BEAMS Bio-Mechatronics Department, Université Libre de Bruxelles, Brussels, Belgium.
Department of Urology, ERN accredited centrum, Ghent University Hospital, Ghent, Belgium.
Biomed Phys Eng Express. 2023 Jul 20;9(5). doi: 10.1088/2057-1976/ace449.
Phantoms that mimic healthy or diseased organ properties can complement animal models for surgical planning, training, and medical device development. If urodynamic studies rely on pressure-volume curves to assess lower urinary tract symptoms, there is an unsatisfied need for a bladder phantom that accurately mimics the bladder stretching capabilities and compliant behaviour during physiological filling.We demonstrate the suitability of water-soluble 3D-printed moulds as a versatile method to fabricate accurate phantoms with anatomical structures reconstructed from medical images. We report a phantom fabricated with silicone rubber. A wire net limits the silicone expansion to model the cystometric capacity. A mathematical model describes the pressure increase due to passive hyperelastic properties.The phantom reproduces the bladder's mechanical properties during filling. The pressure-volume curve measured on the phantom is typical of cystometric studies, with a compliance of 25.2 ± 1mlcmH2O-1.The root-mean-square error between the theoretical model and experimental data is 2.7cmH2O.The compliance, bladder wall thickness, cystometric capacity and pressure near the cystometric capacity of the phantom can be tuned to mimic various pathologies or human variability.The manufacturing method is suitable for fabricating bladder and other soft and hollow organ phantoms. The mathematical model provides a method to determine design parameters to model healthy or diseased bladders. Soft hollow organ phantoms can be used to complement animal experimentations for developing and validating medical devices aiming to be anchored on these organs or monitor their activity through pressure and strain measurement.
可以模仿健康或患病器官特性的幻象可以补充用于手术规划、培训和医疗器械开发的动物模型。如果尿动力学研究依赖于压力-容积曲线来评估下尿路症状,那么就需要一种能够准确模拟膀胱在生理填充过程中的拉伸能力和顺应性的膀胱幻象,而目前这一需求尚未得到满足。我们证明了水溶性 3D 打印模具作为一种从医学图像重建解剖结构来制造精确幻象的多功能方法的适用性。我们报告了一种用硅橡胶制造的幻象。一个金属丝网限制了硅橡胶的膨胀,以模拟膀胱测压容量。一个数学模型描述了由于被动超弹性特性而导致的压力增加。在填充过程中,幻象再现了膀胱的机械特性。在幻象上测量的压力-容积曲线是典型的测压研究曲线,顺应性为 25.2 ± 1mlcmH2O-1。理论模型和实验数据之间的均方根误差为 2.7cmH2O。幻象的顺应性、膀胱壁厚度、测压容量和接近测压容量时的压力可以进行调整,以模拟各种病理或人体变异性。制造方法适用于制造膀胱和其他软、空心器官幻象。该数学模型提供了一种确定设计参数的方法,以模拟健康或患病的膀胱。软空心器官幻象可用于补充动物实验,以开发和验证旨在锚定在这些器官上或通过压力和应变测量监测其活动的医疗器械。