Department of Neurosurgery, Chungbuk National University Hospital, Chungbuk National University College of Medicine, Cheongju, Republic of Korea.
MEDICALIP Co. Ltd., Changgyeong Building, 174, Yulgok-ro, Jongno-gu, Seoul, 03127, Republic of Korea.
Sci Rep. 2021 Mar 26;11(1):7005. doi: 10.1038/s41598-021-86546-y.
The usefulness of 3-dimensional (3D)-printed disease models has been recognized in various medical fields. This study aims to introduce a production platform for patient-specific 3D-printed brain tumor model in clinical practice and evaluate its effectiveness. A full-cycle platform was created for the clinical application of a 3D-printed brain tumor model (3D-printed model) production system. Essential elements included automated segmentation software, cloud-based interactive communication tools, customized brain models with exquisite expression of brain anatomy in transparent material, adjunctive devices for surgical simulation, and swift process cycles to meet practical needs. A simulated clinical usefulness validation was conducted in which neurosurgeons assessed the usefulness of the 3D-printed models in 10 cases. We successfully produced clinically applicable patient-specific models within 4 days using the established platform. The simulated clinical usefulness validation results revealed the significant superiority of the 3D-printed models in surgical planning regarding surgical posture (p = 0.0147) and craniotomy design (p = 0.0072) compared to conventional magnetic resonance images. The benefit was more noticeable for neurosurgeons with less experience. We established a 3D-printed brain tumor model production system that is ready to use in daily clinical practice for neurosurgery.
三维(3D)打印疾病模型在各个医学领域的实用性已经得到认可。本研究旨在介绍一种用于临床实践的患者特异性 3D 打印脑肿瘤模型的生产平台,并评估其有效性。为了实现 3D 打印脑肿瘤模型(3D 打印模型)生产系统的临床应用,我们创建了一个全周期平台。基本要素包括自动化分割软件、基于云的交互式沟通工具、用透明材料精细表达脑解剖结构的定制化脑模型、用于手术模拟的辅助设备,以及满足实际需求的快速流程周期。我们对 10 例病例进行了模拟临床有效性验证,神经外科医生评估了 3D 打印模型的有用性。我们使用该平台成功地在 4 天内生产出了具有临床应用价值的患者特异性模型。模拟临床有效性验证结果显示,与传统磁共振成像相比,3D 打印模型在手术体位(p=0.0147)和开颅设计(p=0.0072)方面的手术规划具有显著优势。对于经验较少的神经外科医生来说,这种优势更加明显。我们建立了一种 3D 打印脑肿瘤模型生产系统,可用于神经外科的日常临床实践。