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患者特异性 3D 打印脑肿瘤模型制作系统在神经外科的临床应用。

Clinical application of patient-specific 3D printing brain tumor model production system for neurosurgery.

机构信息

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.

出版信息

Sci Rep. 2021 Mar 26;11(1):7005. doi: 10.1038/s41598-021-86546-y.

Abstract

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.

摘要

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。

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