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用于介入放射学手术预演/模拟/规划的三维打印

Three-Dimensional Printing for Procedure Rehearsal/Simulation/Planning in Interventional Radiology.

作者信息

Chang Doyoung, Tummala Srini, Sotero Dax, Tong Eric, Mustafa Luai, Mustafa Moawiah, Browne William F, Winokur Ronald S

机构信息

Department of Interventional Radiology, University of Miami Miller School of Medicine, Miami, FL.

Chief Vascular Interventional Services, Department of Interventional Radiology, University of Miami Hospital, University of Miami Miller School of Medicine, Miami, FL.

出版信息

Tech Vasc Interv Radiol. 2019 Mar;22(1):14-20. doi: 10.1053/j.tvir.2018.10.004. Epub 2018 Nov 2.

Abstract

With the advances in affordable three-dimensional (3D) printing technology, 3D reconstruction and patient-specific 3D printed models are establishing a crucial role in the field of medicine for both educational purposes and procedural planning. 3D printed models provide physicians with increased 3D perception and tactile feedback, and enable a team-based approach to operational planning. However, performing an effective 3D reconstruction requires an in-depth understanding of the software features to accurately segment and reconstruct the human anatomy of interest from preacquired image data from multiple modalities such as computer tomography, 3D angiography and magnetic resonance imaging, and the different 3D printers/materials available in the market today. Increased understanding of this technology may benefit radiologists by developing techniques and tricks specific to interventional radiology and establishing a criterion to determine when to use these. Thus, the purpose of this manuscript is to provide physicians with an update on currently available 3D reconstruction software as well as printers and materials. Our initial experience using this technology is introduced based on a specific case of developing a 3D printed aorta for a patient with severe stenosis of the abdominal aorta.

摘要

随着经济实惠的三维(3D)打印技术的进步,3D重建和患者特异性3D打印模型在医学领域的教育目的和手术规划方面正发挥着关键作用。3D打印模型为医生提供了增强的三维感知和触觉反馈,并使基于团队的手术规划方法成为可能。然而,要进行有效的3D重建,需要深入了解软件功能,以便从计算机断层扫描、3D血管造影和磁共振成像等多种模态预先获取的图像数据中准确分割和重建感兴趣的人体解剖结构,以及当今市场上可用的不同3D打印机/材料。对这项技术的更多了解可能会通过开发特定于介入放射学的技术和技巧,并建立何时使用这些技术的标准,从而使放射科医生受益。因此,本手稿的目的是向医生介绍当前可用的3D重建软件以及打印机和材料。我们基于为一名腹主动脉严重狭窄患者制作3D打印主动脉的具体案例,介绍了我们使用这项技术的初步经验。

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