Department of Anatomy, University of Otago, Dunedin, New Zealand.
Anat Sci Educ. 2019 Jul;12(4):435-443. doi: 10.1002/ase.1851. Epub 2019 Jan 22.
New technological developments have frequently had major consequences for anatomy education, and have raised ethical queries for anatomy educators. The advent of three-dimensional (3D) printing of human material is showing considerable promise as an educational tool that fits alongside cadaveric dissection, plastination, computer simulation, and anatomical models and images. At first glance its ethical implications appear minimal, and yet the more extensive ethical implications around clinical bioprinting suggest that a cautious approach to 3D printing in the dissecting room is in order. Following an overview of early groundbreaking studies into 3D printing of prosections, organs, and archived fetal material, it has become clear that their origin, using donated bodies or 3D files available on the Internet, has ethical overtones. The dynamic presented by digital technology raises questions about the nature of the consent provided by the body donor, reasons for 3D printing, the extent to which it will be commercialized, and its comparative advantages over other available teaching resources. In exploring questions like these, the place of 3D printing within a hierarchical sequence of value is outlined. Discussion centers on the significance of local usage of prints, the challenges created by regarding 3D prints as disposable property, the importance of retaining the human side to anatomy, and the unacceptability of obtaining 3D-printed material from unclaimed bodies. It is concluded that the scientific tenor of 3D processes represents a move away from the human person, so that efforts are required to prevent them accentuating depersonalization and commodification.
新技术的发展常常对解剖学教育产生重大影响,并引发解剖学教育者对伦理问题的质疑。三维(3D)打印人体材料的出现,作为一种与尸体解剖、塑化、计算机模拟以及解剖模型和图像相结合的教育工具,具有很大的潜力。乍一看,其伦理影响似乎很小,但围绕临床生物打印的更广泛的伦理影响表明,在解剖室中谨慎使用 3D 打印是必要的。在概述了早期对人体切片、器官和存档胎儿材料的 3D 打印的开创性研究之后,很明显,它们的起源,无论是使用捐赠的尸体还是互联网上可用的 3D 文件,都具有伦理含义。数字技术所带来的动态引发了关于尸体捐献者所提供同意的性质、3D 打印的原因、其商业化程度以及与其他可用教学资源相比的相对优势等问题。在探讨这些问题时,概述了 3D 打印在价值层次结构中的位置。讨论集中在打印品的本地使用意义、将 3D 打印品视为一次性财产所带来的挑战、保留解剖学人性化方面的重要性以及不可接受的从无人认领的尸体获取 3D 打印材料等问题上。结论是,3D 过程的科学性代表了一种远离人的趋势,因此需要努力防止它们加剧去人性化和商品化。