Operative simulation of anterior clinoidectomy using a rapid prototyping model molded by a three-dimensional printer
Background As the anatomical three-dimensional (3D) positional relationship around the anterior clinoid process (ACP) is complex, experience of many surgeries is necessary to understand anterior clinoidectomy (AC). We prepared a 3D synthetic image from computed tomographic angiography (CTA) and magn...
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| Published in | Acta neurochirurgica Vol. 159; no. 9; pp. 1619 - 1626 |
|---|---|
| Main Authors | , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Vienna
Springer Vienna
01.09.2017
Springer Nature B.V |
| Subjects | |
| Online Access | Get full text |
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| Abstract | Background
As the anatomical three-dimensional (3D) positional relationship around the anterior clinoid process (ACP) is complex, experience of many surgeries is necessary to understand anterior clinoidectomy (AC). We prepared a 3D synthetic image from computed tomographic angiography (CTA) and magnetic resonance imaging (MRI) data and a rapid prototyping (RP) model from the imaging data using a 3D printer. The objective of this study was to evaluate anatomical reproduction of the 3D synthetic image and intraosseous region after AC in the RP model. In addition, the usefulness of the RP model for operative simulation was investigated.
Methods
The subjects were 51 patients who were examined by CTA and MRI before surgery. The size of the ACP, thickness and length of the optic nerve and artery, and intraosseous length after AC were measured in the 3D synthetic image and RP model, and reproducibility in the RP model was evaluated. In addition, 10 neurosurgeons performed AC in the completed RP models to investigate their usefulness for operative simulation.
Results
The RP model reproduced the region in the vicinity of the ACP in the 3D synthetic image, including the intraosseous region, at a high accuracy. In addition, drilling of the RP model was a useful operative simulation method of AC.
Conclusions
The RP model of the vicinity of ACP, prepared using a 3D printer, showed favorable anatomical reproducibility, including reproduction of the intraosseous region. In addition, it was concluded that this RP model is useful as a surgical education tool for drilling. |
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| AbstractList | As the anatomical three-dimensional (3D) positional relationship around the anterior clinoid process (ACP) is complex, experience of many surgeries is necessary to understand anterior clinoidectomy (AC). We prepared a 3D synthetic image from computed tomographic angiography (CTA) and magnetic resonance imaging (MRI) data and a rapid prototyping (RP) model from the imaging data using a 3D printer. The objective of this study was to evaluate anatomical reproduction of the 3D synthetic image and intraosseous region after AC in the RP model. In addition, the usefulness of the RP model for operative simulation was investigated.
The subjects were 51 patients who were examined by CTA and MRI before surgery. The size of the ACP, thickness and length of the optic nerve and artery, and intraosseous length after AC were measured in the 3D synthetic image and RP model, and reproducibility in the RP model was evaluated. In addition, 10 neurosurgeons performed AC in the completed RP models to investigate their usefulness for operative simulation.
The RP model reproduced the region in the vicinity of the ACP in the 3D synthetic image, including the intraosseous region, at a high accuracy. In addition, drilling of the RP model was a useful operative simulation method of AC.
The RP model of the vicinity of ACP, prepared using a 3D printer, showed favorable anatomical reproducibility, including reproduction of the intraosseous region. In addition, it was concluded that this RP model is useful as a surgical education tool for drilling. As the anatomical three-dimensional (3D) positional relationship around the anterior clinoid process (ACP) is complex, experience of many surgeries is necessary to understand anterior clinoidectomy (AC). We prepared a 3D synthetic image from computed tomographic angiography (CTA) and magnetic resonance imaging (MRI) data and a rapid prototyping (RP) model from the imaging data using a 3D printer. The objective of this study was to evaluate anatomical reproduction of the 3D synthetic image and intraosseous region after AC in the RP model. In addition, the usefulness of the RP model for operative simulation was investigated.BACKGROUNDAs the anatomical three-dimensional (3D) positional relationship around the anterior clinoid process (ACP) is complex, experience of many surgeries is necessary to understand anterior clinoidectomy (AC). We prepared a 3D synthetic image from computed tomographic angiography (CTA) and magnetic resonance imaging (MRI) data and a rapid prototyping (RP) model from the imaging data using a 3D printer. The objective of this study was to evaluate anatomical reproduction of the 3D synthetic image and intraosseous region after AC in the RP model. In addition, the usefulness of the RP model for operative simulation was investigated.The subjects were 51 patients who were examined by CTA and MRI before surgery. The size of the ACP, thickness and length of the optic nerve and artery, and intraosseous length after AC were measured in the 3D synthetic image and RP model, and reproducibility in the RP model was evaluated. In addition, 10 neurosurgeons performed AC in the completed RP models to investigate their usefulness for operative simulation.METHODSThe subjects were 51 patients who were examined by CTA and MRI before surgery. The size of the ACP, thickness and length of the optic nerve and artery, and intraosseous length after AC were measured in the 3D synthetic image and RP model, and reproducibility in the RP model was evaluated. In addition, 10 neurosurgeons performed AC in the completed RP models to investigate their usefulness for operative simulation.The RP model reproduced the region in the vicinity of the ACP in the 3D synthetic image, including the intraosseous region, at a high accuracy. In addition, drilling of the RP model was a useful operative simulation method of AC.RESULTSThe RP model reproduced the region in the vicinity of the ACP in the 3D synthetic image, including the intraosseous region, at a high accuracy. In addition, drilling of the RP model was a useful operative simulation method of AC.The RP model of the vicinity of ACP, prepared using a 3D printer, showed favorable anatomical reproducibility, including reproduction of the intraosseous region. In addition, it was concluded that this RP model is useful as a surgical education tool for drilling.CONCLUSIONSThe RP model of the vicinity of ACP, prepared using a 3D printer, showed favorable anatomical reproducibility, including reproduction of the intraosseous region. In addition, it was concluded that this RP model is useful as a surgical education tool for drilling. Background As the anatomical three-dimensional (3D) positional relationship around the anterior clinoid process (ACP) is complex, experience of many surgeries is necessary to understand anterior clinoidectomy (AC). We prepared a 3D synthetic image from computed tomographic angiography (CTA) and magnetic resonance imaging (MRI) data and a rapid prototyping (RP) model from the imaging data using a 3D printer. The objective of this study was to evaluate anatomical reproduction of the 3D synthetic image and intraosseous region after AC in the RP model. In addition, the usefulness of the RP model for operative simulation was investigated. Methods The subjects were 51 patients who were examined by CTA and MRI before surgery. The size of the ACP, thickness and length of the optic nerve and artery, and intraosseous length after AC were measured in the 3D synthetic image and RP model, and reproducibility in the RP model was evaluated. In addition, 10 neurosurgeons performed AC in the completed RP models to investigate their usefulness for operative simulation. Results The RP model reproduced the region in the vicinity of the ACP in the 3D synthetic image, including the intraosseous region, at a high accuracy. In addition, drilling of the RP model was a useful operative simulation method of AC. Conclusions The RP model of the vicinity of ACP, prepared using a 3D printer, showed favorable anatomical reproducibility, including reproduction of the intraosseous region. In addition, it was concluded that this RP model is useful as a surgical education tool for drilling. Background As the anatomical three-dimensional (3D) positional relationship around the anterior clinoid process (ACP) is complex, experience of many surgeries is necessary to understand anterior clinoidectomy (AC). We prepared a 3D synthetic image from computed tomographic angiography (CTA) and magnetic resonance imaging (MRI) data and a rapid prototyping (RP) model from the imaging data using a 3D printer. The objective of this study was to evaluate anatomical reproduction of the 3D synthetic image and intraosseous region after AC in the RP model. In addition, the usefulness of the RP model for operative simulation was investigated. Methods The subjects were 51 patients who were examined by CTA and MRI before surgery. The size of the ACP, thickness and length of the optic nerve and artery, and intraosseous length after AC were measured in the 3D synthetic image and RP model, and reproducibility in the RP model was evaluated. In addition, 10 neurosurgeons performed AC in the completed RP models to investigate their usefulness for operative simulation. Results The RP model reproduced the region in the vicinity of the ACP in the 3D synthetic image, including the intraosseous region, at a high accuracy. In addition, drilling of the RP model was a useful operative simulation method of AC. Conclusions The RP model of the vicinity of ACP, prepared using a 3D printer, showed favorable anatomical reproducibility, including reproduction of the intraosseous region. In addition, it was concluded that this RP model is useful as a surgical education tool for drilling. |
| Author | Nemoto, Masaaki Kondo, Kosuke Okonogi, Shinichi Sugo, Nobuo Harada, Naoyuki Masuda, Hiroyuki |
| Author_xml | – sequence: 1 givenname: Shinichi orcidid: 0000-0002-5727-5262 surname: Okonogi fullname: Okonogi, Shinichi email: shinichi.okonogi@med.toho-u.ac.jp organization: Department of Neurosurgery (Omori), Toho University Graduate School of Medicine – sequence: 2 givenname: Kosuke surname: Kondo fullname: Kondo, Kosuke organization: Department of Neurosurgery (Omori), School of Medicine, Faculty of Medicine, Toho University School of Medicine – sequence: 3 givenname: Naoyuki surname: Harada fullname: Harada, Naoyuki organization: Department of Neurosurgery (Omori), School of Medicine, Faculty of Medicine, Toho University School of Medicine – sequence: 4 givenname: Hiroyuki surname: Masuda fullname: Masuda, Hiroyuki organization: Department of Neurosurgery (Omori), School of Medicine, Faculty of Medicine, Toho University School of Medicine – sequence: 5 givenname: Masaaki surname: Nemoto fullname: Nemoto, Masaaki organization: Department of Neurosurgery (Omori), School of Medicine, Faculty of Medicine, Toho University School of Medicine – sequence: 6 givenname: Nobuo surname: Sugo fullname: Sugo, Nobuo organization: Department of Neurosurgery (Omori), Toho University Graduate School of Medicine |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/28508160$$D View this record in MEDLINE/PubMed |
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| CitedBy_id | crossref_primary_10_1016_j_jcyt_2017_12_011 crossref_primary_10_1016_j_wneu_2019_08_262 crossref_primary_10_1016_j_wneu_2019_03_219 crossref_primary_10_1016_j_wneu_2021_10_069 crossref_primary_10_1021_acschemneuro_3c00031 crossref_primary_10_1186_s41205_023_00192_w crossref_primary_10_3340_jkns_2021_0235 crossref_primary_10_1007_s11060_025_04972_8 crossref_primary_10_1016_j_clineuro_2021_106719 |
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| Keywords | 3D printer Operative simulation Rapid prototyping model Surgical training Anterior clinoidectomy |
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As the anatomical three-dimensional (3D) positional relationship around the anterior clinoid process (ACP) is complex, experience of many surgeries... As the anatomical three-dimensional (3D) positional relationship around the anterior clinoid process (ACP) is complex, experience of many surgeries is... Background As the anatomical three-dimensional (3D) positional relationship around the anterior clinoid process (ACP) is complex, experience of many surgeries... |
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| SubjectTerms | 3-D printers Adult Aged Aged, 80 and over Angiography Brain Abscess - diagnostic imaging Brain Abscess - surgery Brain Diseases - diagnostic imaging Brain Diseases - surgery Brain Neoplasms - diagnostic imaging Brain Neoplasms - secondary Brain Neoplasms - surgery Computed tomography Computed Tomography Angiography Craniopharyngioma - diagnostic imaging Craniopharyngioma - surgery Drilling Female Germinoma - diagnostic imaging Germinoma - surgery Glioma - diagnostic imaging Glioma - surgery Hemangioblastoma - diagnostic imaging Hemangioblastoma - surgery Humans Imaging, Three-Dimensional Interventional Radiology Intracranial Arteriovenous Malformations - diagnostic imaging Intracranial Arteriovenous Malformations - surgery Lymphoma - diagnostic imaging Lymphoma - surgery Magnetic Resonance Imaging Male Medicine Medicine & Public Health Meningeal Neoplasms - diagnostic imaging Meningeal Neoplasms - surgery Meningioma - diagnostic imaging Meningioma - surgery Middle Aged Minimally Invasive Surgery Models, Anatomic Neurology Neuroma, Acoustic - diagnostic imaging Neuroma, Acoustic - surgery Neuroradiology Neurosurgery Neurosurgical Procedures - education Neurosurgical Procedures - methods NMR Nuclear magnetic resonance Optic nerve Optic Nerve - anatomy & histology Optic Nerve - diagnostic imaging Orbit Organ Size Original Article - Neurosurgery Training Pituitary Neoplasms - diagnostic imaging Pituitary Neoplasms - surgery Printing, Three-Dimensional Rapid prototyping Reproducibility of Results Simulation Simulation Training Sphenoid Bone - diagnostic imaging Sphenoid Bone - surgery Studies Surgery Surgical Orthopedics Tomography, X-Ray Computed Vertebral Artery Dissection - diagnostic imaging Vertebral Artery Dissection - surgery |
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| Title | Operative simulation of anterior clinoidectomy using a rapid prototyping model molded by a three-dimensional printer |
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