A Cost-Affordable Methodology of 3D Printing of Bone Fractures Using DICOM Files in Traumatology.
3D printing
Image-guided surgery
Medical education
Patient-specific models
Preoperative planning
Surgery
Journal
Journal of medical systems
ISSN: 1573-689X
Titre abrégé: J Med Syst
Pays: United States
ID NLM: 7806056
Informations de publication
Date de publication:
08 Jul 2024
08 Jul 2024
Historique:
received:
07
04
2024
accepted:
27
06
2024
medline:
8
7
2024
pubmed:
8
7
2024
entrez:
8
7
2024
Statut:
epublish
Résumé
Three-dimensional (3D) printing has gained popularity across various domains but remains less integrated into medical surgery due to its complexity. Existing literature primarily discusses specific applications, with limited detailed guidance on the entire process. The methodological details of converting Computed Tomography (CT) images into 3D models are often found in amateur 3D printing forums rather than scientific literature. To address this gap, we present a comprehensive methodology for converting CT images of bone fractures into 3D-printed models. This involves transferring files in Digital Imaging and Communications in Medicine (DICOM) format to stereolithography format, processing the 3D model, and preparing it for printing. Our methodology outlines step-by-step guidelines, time estimates, and software recommendations, prioritizing free open-source tools. We also share our practical experience and outcomes, including the successful creation of 72 models for surgical planning, patient education, and teaching. Although there are challenges associated with utilizing 3D printing in surgery, such as the requirement for specialized expertise and equipment, the advantages in surgical planning, patient education, and improved outcomes are evident. Further studies are warranted to refine and standardize these methodologies for broader adoption in medical practice.
Identifiants
pubmed: 38976137
doi: 10.1007/s10916-024-02084-w
pii: 10.1007/s10916-024-02084-w
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
66Informations de copyright
© 2024. The Author(s).
Références
Beaman JJ, Barlow JW, Bourell DL, Crawford RH, Marcus HL, McAlea KP (1997) Solid Freeform Fabrication: A New Direction in Manufacturing. Springer US, Boston, MA
doi: 10.1007/978-1-4615-6327-3
Kodama H (1981) Automatic method for fabricating a three-dimensional plastic model with photo-hardening polymer. Rev Sci Instrum 52:1770–1773. https://doi.org/10.1063/1.1136492
doi: 10.1063/1.1136492
Wohlers T, Gornet T, Mostow N, Campbell I, Diegel O, Kowen J, Huff R, Stucker B, Fidan I, Doukas A (2016) History of additive manufacturing. Wohlers Assoc Inc
Klein A, Warszawski J, Hillengaß J, Maier-Hein KH (2019) Automatic bone segmentation in whole-body CT images. Int J Comput Assist Radiol Surg 14:21–29. https://doi.org/10.1007/s11548-018-1883-7
doi: 10.1007/s11548-018-1883-7
pubmed: 30426400
Li C, Cheung TF, Fan VC, Sin KM, Wong CWY, Leung GKK (2017) Applications of Three-Dimensional Printing in Surgery. Surg Innov 24:82–88. https://doi.org/10.1177/1553350616681889
doi: 10.1177/1553350616681889
pubmed: 27913755
Jacobs S, Grunert R, Mohr FW, Falk V (2008) 3D-Imaging of cardiac structures using 3D heart models for planning in heart surgery: a preliminary study. Interact Cardiovasc Thorac Surg 7:6–9. https://doi.org/10.1510/icvts.2007.156588
doi: 10.1510/icvts.2007.156588
pubmed: 17925319
Liu Y, Xu L, Zhu H, Liu SS-Y (2014) Technical procedures for template-guided surgery for mandibular reconstruction based on digital design and manufacturing. Biomed Eng OnLine 13:63. https://doi.org/10.1186/1475-925X-13-63
doi: 10.1186/1475-925X-13-63
pubmed: 24886431
pmcid: 4049493
Malik HH, Darwood ARJ, Shaunak S, Kulatilake P, El-Hilly AA, Mulki O, Baskaradas A (2015) Three-dimensional printing in surgery: a review of current surgical applications. J Surg Res 199:512–522. https://doi.org/10.1016/j.jss.2015.06.051
doi: 10.1016/j.jss.2015.06.051
pubmed: 26255224
Martelli N, Serrano C, Van Den Brink H, Pineau J, Prognon P, Borget I, El Batti S (2016) Advantages and disadvantages of 3-dimensional printing in surgery: A systematic review. Surgery 159:1485–1500. https://doi.org/10.1016/j.surg.2015.12.017
doi: 10.1016/j.surg.2015.12.017
pubmed: 26832986
Yang L, Grottkau B, He Z, Ye C (2017) Three dimensional printing technology and materials for treatment of elbow fractures. Int Orthop 41:2381–2387. https://doi.org/10.1007/s00264-017-3627-7
doi: 10.1007/s00264-017-3627-7
pubmed: 28856399
Zheng W, Su J, Cai L, Lou Y, Wang J, Guo X, Tang J, Chen H (2018) Application of 3D-printing technology in the treatment of humeral intercondylar fractures. Orthop Traumatol Surg Res 104:83–88. https://doi.org/10.1016/j.otsr.2017.11.012
doi: 10.1016/j.otsr.2017.11.012
pubmed: 29248764
Levesque JN, Shah A, Ekhtiari S, Yan JR, Thornley P, Williams DS (2020) Three-dimensional printing in orthopaedic surgery: a scoping review. EFORT Open Rev 5:430–441. https://doi.org/10.1302/2058-5241.5.190024
doi: 10.1302/2058-5241.5.190024
pubmed: 32818070
pmcid: 7407871
Kloesel B, Juhnke B, Irvine L, Donadio JV, Erdman A, Belani K (2021) Computer-Generated Three-Dimensional Airway Models as a Decision-Support Tool for Preoperative Evaluation and Procedure-Planning in Pediatric Anesthesiology. J Med Syst 45:21. https://doi.org/10.1007/s10916-020-01698-0
doi: 10.1007/s10916-020-01698-0
pubmed: 33426609
pmcid: 7797200
Chiu HY, Ng KS, Ma SK, Chan CH, Ng SW, Tipoe GL, Chan LK (2012) Voices of donors: Case reports of body donation in Hong Kong. Anat Sci Educ 5:295–300. https://doi.org/10.1002/ase.1280
doi: 10.1002/ase.1280
pubmed: 22532489
Ugidos Lozano MT, Haro FB, Ruggiero A, Manzoor S, Juanes Méndez JA (2019) Evaluation of the Applicability of 3d Models as Perceived by the Students of Health Sciences. J Med Syst 43:108. https://doi.org/10.1007/s10916-019-1238-0
doi: 10.1007/s10916-019-1238-0
pubmed: 30887131
AbouHashem Y, Dayal M, Savanah S, Štrkalj G (2015) The application of 3D printing in anatomy education. Med Educ Online 20:29847. https://doi.org/10.3402/meo.v20.29847
doi: 10.3402/meo.v20.29847
pubmed: 26478143