Columbia University Medical Center Department of Neurological Surgery, 710 W 168th Street, New York, NY 10032, United States.
Biotechnol Adv. 2017 Sep;35(5):521-529. doi: 10.1016/j.biotechadv.2017.05.007. Epub 2017 May 24.
Three-dimensional (3D) printers are a developing technology penetrating a variety of markets, including the medical sector. Since its introduction to the medical field in the late 1980s, 3D printers have constructed a range of devices, such as dentures, hearing aids, and prosthetics. With the ultimate goals of decreasing healthcare costs and improving patient care and outcomes, neurosurgeons are utilizing this dynamic technology, as well. Digital Imaging and Communication in Medicine (DICOM) can be translated into Stereolithography (STL) files, which are then read and methodically built by 3D Printers. Vessels, tumors, and skulls are just a few of the anatomical structures created in a variety of materials, which enable surgeons to conduct research, educate surgeons in training, and improve pre-operative planning without risk to patients. Due to the infancy of the field and a wide range of technologies with varying advantages and disadvantages, there is currently no standard 3D printing process for patient care and medical research. In an effort to enable clinicians to optimize the use of additive manufacturing (AM) technologies, we outline the most suitable 3D printing models and computer-aided design (CAD) software for 3D printing in neurosurgery, their applications, and the limitations that need to be overcome if 3D printers are to become common practice in the neurosurgical field.
三维(3D)打印机是一种正在发展的技术,已经渗透到包括医疗领域在内的多个市场。自 20 世纪 80 年代末引入医疗领域以来,3D 打印机已经构建了各种设备,如假牙、助听器和假肢。为了降低医疗成本、改善患者护理和治疗效果,神经外科医生也在使用这项具有活力的技术。数字成像和通信医学(DICOM)可以转换为立体光刻(STL)文件,然后由 3D 打印机读取并进行系统构建。血管、肿瘤和颅骨只是使用各种材料创建的一些解剖结构,这些结构使外科医生能够在不影响患者的情况下进行研究、培训外科医生并改进术前规划。由于该领域还处于起步阶段,而且有多种具有不同优缺点的技术,因此目前没有用于患者护理和医学研究的标准 3D 打印流程。为了使临床医生能够优化使用增材制造(AM)技术,我们概述了神经外科中最适合 3D 打印的模型和计算机辅助设计(CAD)软件,及其应用,以及如果要使 3D 打印机在神经外科领域成为常见实践,需要克服的限制。
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