquired from patients referred for mitral valve repair surgery and segmented using 3D modeling software. Patient-specific mitral valves were 3D-printed using a flexible polymer material to mimic the precise geometry and tissue texture of the relevant anatomy. 3D models were presented to patients at their pre-operative clinic visit and patient education was performed using either the 3D model or the standard anatomic illustrations. Afterward, patients completed questionnaires assessing knowledge and satisfaction. Responses were calculated based on a 1–5 Likert scale and analyzed using a nonparametric Mann–Whitney test. Twelve patients were presented with a patient-specific 3D-printed mitral valve model in addition to standard education materials and twelve patients were presented with only standard educational materials. The mean survey scores were 64.2 (±1.7) and 60.1 (±5.9), respectively (p = 0.008). The use of patient-specific anatomical models positively impacts patient education and satisfaction, and is a feasible method to open new opportunities in precision medicine.

Models partition for 3D printing objects using skeleton

2017 ◽  
Vol 23 (1) ◽  
pp. 54-64 ◽  
Author(s):  
Xiaotong Jiang ◽  
Xiaosheng Cheng ◽  
Qingjin Peng ◽  
Luming Liang ◽  
Ning Dai ◽  
...  
Keyword(s):  
3D Model ◽  
Three Dimensional ◽  
Principal Component ◽  
3D Models ◽  
Sweep Method ◽  
Final Model ◽  
Content Type ◽  
Working Volume ◽  
Minima Rule ◽  
The Greedy Algorithm

Purpose It is a challenge to print a model with the size that is larger than the working volume of a three-dimensional (3D) printer. The purpose of this paper is to present a feasible approach to divide a large model into small printing parts to fit the volume of a printer and then assemble these parts into the final model. Design/methodology/approach The proposed approach is based on the skeletonization and the minima rule. The skeleton of a printing model is first extracted using the mesh contraction and the principal component analysis. The 3D model is then partitioned preliminarily into many smaller parts using the space sweep method and the minima rule. The preliminary partition is finally optimized using the greedy algorithm. Findings The skeleton of a 3D model can effectively represent a simplified version of the geometry of the 3D model. Using a model’s skeleton to partition the model is an efficient way. As it is generally desirable to have segmentations at concave creases and seams, the cutting position should be located in the concave region. The proposed approach can partition large models effectively to well retain the integrity of meaningful parts. Originality/value The proposed approach is new in the rapid prototyping field using the model skeletonization and the minima rule. Based on the authors’ knowledge, there is no method that concerns the integrity of meaningful parts for partitioning. The proposed method can achieve satisfactory results by the integrity of meaningful parts and assemblability for most 3D models.

METHDOS OF EFFECTIVE DESIGN FOR CREATING OF PARAMETRIC 3D-MODELS OF PRODUCTS USING THE INTERNAL CAPABILITIES OF CAD-PROGRAMS

2020 ◽  
Author(s):  
E. A. Petrakova
Keyword(s):  
Programming Languages ◽  
3D Model ◽  
Three Dimensional ◽  
3D Models ◽  
Parametric Modeling ◽  
Effective Control ◽  
Model Parameters ◽  
Internal Capabilities ◽  
Program Components ◽  
Effective Design

It is known that the development of a three-dimensional parametric model is a creative process, since the same 3D-model can be built in various ways. In the article the methods for effective design of parametric 3D-models with the help of internal capabilities of CAD-program without the use of programming languages (macros) is developed. Using the methods and recommendations discussed in the article on the example of Autodesk Inventor functionality will allow the engineer to design parametric three-dimensional products in CAD-programs in the most rational way, reducing the number of errors. Recommendations for effective control of 3D-model parameters during creating of Assembly parts and 2D-drawings are given. Using the functionality discussed in the article will be useful for engineers using parametric modeling methods to create typical products, optimization and analysis of structures, development of their own database of standard products that are not in the library of CAD-program components.

scholarly journals Development of a method for improving the accuracy of measurement of linear measures of 3D models via scanning

2021 ◽  
Vol 6 (2(62)) ◽  
pp. 30-36
Author(s):  
Volodymyr Kvasnikov ◽  
Dmytro Ornatskyi ◽  
Valerii Dostavalov
Keyword(s):  
3D Model ◽  
3D Models ◽  
Poor Quality ◽  
Advanced Technology ◽  
Combined Method ◽  
Linear Dimensions ◽  
Photogrammetric Method ◽  
Real Size ◽  
Definition Of

The object of research is to refine the linear sizes of the obtained 3D models via scanning, and reducing the numbers of errors when obtaining the model. For now, there is no accuracy method for transferring the actual sizes of an object to a 3D model. One of the most problematic places in the existing methods of transferring sizes from the object to the model is the error in the placement of dimensional markers due to inaccuracy, or poor quality of the received surface via scanning. A model of the instrument complex is used to implement an improved method of 3D scanning, based on the photogrammetric method. The advanced technology of construction and measurement of 3D models on the basis of photos on the principle of stereo pairs in combination with image projection is based on a combination of existing scanning methods. As well as the introduction of new functionalities, such as maintaining the actual sizes of an object, its textures, color and light characteristics, as well as improving the accuracy of linear sizes. As a result of the use of a standard, reference projections, and a new method of comparing photographs to build a 3D model, a 60 % increase in the accuracy of linear dimensions was achieved. This is due to the fact that the proposed new combined method incorporates all the existing most important aspects of scanning. And also has a number of features, such as the definition of boundary surfaces, automatic sizing, detection, and processing of glass and mirror surfaces. Due to this, this method eliminates the main disadvantages of the usual photogrammetric method – inaccuracies in the surface quality of the models, and inaccuracies in the transfer of linear dimensions. It is estimated that the combined method will allow to transfer the real size of simple objects in 3D with an accuracy of 99.97 % of the actual size of the object. It will also improve the quality of complex surfaces (boundary, glass, mirror) by at least 40–60 %, compared to other existing methods.

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