Vashistha Rajat, Kumar Prasoon, Dangi Arun Kumar, Sharma Naveen, Chhabra Deepak, Shukla Pratyoosh
1Optimization and Mechatronics Laboratory, Department of Mechanical Engineering, University Institute of Engineering and Technology, Maharshi Dayanand University, Rohtak, Haryana India.
Department of Medical Devices, National Institute of Pharmaceutical Education and Research Ahmadabad, Gandhinagar, Gujarat 382355 India.
J Biol Eng. 2019 Feb 6;13:12. doi: 10.1186/s13036-018-0132-5. eCollection 2019.
Digitalization of health care practices is substantially manifesting itself as an effective tool to diagnose and rectify complex cardiovascular abnormalities. For cardiovascular abnormalities, precise non-invasive imaging interventions are being used to develop patient specific diagnosis and surgical planning. Concurrently, pre surgical 3D simulation and computational modeling are aiding in the effective surgery and understanding of valve biomechanics, respectively. Consequently, 3D printing of patient specific valves that can mimic the original one will become an effective outbreak for valvular problems. Printing of these patient-specific tissues or organ components is becoming a viable option owing to the advances in biomaterials and additive manufacturing techniques. These additive manufacturing techniques are receiving a full-fledged support from burgeoning field of computational fluid dynamics, digital image processing, artificial intelligence, and continuum mechanics during their optimization and implementation. Further, studies at cellular and molecular biomechanics have enriched our understanding of biomechanical factors resulting in valvular heart diseases. Hence, the knowledge generated can guide us during the design and synthesis of biomaterials to develop superior extra cellular matrix, mimicking materials that can be used as a bioink for 3D printing of organs and tissues. With this notion, we have reviewed current opportunities and challenges in the diagnosis and treatment of heart valve abnormalities through patient-specific valve design via tissue engineering and 3D bioprinting. These valves can replace diseased valves by preserving homogeneity and individuality of the patients.
医疗实践的数字化正充分展现为一种诊断和纠正复杂心血管异常的有效工具。对于心血管异常,精确的非侵入性成像干预正被用于制定针对患者的诊断和手术规划。与此同时,术前3D模拟和计算建模分别有助于有效开展手术以及理解瓣膜生物力学。因此,能够模仿原始瓣膜的患者特异性瓣膜的3D打印将成为解决瓣膜问题的有效突破。由于生物材料和增材制造技术的进步,这些患者特异性组织或器官部件的打印正成为一种可行的选择。在这些增材制造技术的优化和实施过程中,它们正得到计算流体动力学、数字图像处理、人工智能和连续介质力学等新兴领域的全面支持。此外,细胞和分子生物力学方面的研究丰富了我们对导致心脏瓣膜疾病的生物力学因素的理解。因此,所产生的知识能够在生物材料的设计和合成过程中指导我们,以开发出更优质的细胞外基质模拟材料,这些材料可用作器官和组织3D打印的生物墨水。基于这一理念,我们通过组织工程和3D生物打印的患者特异性瓣膜设计,综述了心脏瓣膜异常诊断和治疗中的当前机遇与挑战。这些瓣膜可以通过保留患者的同质性和个体性来替代病变瓣膜。