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增材制造在心脏病学中的应用:综述

Additive manufacturing applications in cardiology: A review.

作者信息

Haleem Abid, Javaid Mohd, Saxena Anil

机构信息

Department of Mechanical Engineering, Jamia Millia Islamia, New Delhi, India.

Cardiac Pacing & Electrophysiology, Fortis Escorts, New Delhi, India.

出版信息

Egypt Heart J. 2018 Dec;70(4):433-441. doi: 10.1016/j.ehj.2018.09.008. Epub 2018 Oct 23.

Abstract

BACKGROUND

Additive manufacturing (AM) has emerged as a serious planning, strategy, and education tool in cardiovascular medicine. This review describes and illustrates the application, development and associated limitation of additive manufacturing in the field of cardiology by studying research papers on AM in medicine/cardiology.

METHODS

Relevant research papers till August 2018 were identified through Scopus and examined for strength, benefits, limitation, contribution and future potential of AM. With the help of the existing literature & bibliometric analysis, different applications of AM in cardiology are investigated.

RESULTS

AM creates an accurate three-dimensional anatomical model to explain, understand and prepare for complex medical procedures. A prior study of patient's 3D heart model can help doctors understand the anatomy of the individual patient, which may also be used create training modules for institutions and surgeons for medical training.

CONCLUSION

AM has the potential to be of immense help to the cardiologists and cardiac surgeons for intervention and surgical planning, monitoring and analysis. Additive manufacturing creates a 3D model of the heart of a specific patient in lesser time and cost. This technology is used to create and analyse 3D model before starting actual surgery on the patient. It can improve the treatment outcomes for patients, besides saving their lives. Paper summarised additive manufacturing applications particularly in the area of cardiology, especially manufacturing of a patient-specific artificial heart or its component. Model printed by this technology reduces risk, improves the quality of diagnosis and preoperative planning and also enhanced team communication. In cardiology, patient data of heart varies from patient to patient, so AM technologies efficiently produce 3D models, through converting the predesigned virtual model into a tangible object. Companies explore additive manufacturing for commercial medical applications.

摘要

背景

增材制造已成为心血管医学领域中一种重要的规划、战略和教育工具。本综述通过研究医学/心脏病学领域中有关增材制造的研究论文,描述并阐释了增材制造在心脏病学领域的应用、发展及相关局限性。

方法

通过Scopus检索截至2018年8月的相关研究论文,并对增材制造的优势、益处、局限性、贡献及未来潜力进行分析。借助现有文献及文献计量分析,研究增材制造在心脏病学中的不同应用。

结果

增材制造可创建精确的三维解剖模型,用于解释、理解复杂的医疗程序并为之做准备。对患者的三维心脏模型进行预先研究有助于医生了解个体患者的解剖结构,还可用于为机构和外科医生创建医学培训模块。

结论

增材制造在介入和手术规划、监测及分析方面,对心脏病学家和心脏外科医生可能有极大帮助。增材制造能以更低的时间和成本创建特定患者心脏的三维模型。这项技术用于在对患者进行实际手术前创建和分析三维模型。它除了能挽救患者生命外,还可改善治疗效果。本文总结了增材制造的应用,尤其是在心脏病学领域,特别是定制患者专用人工心脏或其部件。通过该技术打印的模型降低了风险,提高了诊断质量和术前规划水平,还加强了团队沟通。在心脏病学中,不同患者的心脏数据各不相同,因此增材制造技术通过将预先设计的虚拟模型转换为实体对象,能高效地制作三维模型。各公司正在探索增材制造在商业医疗应用方面的可能性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3af9/6303383/e6fa7292bfdf/gr1.jpg

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