Name: three-dimensional printing of a complex aortic anomaly
Uploaded: 2018-11-01T13:30:00
Description: Watch this Scientific Journal Video about Three-Dimensional Printing of a Complex Aortic Anomaly at JoVE.com

作者感谢国家自然科学基金 (第81771971)、上海浦江项目 (第14届 pjd008号和17pj1401500 号)、上海市教育委员会和上海市教育资助的 "陈光" 项目上海市自然科学基金会 (17411962800、17zr142900 号)、上海市科学技术委员会发展基金会 (14cg06)、上海市科学技术委员会 (17jc1400200)。w. z. 感谢中国国家自然科学基金 (31501555 和 81772007, 和 21734003)、中国1000个青年人才项目、上海市教育委员会 (青年东方教授奖) 和科学与上海市技术委员会 (17jc1400200 和 16391903900)。

本研究获得中山医院复旦大学伦理委员会 (b2016-142r) 的批准, 所有参与者都给予了知情同意。
1. 症状诊断主动脉异常和采集成像数据
<ol><li>识别有胸痛、吞咽困难或门诊上肢血压差异等症状的患者。排除可能不耐受手术的患者。</li>
	<li>对这些患者进行 ct 血管造影, 诊断科默雷尔的室 8。</li>
</ol>2. 利益区域的分割
<ol><li>以 dicom 格式将所?...

<ol>
	<li>Tanaka, A., Milner, R., Ota, T. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Kommerell's+diverticulum+in+the+current+era:+a+comprehensive+review.">Kommerell's diverticulum in the current era: a comprehensive review.</a> General Thoracic and Cardiovascular Surgery. 63 (5), 245-259 (2015).</li><li>Rosu, C., Dorval, J. F., Abraham, C. Z., Cartier, R., Demers, P. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Single-stage+hybrid+repair+of+right+aortic+arch+with+Kommerell's+Diverticulum.">Single-stage hybrid repair of right aortic arch with Kommerell's Diverticulum.</a> The Annals of Thoracic Surgery. 103 (4), e381-e384 (2017).</li><li>Idrees, J., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Hybrid+repair+of+Kommerell+diverticulum.">Hybrid repair of Kommerell diverticulum.</a> The Journal of Thoracic and Cardiovascular Surgery. 147 (3), 973-976 (2014).</li><li>Kankala, R. K., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Fabrication+of+arbitrary+3-D+components+in+cardiac+surgery:+from+macro-,+micro-+to+nanoscale.">Fabrication of arbitrary 3-D components in cardiac surgery: from macro-, micro- to nanoscale.</a> Biofabrication. 9 (3), 032002 (2017).</li><li>Vukicevic, M., Mosadegh, B., Min, J. K., Little, S. H. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Cardiac+3-D+printing+and+its+future+directions.">Cardiac 3-D printing and its future directions.</a> JACC Cardiovascular Imaging. 10 (2), 171-184 (2017).</li><li>Yoo, S. J., Spray, T., Austin, E. H., Yun, T. J., van Arsdell, G. S. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Hands-on+surgical+training+of+congenital+heart+surgery+using+3-dimensional+print+models.">Hands-on surgical training of congenital heart surgery using 3-dimensional print models.</a> The Journal of Thoracic and Cardiovascular Surgery. 153 (6), 1530-1540 (2017).</li><li>Hermsen, J. L., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Scan,+print,+practice,+perform:+Development+and+use+of+a+patient-specific+3-dimensionalprinted+model+in+adult+cardiac+surgery.">Scan, print, practice, perform: Development and use of a patient-specific 3-dimensionalprinted model in adult cardiac surgery.</a> The Journal of Thoracic and Cardiovascular Surgery. 153 (1), 132-140 (2017).</li><li>Sun, X., Zhang, H., Zhu, K., Wang, C. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Patient-specific+three-dimensional+printing+for+Kommerell's+diverticulum.">Patient-specific three-dimensional printing for Kommerell's diverticulum.</a> International Journal of Cardiology. 255, 184-187 (2018).</li><li>Ota, T., Okada, K., Takanashi, S., Yamamoto, S., Okita, Y. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Surgical+treatment+for+Kommerell's+diverticulum.">Surgical treatment for Kommerell's diverticulum.</a> The Journal of Thoracic and Cardiovascular Surgery. 131 (3), 574-578 (2006).</li><li>Agematsu, K., Ueda, T., Hoshino, S., Nishiya, Y. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Rupture+of+Kommerell+diverticulum+after+total+arch+replacement.">Rupture of Kommerell diverticulum after total arch replacement.</a> Interactive Cardiovascular and Thoracic Surgery. 11 (6), 800-802 (2010).</li></ol>

先天性主动脉异常包括罕见的心血管疾病谱, 通常表现为复杂的主动脉异常。医学影像学, 如 ct 和 mr, 需要阐明复杂的主动脉弓异常, 异常分枝模式, 他们与气管和食道的关系, 以及其他相关的疾病。ct 和 mr 血管造影均可提供主动脉血管位置的二维信息。通过二维成像的三维数字重建, 可以进一步界定主动脉血管的解剖关系。然而, 仅仅为外科医生提供一个现实的解剖结构的清晰视图是不够的。科默?...

先天性主动脉异常是极罕见的先天性主动脉弓系统畸形。它们可以通过影像学分析或评估诸如吞咽困难或锁骨下盗窃1等实体来诊断.在临床场景中, 重要的是要识别在手术 2, 3 的有限的可视化有限的狭窄的手术空间的解剖异常。目前, 传统的平面二维成像 (2-d) 成像 (如计算机断层扫描 (ct) 和磁共振成像 (mri)) 通常在手术前呈现给外科医生。然而, 外科医生很难根据二维成像对异常进行成像。因此, 他们在手术中试图分离复杂的主动脉血管时, 可能会遇到不可预测的困难。血管、气管和食道可能会受到不可预测的伤害, 并导致灾难性的后果。
在过去的十年中, 三维成像建模被用于心脏手术, 以帮助外科医生了解复杂的解剖异常 4,5,6,7。三维 (三维) 打印技术有助于将建模数据转换为物理模型。与数字重建相比, 三维印刷物理模型可以更好地理解解剖细节, 并提供对畸形的直观看法。对于主动脉异常手术, 打印的直观三维模型意义重大, 因为对主动脉位置的理解不深入可能对患者造成灾难性影响。在手术过程中, 任何错误都可能导致不可预测的出血和受伤。使用打印的模型, 外科医生可以充分了解主动脉分支的空间关系。在手术过程中, 外科医生还可以对三维模型进行实时检查, 以避免复杂血管位置的混淆。
在这里, 我们提出了一个协议, 以应用三维打印模型的术前规划和术中指导, 同时处理先天性主动脉疾病。以科默雷尔的小室为例, 选择了一种复杂的先天性主动脉异常。这些步骤包括基于计算机断层扫描血管造影 (cta) 成像的诊断、感兴趣的分区、建立三维模型、术前手术规划和三维打印模型的术中审查8。这种三维打印策略可以大大降低手术期间不可预知的组织损伤的风险。

<table border="0" cellpadding="0" cellspacing="0" width="911">
	<tbody>
		<tr height="25">
			<td height="25" style="height:25px;width:247px;">3D printer</td>
			<td style="width:231px;">Meditool Enterprise Co., Ltd</td>
			<td style="width:136px;"></td>
			<td style="width:297px;">For 3D printing</td>
		</tr>
		<tr height="25">
			<td height="25" style="height:25px;">Chaos Version 2.0</td>
			<td>Meditool Enterprise Co., Ltd</td>
			<td style="width:136px;"></td>
			<td>For 3D segmentation and reconstruction</td>
		</tr>
	</tbody>
</table>

three-dimensional printing of a complex aortic anomaly

复杂的先天性主动脉异常包括不同类型的畸形, 可能是临床上无症状或出现呼吸道或食管症状。这些异常可能与其他先天性心脏病有关。从二维成像数据 (如计算机断层扫描) 中很难确定准确的解剖容器位置。三维 (三维) 打印作为一种附加的制造方法, 可以将采集到的成像数据隐藏到三维物理模型中。该协议描述了将体积 dicom 成像建模为三维数据并将其打印为解剖逼真三维模型的过程。利用该模型, 外科医生可以识别复杂主动脉异常的血管位置, 这有助于术前规划和术中指导。

在某医院采集 ct 血管造影图像、数字建模和三维打印。花了两个小时从 ct 血管造影图像中获得三维模型, 为三维打印做好准备。使用这里的程序和三维打印机, 可以快速向医生发送特定于患者的三维物理模型, 并及时做出手术决定。从采集 ct 血管造影数据到三维打印的工作流程如图 1所示。从日冕平面 (图 2a)、横向平面 (<strong c...

Watch this Scientific Journal Video about Three-Dimensional Printing of a Complex Aortic Anomaly at JoVE.com

Three-Dimensional Printing of a Complex Aortic Anomaly

在这里, 我们提出了一个方案, 使用三维打印模型的术前规划和术中重组复杂的血管位置, 在处理先天性主动脉畸形。

复杂主动脉异常的三维打印

Complex congenital aortic anomalies include diverse types of malformations that may be clinically asymptomatic or present with respiratory or esophageal ...

此方法可以帮助回答有关摄像机 DICOM 的复杂大项异常字段中的关键问题。该技术的主要优点是，3D打印模型可以降低复杂主那手术期间不可预知的组织损伤风险。对于感兴趣的区域的分割，请将所有计算的断层扫描和地理图像以 DICOM 格式导入软件，并双击以打开病例库中的患者病例。选择 DICOM 系列并单击模型重新配置以打开模型重建页面。让一位工程师和一组心脏外科医生审查 DICOM 格式化的原始数据，以确定关键的解剖特征和感兴趣的区域。要分割区域，请单击阈值分割，并调整血管掩膜的阈值范围。单击"确认"以在对象列表中生成血管掩膜，然后单击 recon 以重建 3D 查看器中的 3D 血管掩膜。再次单击阈值分割并调整气管面罩的阈值范围。单击选框分割以限制对介质和肺感兴趣的区域，然后单击蒙版编辑以擦除气管和肺之间的连接。单击区域增长并单击任何 2D 查看器中的蒙版的任何点以选择种子。确认该区域会因此而增长，气管面罩是否会出现在对象列表中。然后单击 recon 以重建 3D 查看器中的 3D 气管，并保存感兴趣的区域作为蒙版。对于感兴趣区域的 3D 重建，单击导出以将 3D 模型导出为标准三角形语言文件，并将模型定位在建筑平台的中心。将容器中心线的切线对齐，使其与平台的 Z 轴平行。支持将自动生成到悬垂。单击切片并在立体光刻打印机上保存并设置适当的 3D 打印参数。打印后，用 405 纳米紫外线扫描软件切片的轮廓，以 3 米/秒的扫描速率硬化感光树脂。然后，在手术前，让外科医生使用 3D 打印模型为生成 3D 模型的患者制定详细和准确的手术计划。使用日冕平面、横向平面和下垂平面的图像，可以将计算的断层扫描和地理图像重建为 3D 模型，如所示。在这些图像中，可以观察到大奥塔和气管沿Y轴的解剖关系。该技术开发后，为3D打印领域的研究人员探索大动脉外科血管异常铺平了道路。

three-dimensional-printing-of-a-complex-aortic-anomaly

Research

JoVE Journal

Medicine

Heterotypic Three-dimensional In Vitro Modeling of Stromal-Epithelial Interactions During Ovarian Cancer Initiation and Progression

Epithelial ovarian cancers (EOCs) are the leading cause of death from gynecological malignancy in Western societies. Despite advances in surgical treatments and improved platinum-based chemotherapies, there has been little improvement in EOC survival rates for more than four decades 1,2. Whilst stage I tumors have 5-year survival rates &gt;85%, survival rates for stage III/IV disease are &lt;40%. Thus, the high rates of mortality for EOC could be significantly decreased if tumors were detected at earlier, more treatable, stages 3-5. At present, the molecular genetic and biological basis of early stage disease development is poorly understood. More specifically, little is known about the role of the microenvironment during tumor initiation; but known risk factors for EOCs (e.g. age and parity) suggest that the microenvironment plays a key role in the early genesis of EOCs. We therefore developed three-dimensional heterotypic models of both the normal ovary and of early stage ovarian cancers. For the normal ovary, we co-cultured normal ovarian surface epithelial (IOSE) and normal stromal fibroblast (INOF)&nbsp;cells, immortalized by retrovrial transduction of the catalytic subunit of human telomerase holoenzyme (hTERT) to extend the lifespan of these cells in culture. To model the earliest stages of ovarian epithelial cell transformation, overexpression of the CMYC oncogene in IOSE cells, again co-cultured with INOF cells. These heterotypic models were used to investigate the effects of aging and senescence on the transformation and invasion of epithelial cells. Here we describe the methodological steps in development of these three-dimensional model; these methodologies aren't specific to the development of normal ovary and ovarian cancer tissues, and could be used to study other tissue types where stromal and epithelial cell interactions are a fundamental aspect of the tissue maintenance and disease development.

Heterotypic Three-dimensional In Vitro Modeling of Stromal-Epithelial Interactions During Ovarian Cancer Initiation and Progression

We describe methodologies for establishing in vitro heterotypic three-dimensional models comprising ovarian fibroblasts and normal ovarian surface or ovarian cancer epithelial cells. We discuss the use of these models to study stromal-epithelial interactions that occur during ovarian cancer development.

异型三维<em在体外</em&gt;卵巢癌的发生和发展过程中的间质 - 上皮细胞相互作用模型

Epithelial ovarian cancers (EOCs) are the leading cause of death from gynecological malignancy in Western societies. Despite advances in surgical ...

科研

医学

Three Dimensional Cultures: A Tool To Study Normal Acinar Architecture vs. Malignant Transformation Of Breast Cells

Invasive breast carcinomas are a group of malignant epithelial tumors characterized by the invasion of adjacent tissues and propensity to metastasize. The interplay of signals between cancer cells and their microenvironment exerts a powerful influence on breast cancer growth and biological behavior1. However, most of these signals from the extracellular matrix are lost or their relevance is understudied when cells are grown in two dimensional culture (2D) as a monolayer. In recent years, three dimensional (3D) culture on a reconstituted basement membrane has emerged as a method of choice to recapitulate the tissue architecture of benign and malignant breast cells. Cells grown in 3D retain the important cues from the extracellular matrix and provide a physiologically relevant ex&#160;vivo system2,3. Of note, there is growing evidence suggesting that cells behave differently when grown in 3D as compared to 2D4. 3D culture can be effectively used as a means to differentiate the malignant phenotype from the benign breast phenotype and for underpinning the cellular and molecular signaling involved3. One of the distinguishing characteristics of benign epithelial cells is that they are polarized so that the apical cytoplasm is towards the lumen and the basal cytoplasm rests on the basement membrane. This apico-basal polarity is lost in invasive breast carcinomas, which are characterized by cellular disorganization and formation of anastomosing and branching tubules that haphazardly infiltrates the surrounding stroma. These histopathological differences between benign gland and invasive carcinoma can be reproduced in 3D6,7. Using the appropriate read-outs like the quantitation of single round acinar structures, or differential expression of validated molecular markers for cell proliferation, polarity and apoptosis in combination with other molecular and cell biology techniques, 3D culture can provide an important tool to better understand the cellular changes during malignant transformation and for delineating the responsible signaling.

Three dimensional culture of mammary epithelial cells on a reconstituted basement membrane is a useful method to recapitulate the in vivo architecture of the benign breast, and to differentiate the malignant phenotype from the benign breast phenotype. Importantly, this system can be applied to study invasive carcinomas in other tissues.

三维文化：一种工具来研究正常腺泡结构与恶性转化的乳腺细胞

Invasive breast carcinomas are a group of malignant epithelial tumors characterized by the invasion of adjacent tissues and propensity to metastasize. The ...

Quantification of Breast Cancer Cell Invasiveness Using a Three-dimensional (3D) Model

It is now well known that the cellular and tissue microenvironment are critical regulators influencing tumor initiation and progression. Moreover, the extracellular matrix (ECM) has been demonstrated to be a critical regulator of cell behavior in culture and homeostasis in vivo. The current approach of culturing cells on two-dimensional (2D), plastic surfaces results in the disturbance and loss of complex interactions between cells and their microenvironment. Through the use of three-dimensional (3D) culture assays, the conditions for cell-microenvironment interaction are established resembling the in vivo microenvironment. This article provides a detailed methodology to grow breast cancer cells in a 3D basement membrane protein matrix, exemplifying the potential of 3D culture in the assessment of cell invasion into the surrounding environment. In addition, we discuss how these 3D assays have the potential to examine the loss of signaling molecules that regulate epithelial morphology by immunostaining procedures. These studies aid to identify important mechanistic details into the processes regulating invasion, required for the spread of breast cancer.

Quantification of Breast Cancer Cell Invasiveness Using a Three-dimensional 3D Model

This article provides detailed methodologies for the use of three-dimensional (3D) assays to quantify breast cancer cell invasion. Specifically, we discuss the procedures required to set up such assays, quantification, and data analysis, as well as methods to examine the loss of membrane integrity that occurs when cells invade.

乳腺癌细胞侵袭定量使用三维（3D）模型

It is now well known that the cellular and tissue microenvironment are critical regulators influencing tumor initiation and progression. Moreover, the ...

Three-dimensional Co-culture Model for Tumor-stromal Interaction

Cancer progression (initiation, growth, invasion and metastasis) occurs through interactions between malignant cells and the surrounding tumor stromal cells. The tumor microenvironment is comprised of a variety of cell types, such as fibroblasts, immune cells, vascular endothelial cells, pericytes and bone-marrow-derived cells, embedded in the extracellular matrix (ECM). Cancer-associated fibroblasts (CAFs) have a pro-tumorigenic role through the secretion of soluble factors, angiogenesis and ECM remodeling. The experimental models for cancer cell survival, proliferation, migration, and invasion have mostly relied on two-dimensional monocellular and monolayer tissue cultures or Boyden chamber assays. However, these experiments do not precisely reflect the physiological or pathological conditions in a diseased organ. To gain a better understanding of tumor stromal or tumor matrix interactions, multicellular and three-dimensional cultures provide more powerful tools for investigating intercellular communication and ECM-dependent modulation of cancer cell behavior. As a platform for this type of study, we present an experimental model in which cancer cells are cultured on collagen gels embedded with primary cultures of CAFs.

Here we present a protocol to co-culture in three-dimensions, which is useful for investigating multicellular interactions and extracellular matrix-dependent modulation of cancer cell behavior. In this experimental model, cancer cells are cultured on collagen gels embedded with human cancer-associated fibroblasts.

对于肿瘤基质相互作用的三维共培养模式

Cancer progression (initiation, growth, invasion and metastasis) occurs through interactions between malignant cells and the surrounding tumor stromal ...

Three-Dimensional (3D) Tumor Spheroid Invasion Assay

Invasion of surrounding normal tissues is generally considered to be a key hallmark of malignant (as opposed to benign) tumors. For some cancers in particular (e.g., brain tumors such as glioblastoma multiforme and squamous cell carcinoma of the head and neck &#8211; SCCHN) it is a cause of severe morbidity and can be life-threatening even in the absence of distant metastases. In addition, cancers which have relapsed following treatment unfortunately often present with a more aggressive phenotype. Therefore, there is an opportunity to target the process of invasion to provide novel therapies that could be complementary to standard anti-proliferative agents. Until now, this strategy has been hampered by the lack of robust, reproducible assays suitable for a detailed analysis of invasion and for drug screening. Here we provide a simple micro-plate method (based on uniform, self-assembling 3D tumor spheroids) which has great potential for such studies. We exemplify the assay platform using a human glioblastoma cell line and also an SCCHN model where the development of resistance against targeted epidermal growth factor receptor (EGFR) inhibitors is associated with enhanced matrix-invasive potential. We also provide two alternative methods of semi-automated quantification: one using an imaging cytometer and a second which simply requires standard microscopy and image capture with digital image analysis.

Three-Dimensional 3D Tumor Spheroid Invasion Assay

Invasion of surrounding normal tissues is a defining characteristic of malignant tumors. We provide here a simple, semi-automated micro-plate assay of invasion into a natural 3D biomatrix that has been exemplified with a number of models of advanced human cancers.

三维（3D）肿瘤球体侵袭试验

Invasion of surrounding normal tissues is generally considered to be a key hallmark of malignant (as opposed to benign) tumors. For some cancers in ...

Three-dimensional Alginate-bead Culture of Human Pituitary Adenoma Cells

A three-dimensional culture method is described in which primary pituitary adenoma cells are grown in alginate beads. Alginate is a polymer derived from brown sea algae. Briefly, the tumor tissue is cut into small pieces and submitted to an enzymatic digestion with collagenase and trypsin. Next, a cell suspension is obtained. The tumor cell suspension is mixed with 1.2% sodium alginate and dropped into a CaCl2 solution, and the alginate/cell suspension is gelled on contact with the CaCl2 to form spherical beads. The cells embedded in the alginate beads are supplied with nutrients provided by the culture media enriched with 20% FBS. Three-dimensional culture in alginate beads maintains the viability of adenoma cells for long periods of time, up to four months. Moreover, the cells can be liberated from the alginate by washing the beads with sodium citrate and seeded on glass coverslips for further immunocytochemical analyses. The use of a cell culture model allows for the fixation and visualization of the actin cytoskeleton with minimal disorganization. In summary, alginate beads provide a reliable culture system for the maintenance of pituitary adenoma cells.

Three-dimensional culture in alginate beads, due to its simplicity and reproducibility, was chosen to maintain the pituitary adenoma cells. The procedures included an initial enzymatic digestion and mechanical dissociation of the tumor tissue, and the subsequent cell suspension was encapsulated in alginate beads.

人垂体腺瘤细胞的三维海藻酸钠珠文化

A three-dimensional culture method is described in which primary pituitary adenoma cells are grown in alginate beads. Alginate is a polymer derived from ...

Three-Dimensional Printing Guide Template Assisted Percutaneous Vertebroplasty (PVP)

Percutaneous vertebroplasty (PVP) is considered an effective treatment for the back pain caused by osteoporotic vertebral compression fracture. The accuracy of PVP mainly depends on the surgeons&#39; experience and multiple fluoroscopes during a traditional procedure. Puncture related complications were reported all over the world. To make the surgical procedure more precise and decrease the rate of puncture-related complications, our team applied a three-dimensional printing guide template to PVP to modify the traditional procedure. This protocol introduces how to model target vertebrae DICOM imaging data into three-dimensions in the software, how to simulate operation in this 3-D model, and how to use all of the surgical data to reconstruct a patient specific template for application. Using this template, surgeons can identify suitable puncture points accurately to improve the accuracy of the operation. The whole protocol includes: 1) diagnosis of the osteoporotic vertebral compression fracture; 2) acquisition of CT imaging of the target vertebra; 3) simulation of the operation in the software; 4) design and fabrication of the 3-D printing guide template; and 5) application of the template into an operation procedure.

Three-Dimensional Printing Guide Template Assisted Percutaneous Vertebroplasty PVP

Herein, we present a three-dimensional printing guide template for percutaneous vertebraplasty. A patient with a T11 vertebral compression fracture was selected as a case study.

三维打印指南模板辅助皮椎间盘（PVP）

Percutaneous vertebroplasty (PVP) is considered an effective treatment for the back pain caused by osteoporotic vertebral compression fracture. The ...

Multicolor 3D Printing of Complex Intracranial Tumors in Neurosurgery

Three-dimensional (3D) printing technologies offer the possibility of visualizing patient-specific pathologies in a physical model of correct dimensions. The model can be used for planning and simulating critical steps of a surgical approach. Therefore, it is important that anatomical structures such as blood vessels inside a tumor can be printed to be colored not only on their surface, but throughout their whole volume. During simulation this allows for the removal of certain parts (e.g., with a high-speed drill) and revealing internally located structures of a different color. Thus, diagnostic information from various imaging modalities (e.g., CT, MRI) can be combined in a single compact and tangible object.
However, preparation and printing of such a fully colored anatomical model remains a difficult task. Therefore, a step-by-step guide is provided, demonstrating the fusion of different cross-sectional imaging data sets, segmentation of anatomical structures, and creation of a virtual model. In a second step the virtual model is printed with volumetrically colored anatomical structures using a plaster-based color 3D binder jetting technique. This method allows highly accurate reproduction of patient-specific anatomy as shown in a series of 3D-printed petrous apex chondrosarcomas. Furthermore, the models created can be cut and drilled, revealing internal structures that allow for simulation of surgical procedures.

The protocol describes the fabrication of fully colored three-dimensional prints of patient-specific, anatomical skull models to be used for surgical simulation. The crucial steps of combining different imaging modalities, image segmentation, three-dimensional model extraction, and production of the prints are explained.

神经外科复杂颅内肿瘤的多色3D打印

Three-dimensional (3D) printing technologies offer the possibility of visualizing patient-specific pathologies in a physical model of correct dimensions. ...

Three-Dimensional Collagen Matrix Scaffold Implantation as a Liver Regeneration Strategy

Liver diseases are the leading cause of death worldwide. Excessive alcohol consumption, a high-fat diet, and hepatitis C virus infection promote fibrosis, cirrhosis, and/or hepatocellular carcinoma. Liver transplantation is the clinically recommended procedure to improve and extend the life span of patients in advanced disease stages. However, only 10% of transplants are successful, with organ availability, presurgical and postsurgical procedures, and elevated costs directly correlated with that result. Extracellular matrix (ECM) scaffolds have emerged as an alternative for tissue restoration. Biocompatibility and graft acceptance are the main beneficial characteristics of those biomaterials. Although the capacity to restore the size and correct function of the liver has been evaluated in liver hepatectomy models, the use of scaffolds or some kind of support to replace the volume of the extirpated liver mass has not been assessed.
Partial hepatectomy was performed in a rat liver with the xenoimplantation of a collagen matrix scaffold (CMS) from a bovine condyle. Left liver lobe tissue was removed (approximately 40%), and an equal proportion of CMS was surgically implanted. Liver function tests were evaluated before and after the surgical procedure. After days 3, 14, and 21, the animals were euthanized, and macroscopic and histologic evaluations were performed. On days 3 and 14, adipose tissue was observed surrounding the CMS, with no clinical evidence of rejection or infection, as was vessel neoformation and CMS reabsorption at day 21. There was histologic evidence of an insignificant inflammation process and migration of adjacent cells to the CMS, observed with the hematoxylin and eosin (H&#38;E) and Masson&#39;s trichrome staining. The CMS was shown to perform well in liver tissue and could be a useful alternative for studying tissue regeneration and repair in chronic liver diseases.

Liver diseases are induced by many causes that promote fibrosis or cirrhosis. Transplantation is the only option for recovering health. However, given the scarcity of transplantable organs, alternatives must be explored. Our research proposes the implantation of collagen scaffolds in liver tissue from an animal model.

三维胶原基质支架植入作为肝脏再生策略

Liver diseases are the leading cause of death worldwide. Excessive alcohol consumption, a high-fat diet, and hepatitis C virus infection promote fibrosis, ...

Three-Dimensional Finger Motion Tracking during Needling: A Solution for the Kinematic Analysis of Acupuncture Manipulation

Three-dimensional (3D) motion tracking has been used in many fields, such as the researches of sport and medical skills. This experiment aimed to use 3D motion tracking technology to measure the kinematic parameters of the joints of fingers during acupuncture manipulation (AM) and establish three technical indicators "amplitude, velocity and time". This method can reflect the operation characteristics of AM and provide quantitative parameters along three axes of multiple finger joints. The current evidence shows that the method has great potential for future applications such as the study of the dose-effect relationship of acupuncture, teaching, and learning of AM, and the measurement and preservation of famous acupuncturists' AM.

This experimental method describes a solution for the kinematic analysis of acupuncture manipulation with three-dimensional finger motion tracking technology.

针刺过程中的三维手指运动跟踪：针灸操作运动学分析的解决方案

Three-dimensional (3D) motion tracking has been used in many fields, such as the researches of sport and medical skills. This experiment aimed to use 3D ...