Division of Cardiothoracic Surgery, Faculty of Medicine, University Malaya, Kuala Lumpur, Malaysia.
Division of Cardiology, University Malaya Medical Centre, Kuala Lumpur, Malaysia.
Braz J Cardiovasc Surg. 2021 Oct 17;36(5):707-716. doi: 10.21470/1678-9741-2020-0433.
Rapid prototyping is a process by which three-dimensional (3D) computerized surface models are converted into physical models. In this study, a 3D heart bio model was created using the rapid prototyping method and the accuracy of this heart model was assessed by clinicians.
The two-dimensional images of normal heart from gated computed tomography scan datasets were used to create a 3D model of the heart. The slices were then processed using the software BioModroid and printed with the 3D printer. The evaluation of the model was performed by a questionnaire answered by four cardiothoracic surgeons, 12 cardiologists, five radiologists, and nine surgical registrars.
Eighty-six percent of the anatomy structures showed in this model scored 100% accuracy. Structures such as circumflex branch of left coronary artery, great cardiac vein, papillary muscle, and coronary sinus were each rated 77%, 70%, 70%, and 57% accurate. Among 30 clinicians, a total of 93% rated the model accuracy as good and above; 64% of the clinicians evaluated this model as an excellent teaching tool for anatomy class. As a visual aid for surgery or interventional procedures, the model was rated excellent (40%), good (50%), average (23%), and poor (3%); 70% of the clinicians scored the model as above average for training purpose. Overall, this 3D rapid prototyping cardiac model was rated as excellent (33%), good (50%), and average (17%).
This 3D rapid prototyping heart model will be a valuable source of anatomical education and cardiac interventional management.
快速成型是一种将三维(3D)计算机表面模型转化为物理模型的过程。在本研究中,使用快速成型方法创建了一个 3D 心脏生物模型,并由临床医生评估该心脏模型的准确性。
使用门控计算机断层扫描数据集的正常心脏二维图像创建心脏的 3D 模型。然后使用软件 BioModroid 处理切片,并使用 3D 打印机打印。通过四位心胸外科医生、十二位心脏病专家、五位放射科医生和九位外科住院医师回答问卷来评估模型。
该模型中 86%的解剖结构显示出 100%的准确性。左冠状动脉回旋支、大心静脉、乳头肌和冠状窦等结构的准确性分别为 77%、70%、70%和 57%。在 30 位临床医生中,共有 93%的人认为该模型的准确性良好及以上;64%的临床医生认为该模型是解剖学课程的优秀教学工具。作为手术或介入手术的视觉辅助工具,该模型被评为优秀(40%)、良好(50%)、一般(23%)和差(3%);70%的临床医生认为该模型用于培训目的的效果在平均水平以上。总的来说,这款 3D 快速成型心脏模型被评为优秀(33%)、良好(50%)和一般(17%)。
这款 3D 快速成型心脏模型将成为解剖学教育和心脏介入管理的有价值资源。