Rankin Timothy M, Wormer Blair A, Miller John D, Giovinco Nicholas A, Al Kassis Salam, Armstrong David G
1 Department of Plastic and Reconstructive Surgery, Vanderbilt University , Nashville, TN , USA.
2 Baltimore VA Health System, Rubin Institute for Orthopedics , Baltimore, MD , USA.
Br J Radiol. 2018 Feb;91(1083):20170374. doi: 10.1259/bjr.20170374. Epub 2018 Jan 31.
The last 20 years has seen an exponential increase in 3D printing as it pertains to the medical industry and more specifically surgery. Previous reviews in this domain have chosen to focus on applications within a specific field. To our knowledge, none have evaluated the broad applications of patient-specific or digital imaging and communications in medicine (DICOM) derived applications of this technology.
We searched PUBMED and CINAHL from April 2012 to April 2017.
261 studies fulfilled the inclusion criteria. Proportions of articles reviewed: DICOM (5%), CT (38%), MRI (20%), Ultrasonography (28%), and Bio-printing (9%).
There is level IV evidence to support the use of 3D printing for education, pre-operative planning, simulation and implantation. In order to make this technology widely applicable, it will require automation of DICOM to standard tessellation language to implant. Advances in knowledge: Recent lapses in intellectual property and greater familiarity with rapid prototyping in medicine has set the stage for the next generation of custom implants, simulators and autografts. Radiologists may be able to help establish reimbursable procedural terminology.
在过去20年里，3D打印在医疗行业，尤其是外科手术领域呈指数级增长。该领域之前的综述都聚焦于特定领域内的应用。据我们所知，尚无研究评估这项技术在患者特异性或医学数字成像和通信（DICOM）衍生应用方面的广泛应用。
我们检索了2012年4月至2017年4月期间的PubMed和CINAHL数据库。
261项研究符合纳入标准。所综述文章的比例如下：DICOM（5%）、CT（38%）、MRI（20%）、超声检查（28%）和生物打印（9%）。
有四级证据支持3D打印用于教育、术前规划、模拟和植入。为使这项技术得到广泛应用，需要将DICOM自动化转换为标准镶嵌语言以进行植入。知识进展：近期知识产权方面的失误以及对医学快速成型技术的更深入了解，为下一代定制植入物、模拟器和自体移植物奠定了基础。放射科医生或许能够帮助建立可报销的程序术语。
