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三维打印技术在心脏肿瘤围手术期管理中的应用:综述与分析

Application of Three-Dimensional Printing Technology in the Perioperative Management of Cardiac Tumours: A Review and Analysis.

作者信息

Wang Huan, Liang Jixiang, Zhang Gen, He Dongsheng, Du Baoluo, Ren Zhipeng, Dai Ziqiang, Lee Hsin, Li Dianyuan

机构信息

Department of Cardiovascular Surgery, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal Hospital, Gusu School, Nanjing Medical University, 215008 Suzhou, Jiangsu, China.

The State Key Laboratory for Manufacturing Systems Engineering, Xi'an Jiaotong University, 710000 Xi'an, Shaanxi, China.

出版信息

Rev Cardiovasc Med. 2024 Mar 11;25(3):101. doi: 10.31083/j.rcm2503101. eCollection 2024 Mar.

DOI:10.31083/j.rcm2503101
PMID:39076958
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11263826/
Abstract

BACKGROUND

Multimodal imaging plays a crucial role in evaluating suspected cardiac tumours. In recent years, three-dimensional (3D) printing technology has continued to advance such that image-based 3D-printed models have been incorporated into the auxiliary diagnosis and treatment of cardiac tumour diseases. The purpose of this review is to analyze the existing literature on the application of 3D printing in cardiac tumour surgery to examine the current status of the application of this technology.

METHODS

By searching PubMed, Cochrane, Scopus and Google Scholar, as well as other resource databases, a completed review of the available literature was performed. Effect sizes from published studies were investigated, and results are presented concerning the use of 3D surgical planning in the management of cardiac tumours.

RESULTS

According to the reviewed literature, our study comes to the point that 3D printing is a valuable technique for planning surgery for cardiac tumours. As shown in the review report, Mucinous and sarcomatous tumours are the most commonly used tumours for 3D printing, magnetic resonance imaging (MRI) and computed tomography (CT) are the most commonly used technologies for preparing 3D printing models, the main printing technology is stereolithography, and the most used 3D modeling software is Mimics. The printing time and cost required for 3D printing are affected by factors such as the size of the type, complexity, the printed material and the 3D printing technology used. The reported research shows that 3D printing can understand the anatomy of complex tumour cases, virtual surgical simulation, as well as facilitate doctor-patient communication and clinical teaching.

CONCLUSIONS

These results show that the development of 3D printing technology has brought more accurate and safe perioperative treatment options for patients with cardiac tumours. Therefore, 3D printing technology is expected to become a routine clinical diagnosis and treatment tool for cardiac tumours.

摘要

背景

多模态成像在评估疑似心脏肿瘤方面发挥着关键作用。近年来,三维(3D)打印技术不断发展,基于图像的3D打印模型已被应用于心脏肿瘤疾病的辅助诊断和治疗。本综述的目的是分析现有关于3D打印在心脏肿瘤手术中应用的文献,以研究该技术的应用现状。

方法

通过检索PubMed、Cochrane、Scopus和谷歌学术以及其他资源数据库,对现有文献进行了全面综述。调查了已发表研究的效应大小,并给出了关于3D手术规划在心脏肿瘤管理中的应用结果。

结果

根据综述文献,我们的研究得出结论,3D打印是一种用于心脏肿瘤手术规划的有价值技术。如综述报告所示,黏液性和肉瘤性肿瘤是3D打印最常用的肿瘤类型,磁共振成像(MRI)和计算机断层扫描(CT)是制备3D打印模型最常用的技术,主要打印技术是立体光刻,最常用的3D建模软件是Mimics。3D打印所需的打印时间和成本受模型类型大小、复杂性、打印材料以及所使用的3D打印技术等因素影响。报告的研究表明,3D打印能够了解复杂肿瘤病例的解剖结构、进行虚拟手术模拟,还能促进医患沟通和临床教学。

结论

这些结果表明,3D打印技术的发展为心脏肿瘤患者带来了更准确、安全的围手术期治疗选择。因此,3D打印技术有望成为心脏肿瘤常规的临床诊断和治疗工具。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4ee/11263826/d6ed1aafe393/2153-8174-25-3-101-g3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4ee/11263826/cbf2cc0f23e3/2153-8174-25-3-101-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4ee/11263826/27d6f9041a42/2153-8174-25-3-101-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4ee/11263826/d6ed1aafe393/2153-8174-25-3-101-g3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4ee/11263826/cbf2cc0f23e3/2153-8174-25-3-101-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4ee/11263826/27d6f9041a42/2153-8174-25-3-101-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4ee/11263826/d6ed1aafe393/2153-8174-25-3-101-g3.jpg

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本文引用的文献

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Fabrication and characterization of a multimodal 3D printed mouse phantom for ionoacoustic quality assurance in image-guided pre-clinical proton radiation research.用于图像引导临床前质子放射研究中离子声质量保证的多模态 3D 打印鼠体的制作和特性描述。
Phys Med Biol. 2022 Oct 3;67(20). doi: 10.1088/1361-6560/ac9031.
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Large primary cardiac tumor penetrating the right ventricle: 3-dimensional printing-based surgical planning.穿透右心室的大型原发性心脏肿瘤:基于三维打印的手术规划
JTCVS Tech. 2021 Nov 9;11:37-40. doi: 10.1016/j.xjtc.2021.10.061. eCollection 2022 Feb.
3
3D surgical planning of pediatric tumors: a review.
小儿肿瘤的 3D 手术规划:综述
Int J Comput Assist Radiol Surg. 2022 Apr;17(4):805-816. doi: 10.1007/s11548-022-02557-8. Epub 2022 Jan 18.
4
Case Report: 3D Printing Guided Cardiac Autotransplantation for Treatment of a Giant Complex Primary Left Atrial Tumor.病例报告:3D打印引导下心脏自体移植治疗巨大复杂性原发性左心房肿瘤
Front Cardiovasc Med. 2021 Nov 25;8:800459. doi: 10.3389/fcvm.2021.800459. eCollection 2021.
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Operative Workflow from CT to 3D Printing of the Heart: Opportunities and Challenges.从心脏CT到3D打印的手术工作流程:机遇与挑战
Bioengineering (Basel). 2021 Sep 22;8(10):130. doi: 10.3390/bioengineering8100130.
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VR and 3D Printing for Preop Planning of Left Ventricular Myxoma in a Child.虚拟现实和 3D 打印在儿童左房黏液瘤术前规划中的应用。
Ann Thorac Surg. 2022 Jun;113(6):e457-e460. doi: 10.1016/j.athoracsur.2021.07.094. Epub 2021 Sep 2.
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Cardiac Tumors: State-of-the-Art Review.心脏肿瘤:最新综述
JACC CardioOncol. 2020 Jun 16;2(2):293-311. doi: 10.1016/j.jaccao.2020.05.009. eCollection 2020 Jun.
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J Thorac Dis. 2020 Jun;12(6):3227-3237. doi: 10.21037/jtd-20-455.
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