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用于心脏瓣膜疾病的3D打印:一项系统综述。

3D printing for heart valve disease: a systematic review.

作者信息

Tuncay Volkan, van Ooijen Peter M A

机构信息

University of Groningen, University Medical Center Groningen, Hanzeplein 1, 9713GZ, Groningen, The Netherlands.

出版信息

Eur Radiol Exp. 2019 Feb 15;3(1):9. doi: 10.1186/s41747-018-0083-0.


DOI:10.1186/s41747-018-0083-0
PMID:30771098
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6377684/
Abstract

BACKGROUND: Current developments showed a fast-increasing implementation and use of three-dimensional (3D) printing in medical applications. Our aim was to review the literature regarding the application of 3D printing to cardiac valve disease. METHODS: A PubMed search for publications in English with the terms "3D printing" AND "cardiac valve", performed in January 2018, resulted in 64 items. After the analysis of the abstract and text, 27 remained related to the topic. From the references of these 27 papers, 7 papers were added resulting in a total of 34 papers. Of these, 5 were review papers, thus reducing the papers taken into consideration to 29. RESULTS: The 29 papers showed that about a decade ago, the interest in 3D printing for this application area was emerging, but only in the past 2 to 3 years it really gained interest. Computed tomography is the most common imaging modality taken into consideration (62%), followed by ultrasound (28%), computer-generated models (computer-aided design) (7%), and magnetic resonance imaging (3%). Acrylonitrile butadiene styrene (4/14, 29%) and TangoPlus FullCure 930 (5/14, 36%) are the most used printing materials. Stereolithography (40%) and fused deposition modeling (30%) are the preferred printing techniques, while PolyJet (25%) and laser sintering (4%) are used in a minority of cases. The reported time ranges from 30 min to 3 days. The most reported application area is preoperative planning (63%), followed by training (19%), device testing (11%), and retrospective procedure evaluation (7%). CONCLUSIONS: In most cases, CT datasets are used and models are printed for preoperative planning.

摘要

背景:当前的发展表明,三维(3D)打印在医学应用中的实施和使用正在迅速增加。我们的目的是回顾有关3D打印在心脏瓣膜疾病中的应用的文献。 方法:2018年1月在PubMed上搜索英文出版物,搜索词为“3D打印”和“心脏瓣膜”,共得到64篇文章。在对摘要和正文进行分析后,有27篇文章仍与该主题相关。从这27篇论文的参考文献中又增加了7篇论文,最终共有34篇论文。其中,5篇为综述论文,因此实际考虑的论文数量为29篇。 结果:这29篇论文表明,大约十年前,人们开始对3D打印在该应用领域产生兴趣,但直到过去两到三年才真正受到关注。计算机断层扫描是最常被考虑的成像方式(62%),其次是超声(28%)、计算机生成模型(计算机辅助设计)(7%)和磁共振成像(3%)。丙烯腈丁二烯苯乙烯(4/14,29%)和TangoPlus FullCure 930(5/14,36%)是最常用的打印材料。立体光刻(40%)和熔融沉积建模(30%)是首选的打印技术,而PolyJet(25%)和激光烧结(4%)仅在少数情况下使用。报告的时间范围从30分钟到3天不等。报道最多的应用领域是术前规划(63%),其次是培训(19%)、设备测试(11%)和回顾性手术评估(7%)。 结论:在大多数情况下,使用CT数据集并打印模型用于术前规划。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bbf/6377684/9c1e22d63354/41747_2018_83_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bbf/6377684/e79e92a4147b/41747_2018_83_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bbf/6377684/77124ed4d903/41747_2018_83_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bbf/6377684/067e37ee21c4/41747_2018_83_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bbf/6377684/63247709fd97/41747_2018_83_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bbf/6377684/18e855751b62/41747_2018_83_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bbf/6377684/9c1e22d63354/41747_2018_83_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bbf/6377684/e79e92a4147b/41747_2018_83_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bbf/6377684/77124ed4d903/41747_2018_83_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bbf/6377684/067e37ee21c4/41747_2018_83_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bbf/6377684/63247709fd97/41747_2018_83_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bbf/6377684/18e855751b62/41747_2018_83_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bbf/6377684/9c1e22d63354/41747_2018_83_Fig6_HTML.jpg

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[7]
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[8]
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[9]
The application of 3D printing in preoperative planning for transcatheter aortic valve replacement: a systematic review.

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[10]
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本文引用的文献

[1]
Applying Modern Virtual and Augmented Reality Technologies to Medical Images and Models.

J Digit Imaging. 2019-2

[2]
High resolution imaging of the mitral valve in the natural state with 7 Tesla MRI.

PLoS One. 2017-8-30

[3]
Quantitative Prediction of Paravalvular Leak in Transcatheter Aortic Valve Replacement Based on Tissue-Mimicking 3D Printing.

JACC Cardiovasc Imaging. 2017-7

[4]
3D Printed Cardiac Phantom for Procedural Planning of a Transcatheter Native Mitral Valve Replacement.

Proc SPIE Int Soc Opt Eng. 2016-2-27

[5]
Cardiac 3D Printing and its Future Directions.

JACC Cardiovasc Imaging. 2017-2

[6]
Structural and congenital heart disease interventions: the role of three-dimensional printing.

Neth Heart J. 2017-2

[7]
3D printing of normal and pathologic tricuspid valves from transthoracic 3D echocardiography data sets.

Eur Heart J Cardiovasc Imaging. 2017-7-1

[8]
Applications of 3D printing in cardiovascular diseases.

Nat Rev Cardiol. 2016-10-27

[9]
Three-dimensional printing of an aortic model for transcatheter aortic valve implantation: possible clinical applications.

Int J Cardiovasc Imaging. 2017-2

[10]
Preoperative planning with three-dimensional reconstruction of patient's anatomy, rapid prototyping and simulation for endoscopic mitral valve repair.

Interact Cardiovasc Thorac Surg. 2017-2-1

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