Criss-cross heart three-dimensional printed models in medical education: A multicenter study on their value as a supporting tool to conventional imaging.
3D printing
assessment
congenital heart disease
gross anatomy education
medical education
workshops
Journal
Anatomical sciences education
ISSN: 1935-9780
Titre abrégé: Anat Sci Educ
Pays: United States
ID NLM: 101392205
Informations de publication
Date de publication:
Jul 2022
Jul 2022
Historique:
revised:
30
04
2021
received:
24
09
2020
accepted:
12
05
2021
pubmed:
20
5
2021
medline:
9
7
2022
entrez:
19
5
2021
Statut:
ppublish
Résumé
The utility of three-dimensional (3D) printed models for medical education in complex congenital heart disease (CHD) is sparse and limited. The purpose of this study was to evaluate the utility of 3D printed models for medical education in criss-cross hearts covering a wide range of participants with different levels of knowledge and experience, from medical students, clinical fellows up to senior medical personnel. Study participants were enrolled from four dedicated imaging workshops developed between 2016 and 2019. The study design was a non-randomized cross-over study to evaluate 127 participants' level of understanding of the criss-cross heart anatomy. This was evaluated using the scores obtained following teaching with conventional images (echocardiography and magnetic resonance imaging) versus a 3D printed model learning approach. A significant improvement in anatomical knowledge of criss-cross heart anatomy was observed when comparing conventional imaging test scores to 3D printed model tests [76.9% (61.5%-87.8%) vs. 84.6% (76.9%-96.2%), P < 0.001]. The increase in the questionnaire marks was statistically significant across all academic groups (consultants in pediatric cardiology, fellows in pediatric cardiology, and medical students). Ninety-four percent (120) and 95.2% (121) of the participants agreed or strongly agreed, respectively, that 3D models helped them to better understand the medical images. Participants scored their overall satisfaction with the 3D printed models as 9.1 out of 10 points. In complex CHD such as criss-cross hearts, 3D printed replicas improve the understanding of cardiovascular anatomy. They enhanced the teaching experience especially when approaching medical students.
Types de publication
Journal Article
Multicenter Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
719-730Subventions
Organisme : Association for European Pediatric and Congenital Cardiology Junior Research Grant 2015
ID : AEPC-IWG-JRG2015
Informations de copyright
© 2021 American Association for Anatomy.
Références
Abla AA, Lawton MT. 2015. Three-dimensional hollow intracranial aneurysm models and their potential role for teaching, simulation, and training. World Neurosurg 83:35-36.
AbouHashem Y, Dayal M, Savanah S, Štrkalj G. 2015. The application of 3D printing in anatomy education. Med Educ Online 20:29847.
Anderson RH. 1982. Criss-cross hearts revisited. Pediatr Cardiol 3:305-313.
Anwar S, Singh GK, Miller J, Sharma M, Manning P, Billadello JJ, Eghtesady P, Woodard PK. 2018. 3D printing is a transformative technology in congenital heart disease. JACC Basic Transl Sci 3:294-312.
Biglino G, Capelli C, Koniordou D, Robertshaw D, Leaver LK, Schievano S, Taylor AM, Wray J. 2017. Use of 3D models of congenital heart disease as an education tool for cardiac nurses. Congenit Heart Dis 12:113-118.
Biglino G, Capelli C, Wray J, Schievano S, Leaver LK, Khambadkone S, Giardini A, Derrick G, Jones A, Taylor AM. 2015. 3D-manufactured patient-specific models of congenital heart defects for communication in clinical practice: Feasibility and acceptability. BMJ Open 5:e007165.
Bucking TM, Hill ER, Robertson JL, Maneas E, Plumb AA, Nikitichev DI. 2017. From medical imaging data to 3D printed anatomical models. PLoS One 12:e0178540.
Byrne N, Velasco Forte M, Tandon A, Valverde I, Hussain T. 2016. A systematic review of image segmentation methodology, used in the additive manufacture of patient-specific 3D printed models of the cardiovascular system. JRSM Cardiovasc Dis 5:2048004016645467.
Byun JI, Lee BU, Koo YS, Sunwoo JS, Lim JA, Moon J, Lee ST, Jung KH, Chu K, Kim M, Lim JM, Lee HJ, Lee E, Lee SK, Jung KY. 2018. Bright light exposure before bedtime impairs response inhibition the following morning: A non-randomized crossover study. Chronobiol Int 35:1035-1044.
Cantinotti M, Valverde I, Kutty S. 2017. Three-dimensional printed models in congenital heart disease. Int J Cardiovasc Imaging 33:137-144.
Chen S, Pan Z, Wu Y, Gu Z, Li M, Liang Z, Zhu H, Yao Y, Shui W, Shen Z, Zhao J, Pan H. 2017. The role of three-dimensional printed models of skull in anatomy education: A randomized controlled trail. Sci Rep 7:1-11.
Coffield F, Moseley D, Hall E, Ecclestone K. 2004. Learning Styles and Pedagogy in Post-16 Learning: A Systematic and Critical Review. 1st Ed. London, UK: Learning and Skills Research Centre (LSRC). 173 p.
Cornwall J. 2016. The ethics of 3D-printing copies of bodies donated for medical education and research: What is there to worry about? Australas Med J 9:8-11.
Farooqi KM, Gonzalez-Lengua C, Shenoy R, Sanz J, Nguyen K. 2016. Use of a three dimensional printed cardiac model to assess suitability for biventricular repair. World J Pediatr Congenit Hear Surg 7:414-416.
Forte MN, Byrne N, Perez IV, Bell A, Gomez-Ciriza G, Krasemann T, Sievert H, Simpson J, Pushparajah K, Razavi R, Qureshi S, Hussain T. 2017. 3D printed models in patients with coronary artery fistulae: Anatomical assessment and interventional planning. EuroIntervention 13:e1080-e1083.
Garekar S, Bharati A, Chokhandre M, Mali S, Trivedi B, Changela VP, Solanki N, Gaikwad S, Agarwal V. 2016. Clinical application and multidisciplinary assessment of three dimensional printing in double outlet right ventricle with remote ventricular septal defect. World J Pediatr Congenit Heart Surg 7:344-350.
George DK, Ty MC, Rick S, Jillian K, Robert MG. 2008. Unmasking the effects of student engagement on first-year college grades and persistence. J High Educ 79:540-563.
Gomez A, Gomez G, Simpson J, Valverde I. 2020. 3D hybrid printed models in complex congenital heart disease: 3D echocardiography and cardiovascular magnetic resonance imaging fusion. Eur Heart J 41:4214.
Jones DG. 2019. Three-dimensional printing in anatomy education: Assessing potential ethical dimensions. Anat Sci Educ 12:435-443.
Kappanayil M, Koneti NR, Kannan RR, Kottayil BP, Kumar K. 2017. Three-dimensional-printed cardiac prototypes aid surgical decision-making and preoperative planning in selected cases of complex congenital heart diseases: Early experience and proof of concept in a resource-limited environment. Ann Pediatr Cardiol 10:117-125.
Lau I, Sun Z. 2018. Three-dimensional printing in congenital heart disease: A systematic review. J Med Radiat Sci 65:226-236.
Li Z, Li Z, Xu R, Li M, Li J, Liu Y, Sui D, Zhang W, Chen Z. 2015. Three-dimensional printing models improve understanding of spinal fracture-A randomized controlled study in China. Sci Rep 5:11570.
Lim KH, Loo ZY, Goldie SJ, Adams JW, McMenamin PG. 2016. Use of 3D printed models in medical education: A randomized control trial comparing 3D prints versus cadaveric materials for learning external cardiac anatomy. Anat Sci Educ 9:213-221.
Loke YH, Harahsheh AS, Krieger A, Olivieri LJ. 2017. Usage of 3D models of tetralogy of Fallot for medical education: Impact on learning congenital heart disease. BMC Med Educ 17:54.
Luo H, Meyer-Szary J, Wang Z, Sabiniewicz R, Liu Y. 2017. Three-dimensional printing in cardiology: Current applications and future challenges. Cardiol J 24:436-444.
Mashiko T, Otani K, Kawano R, Konno T, Kaneko N, Ito Y, Watanabe E. 2015. Development of three-dimensional hollow elastic model for cerebral aneurysm clipping simulation enabling rapid and low cost prototyping. World Neurosurg 83:351-361.
McMenamin PG, Quayle MR, Mchenry CR, Adams JW. 2014. The production of anatomical teaching resources using three-dimensional (3D) printing technology. Anat Sci Educ 7:479-486.
Mendez A, Gomez-Ciriza G, Raboisson MJ, Rivas J, Ordonez A, Poirier N, Valverde I. 2018. Apical muscular ventricular septal defects: Surgical strategy using three-dimensional printed model. Semin Thorac Cardiovasc Surg 30:450-453.
Milano EG, Capelli C, Wray J, Biffi B, Layton S, Lee M, Caputo M, Taylor AM, Schievano S, Biglino G. 2019. Current and future applications of 3D printing in congenital cardiology and cardiac surgery. Br J Radiol 92:20180389.
Mogali SR, Yeong WY, Tan HK, Tan GJS, Abrahams PH, Zary N, Low-Beer N, Ferenczi MA. 2018. Evaluation by medical students of the educational value of multi-material and multi-colored three-dimensional printed models of the upper limb for anatomical education. Anat Sci Educ 11:54-64.
O’Reilly MK, Reese S, Herlihy T, Geoghegan T, Cantwell CP, Feeney RN, Jones JF. 2016. Fabrication and assessment of 3D printed anatomical models of the lower limb for anatomical teaching and femoral vessel access training in medicine. Anat Sci Educ 9:71-79.
Oliveira ÍM, Aiello VD, Mindêllo MM, Martins Y de O, Pinto VC Jr. 2013. Criss-cross heart: Report of two cases, anatomic and surgical description and literature review. Rev Bras Cir Cardiovasc 28:93-102.
Olivieri L. 2020. 3D modeling as a medical education resource, simulation, and communication tool. In: Zahn EM (Editor). 3-Dimensional Modeling in Cardiovascular Disease. 1st Ed. London, UK: Elsevier. p 147-154.
Piantadosi S. 2005. Clinical Trials: A Methodologic Perspective. 2nd Ed. Hoboken, NJ: John Wiley & Sons, Inc. 687 p.
Smith ML, McGuinness J, O’Reilly MK, Nolke L, Murray JG, Jones JF. 2017. The role of 3D printing in preoperative planning for heart transplantation in complex congenital heart disease. Ir J Med Sci 186:753-756.
Symons JC, Shinebourne EA, Joseph MC, Lincoln C, Ho Y, Anderson RH. 1977. Criss-cross heart with congenitally corrected transposition: Report of a case with d-transposed aorta and ventricular preexcitation. Eur J Cardiol 5:493-505.
Valverde I. 2017. Three-dimensional printed cardiac models: Applications in the field of medical education, cardiovascular surgery, and structural heart interventions. Rev Esp Cardiol 70:282-291.
Valverde I, Gomez-Ciriza G, Hussain T, Suarez-Mejias C, Velasco-Forte MN, Byrne N, Ordoñez A, Gonzalez-Calle A, Anderson D, Hazekamp MG, Roest AAW, Rivas-Gonzalez J, Uribe S, El-Rassi I, Simpson J, Miller O, Ruiz E, Zabala I, Mendez A, Manso B, Gallego P, Prada F, Cantinotti M, Ait-Ali L, Merino C, Parry A, Poirier N, Greil G, Razavi R, Gomez-Cia T, Hosseinpour AR. 2017. Three-dimensional printed models for surgical planning of complex congenital heart defects: An international multicentre study. Eur J Cardiothorac Surg 52:1139-1148.
Velasco Forte MN, Byrne N, Valverde I, Gomez Ciriza G, Hermuzi A, Prachasilchai P, Mainzer G, Pushparajah K, Henningsson M, Hussain T, Qureshi S, Rosenthal E. 2018. Interventional correction of sinus venosus atrial septal defect and partial anomalous pulmonary venous drainage: Procedural planning using 3D printed models. JACC Cardiovasc Imaging 11:275-278.
Velasco Forte MN, Valverde I, Prabhu N, Correia T, Narayan SA, Bell A, Mathur S, Razavi R, Hussain T, Pushparajah K, Henningsson M. 2019. Visualization of coronary arteries in paediatric patients using whole-heart coronary magnetic resonance angiography: Comparison of image-navigation and the standard approach for respiratory motion compensation. J Cardiovasc Magn Reson 21:13.1-13.9.
Vukicevic M, Mosadegh B, Min JK, Little SH. 2017. Cardiac 3D printing and its future directions. JACC Cardiovasc Imaging 10:171-184.
Wu AM, Wang K, Wang JS, Chen CH, Yang XD, Ni WF, Hu YZ. 2018. The addition of 3D printed models to enhance the teaching and learning of bone spatial anatomy and fractures for undergraduate students: A randomized controlled study. Ann Transl Med 6:403.
Ya J, Erdtsieck-Ernste EB, de Boer PA, van Kempen MJ, Jongsma H, Gros D, Moorman AF, Lamers WH. 1998. Heart defects in connexin43-deficient mice. Circ Res 82:360-366.
Yammine K, Violato C. 2016. The effectiveness of physical models in teaching anatomy: A meta-analysis of comparative studies. Adv Health Sci Educ Theory Pract 21:883-895.
Yang YL, Wang XF, Cheng TO, Xie MX, Lü Q, He L, Lu XF, Wang J, Li L, Anderson RH. 2010. Echocardiographic characteristics of the criss-cross heart. Int J Cardiol 140:133-137.
Yushkevich PA, Piven J, Hazlett HC, Smith RG, Ho S, Gee JC, Gerig G. 2006. User-guided 3D active contour segmentation of anatomical structures: Significantly improved efficiency and reliability. NeuroImage 31:1116-1128.
Zhao CM, Kuh GD, Carini RM. 2005. A comparison of international student and American student engagement in effective educational practices. J High Educ 76:209-231.