Biomedical Engineering Laboratory, University Medical Center Schleswig-Holstein, Campus Lübeck, Ratzeburger Allee 160, 23538 Lübeck, Germany; Department of Vascular Medicine, University Heart and Vascular Center Hamburg, University Medical Center Hamburg-Eppendorf, 20246 Hamburg, Germany.
Department of Surgery, Division of Vascular and Endovascular Surgery, University Medical Center Schleswig-Holstein, Campus Lübeck, Ratzeburger Allee 160, 23538 Lübeck, Germany.
Ann Anat. 2021 Mar;234:151629. doi: 10.1016/j.aanat.2020.151629. Epub 2020 Nov 1.
3D printing has a wide range of applications in medicine. In surgery, this technique can be used for preoperative planning of complex procedures, production of patient specific implants, as well as training. However, accuracy evaluations of 3D vascular models are rare.
Aim of this study was to investigate the accuracy of patient-specific 3D-printed aortic anatomies.
Patients suffering from aorto-iliac aneurysms and with indication for treatment were selected on the basis of different anatomy and localization of the aneurysm in the period from January 1st 2014 to May 27th 2016. Six patients with aorto-iliac aneurysms were selected out of the database for 3D-printing. Subsequently, computed tomography (CT) images of the printed 3D-models were compared with the original CT data sets.
The mean deviation of the six 3D-vascular models ranged between -0.73 mm and 0.14 mm compared to the original CT-data. The relative deviation of the measured values showed no significant difference between the 3D-vascular and the original patient CT-data.
Our results showed that 3D printing has the potential to produce patient-specific 3D vascular models with reliable accuracy. This enables the use of such models for the development of new endovascular procedures and devices.
3D 打印在医学领域有广泛的应用。在外科手术中,该技术可用于复杂手术的术前规划、制作患者特定的植入物以及培训。然而,3D 血管模型的准确性评估却很少见。
本研究旨在探讨患者特异性 3D 打印主动脉解剖结构的准确性。
根据动脉瘤在主动脉-髂动脉瘤患者中的不同解剖结构和位置,从 2014 年 1 月 1 日至 2016 年 5 月 27 日,选择需要治疗的患者。从数据库中选择 6 例主动脉-髂动脉瘤患者进行 3D 打印。随后,将打印的 3D 模型的 CT 图像与原始 CT 数据集进行比较。
与原始 CT 数据相比,6 个 3D 血管模型的平均偏差范围在-0.73mm 至 0.14mm 之间。测量值的相对偏差在 3D 血管模型和原始患者 CT 数据之间没有显著差异。
我们的结果表明,3D 打印具有产生可靠准确性的患者特异性 3D 血管模型的潜力。这使得此类模型可用于开发新的血管内手术和器械。