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三维打印解剖模型在儿科患者肿瘤治疗中的应用。

Use of a three-dimensional printed anatomical model for tumor management in a pediatric patient.

作者信息

Salazar David, Huff Trevor J, Cramer Justin, Wong Lincoln, Linke Gabe, Zuniga Jorge

机构信息

Department of Biomechanics, University of Nebraska Omaha, Omaha, NE, USA.

School of Medicine, Creighton University, Omaha, NE, USA.

出版信息

SAGE Open Med Case Rep. 2020 Jun 7;8:2050313X20927600. doi: 10.1177/2050313X20927600. eCollection 2020.

DOI:10.1177/2050313X20927600
PMID:32551116
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7278293/
Abstract

The purpose of this study was to investigate the usage of an anatomical model to improve surgical planning of a complex schwannoma resection. As advancements in additive manufacturing continue to prosper, new applications of this valuable technology are being implemented in the medical field. One of the most recent applications has been in the development of patient-specific anatomical models for unique clinical education as well as for preoperative planning. In this case, a multidisciplinary team with expertise in research, three-dimensional printing, and medicine was formed to develop a three-dimensional printed model that could be used to help plan the reduction of a tumor from the cervical spine of a pediatric patient. Image segmentation and stereolithography creation were accomplished using Mimics and 3-matic, respectively. Models were developed on two different printer types to view different aspects of the region of interest. Reports from the operating surgeon indicated that the model was instrumental in the planning procedures of the operation and reducing operation time.

摘要

本研究的目的是调查使用解剖模型来改进复杂神经鞘瘤切除术的手术规划。随着增材制造技术的不断进步,这项宝贵技术的新应用正在医学领域得到实施。最新的应用之一是开发针对独特临床教育以及术前规划的患者特异性解剖模型。在这个案例中,组建了一个由研究、三维打印和医学方面的专家组成的多学科团队,以开发一个三维打印模型,该模型可用于帮助规划一名儿科患者颈椎肿瘤的切除手术。图像分割和立体光刻创建分别使用Mimics和3-matic完成。在两种不同的打印机类型上开发模型,以查看感兴趣区域的不同方面。主刀医生的报告表明,该模型在手术规划过程中起到了重要作用,并缩短了手术时间。

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Use of a three-dimensional printed anatomical model for tumor management in a pediatric patient.三维打印解剖模型在儿科患者肿瘤治疗中的应用。
SAGE Open Med Case Rep. 2020 Jun 7;8:2050313X20927600. doi: 10.1177/2050313X20927600. eCollection 2020.
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Bioengineering (Basel). 2023 Dec 27;11(1):31. doi: 10.3390/bioengineering11010031.
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Case series of four complex spinal deformities: new frontiers in pre-operative planning.四例复杂脊柱畸形病例系列:术前规划的新前沿。
Acta Biomed. 2022 Oct 26;93(5):e2022221. doi: 10.23750/abm.v93i5.12839.
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Using 3D Printing to Improve Student Education of Complex Anatomy: a Systematic Review and Meta-analysis.

本文引用的文献

1
Plexiform Schwannoma of the Tongue in a Pediatric Patient with Neurofibromatosis Type 2: A Case Report and Review of Literature.2型神经纤维瘤病患儿舌部丛状神经鞘瘤:一例报告及文献复习
Case Rep Pathol. 2018 Oct 15;2018:9814591. doi: 10.1155/2018/9814591. eCollection 2018.
2
Magnetic resonance imaging findings for differential diagnosis of perianal plexiform schwannoma: Case report and review of the literature.磁共振成像在肛周丛状神经鞘瘤鉴别诊断中的表现:病例报告及文献复习
World J Clin Cases. 2018 May 16;6(5):88-93. doi: 10.12998/wjcc.v6.i5.88.
3
Comparison of the Conventional Surgery and the Surgery Assisted by 3d Printing Technology in the Treatment of Calcaneal Fractures.
利用3D打印改善复杂解剖学的学生教育:一项系统评价与荟萃分析。
Med Sci Educ. 2022 Aug 1;32(5):1209-1218. doi: 10.1007/s40670-022-01595-w. eCollection 2022 Oct.
4
3D printing applications in spine surgery: an evidence-based assessment toward personalized patient care.3D 打印技术在脊柱外科中的应用:迈向个性化患者护理的循证评估。
Eur Spine J. 2022 Jul;31(7):1682-1690. doi: 10.1007/s00586-022-07250-7. Epub 2022 May 19.
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Comparison of 3D printed anatomical model qualities in acetabular fracture representation.髋臼骨折呈现中3D打印解剖模型质量的比较。
Ann Transl Med. 2022 Apr;10(7):391. doi: 10.21037/atm-21-5069.
6
Utility of Three-Dimensional Printing for Preoperative Assessment of Children with Extra-Cranial Solid Tumors: A Systematic Review.三维打印在儿童颅外实体肿瘤术前评估中的应用:一项系统综述
Pediatr Rep. 2022 Jan 11;14(1):32-39. doi: 10.3390/pediatric14010006.
7
3D model-assisted instrumentation of the pediatric spine: a technical note.3D 模型辅助儿童脊柱器械置入:技术说明。
J Orthop Surg Res. 2021 Oct 12;16(1):586. doi: 10.1186/s13018-021-02743-5.
传统手术与3D打印技术辅助手术治疗跟骨骨折的比较
J Invest Surg. 2018 Dec;31(6):557-567. doi: 10.1080/08941939.2017.1363833. Epub 2017 Sep 19.
4
The development of a low-cost three-dimensional printed shoulder, arm, and hand prostheses for children.一种用于儿童的低成本三维打印肩部、手臂和手部假肢的研发。
Prosthet Orthot Int. 2017 Apr;41(2):205-209. doi: 10.1177/0309364616640947. Epub 2016 Jul 10.
5
Three-dimensional printing in surgery: a review of current surgical applications.手术中的三维打印:当前手术应用综述
J Surg Res. 2015 Dec;199(2):512-22. doi: 10.1016/j.jss.2015.06.051. Epub 2015 Jun 26.
6
Three-dimensional printing in cardiac surgery and interventional cardiology: a single-centre experience.心脏外科手术和介入心脏病学中的三维打印:单中心经验
Eur J Cardiothorac Surg. 2015 Jun;47(6):1044-52. doi: 10.1093/ejcts/ezu310. Epub 2014 Aug 26.
7
Application of a three-dimensional print of a liver in hepatectomy for small tumors invisible by intraoperative ultrasonography: preliminary experience.术中超声难以发现的小肿瘤肝切除术中肝脏三维打印的应用:初步经验
World J Surg. 2014 Dec;38(12):3163-6. doi: 10.1007/s00268-014-2740-7.
8
A rare case of life-threatening giant plexiform schwannoma.一例罕见的危及生命的巨大丛状神经鞘瘤。
Spine J. 2012 Jan;12(1):83. doi: 10.1016/j.spinee.2011.12.001. Epub 2011 Dec 29.
9
A giant plexiform schwannoma of the brachial plexus: case report.一例臂丛神经巨大丛状神经鞘瘤:病例报告
J Brachial Plex Peripher Nerve Inj. 2011 Nov 1;6(1):9. doi: 10.1186/1749-7221-6-9.
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Plexiform schwannoma: a clinicopathologic overview with emphasis on the head and neck region.丛状神经鞘瘤:以头颈部区域为重点的临床病理概述
Hum Pathol. 2008 May;39(5):633-40. doi: 10.1016/j.humpath.2007.10.029.