Methods for verification of 3D printed anatomic model accuracy using cardiac models as an example

BackgroundMedical 3D printing has brought the manufacturing world closer to the patient’s bedside than ever before. This requires hospitals and their personnel to update their quality assurance program to more appropriately accommodate the 3D printing fabrication process and the challenges that come along with it.ResultsIn this paper, we explored different methods for verifying the accuracy of a 3D printed anatomical model. Methods included physical measurements, digital photographic measurements, surface scanning, photogrammetry, and computed tomography (CT) scans. The details of each verification method, as well as their benefits and challenges, are discussed.ConclusionThere are multiple methods for model verification, each with benefits and drawbacks. The choice of which method to adopt into a quality assurance program is multifactorial and will depend on the type of 3D printed models being created, the training of personnel, and what resources are available within a 3D printed laboratory.

[1]  Matthew Di Prima,et al.  Regulating 3D-printed medical products , 2018, Science Translational Medicine.

[2]  Dimitrios Mitsouras,et al.  Measuring and Establishing the Accuracy and Reproducibility of 3D Printed Medical Models. , 2017, Radiographics : a review publication of the Radiological Society of North America, Inc.

[3]  K. Hamid,et al.  Use of Patient-Specific 3D-Printed Titanium Implants for Complex Foot and Ankle Limb Salvage, Deformity Correction, and Arthrodesis Procedures , 2017, Foot & ankle international.

[4]  M. Özcan,et al.  Discrepancy of complete‐arch titanium frameworks manufactured using selective laser melting and electron beam melting additive manufacturing technologies , 2018, The Journal of prosthetic dentistry.

[5]  Gwen Sys,et al.  Accuracy assessment of surgical planning and three-dimensional-printed patient-specific guides for orthopaedic osteotomies , 2017, Proceedings of the Institution of Mechanical Engineers. Part H, Journal of engineering in medicine.

[6]  S. Hollister,et al.  Regulatory Considerations in the Design and Manufacturing of Implantable 3D‐Printed Medical Devices , 2015, Clinical and translational science.

[7]  T. Hsieh,et al.  Assessment of a Patient-Specific, 3-Dimensionally Printed Endoscopic Sinus and Skull Base Surgical Model , 2018, JAMA otolaryngology-- head & neck surgery.

[8]  Joshua D. Dilley,et al.  Pre-procedural fit-testing of TAVR valves using parametric modeling and 3D printing. , 2019, Journal of cardiovascular computed tomography.

[9]  Z. Qian,et al.  Quantitative Prediction of Paravalvular Leak in Transcatheter Aortic Valve Replacement Based on Tissue-Mimicking 3D Printing. , 2017, JACC Cardiovascular Imaging.

[10]  N. Wake,et al.  Principles of three-dimensional printing and clinical applications within the abdomen and pelvis , 2018, Abdominal Radiology.

[11]  Ruth M Morgan,et al.  A Preliminary Investigation into the Accuracy of 3D Modeling and 3D Printing in Forensic Anthropology Evidence Reconstruction†,‡ , 2018, Journal of forensic sciences.

[12]  D. Campanacci,et al.  Latissimus dorsi rotational flap combined with a custom-made scapular prosthesis after oncological surgical resection: a report of two patients , 2018, BMC Cancer.

[13]  D. Ackland,et al.  Design and clinical outcome of a novel 3D‐printed prosthetic joint replacement for the human temporomandibular joint , 2018, Clinical biomechanics.

[14]  S. Seslar,et al.  Scan, plan, print, practice, perform: Development and use of a patient‐specific 3‐dimensional printed model in adult cardiac surgery , 2017, The Journal of thoracic and cardiovascular surgery.

[15]  F. Rybicki,et al.  Medical 3D Printing for the Radiologist. , 2015, Radiographics : a review publication of the Radiological Society of North America, Inc.

[16]  Matthew Di Prima,et al.  Additively manufactured medical products – the FDA perspective , 2016, 3D Printing in Medicine.

[17]  Scott J. Hollister,et al.  Mitigation of tracheobronchomalacia with 3D-printed personalized medical devices in pediatric patients , 2015, Science Translational Medicine.

[18]  F. Rybicki,et al.  3D printing based on cardiac CT assists anatomic visualization prior to transcatheter aortic valve replacement. , 2016, Journal of cardiovascular computed tomography.

[19]  X. Liang,et al.  3D-Printed Artificial Teeth: Accuracy and Application in Root Canal Therapy. , 2018, Journal of biomedical nanotechnology.

[20]  É. Marijon,et al.  Left atrial appendage occlusion simulation based on three-dimensional printing: new insights into outcome and technique. , 2018, EuroIntervention.

[21]  Tatiana Kelil,et al.  3D printing from MRI Data: Harnessing strengths and minimizing weaknesses , 2017, Journal of magnetic resonance imaging : JMRI.

[22]  Soo-Yeon Kim,et al.  Precision and trueness of dental models manufactured with different 3‐dimensional printing techniques , 2018, American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics.

[23]  Kanwal M. Farooqi,et al.  3D Printing to Guide Ventricular Assist Device Placement in Adults With Congenital Heart Disease and Heart Failure. , 2016, JACC. Heart failure.

[24]  Han-Soo Kim,et al.  Bone tumor resection guide using three‐dimensional printing for limb salvage surgery , 2018, Journal of surgical oncology.

[25]  Shuai Leng,et al.  Anatomic modeling using 3D printing: quality assurance and optimization , 2017, 3D Printing in Medicine.

[26]  S. Baccei,et al.  Creating a Radiology Quality and Safety Program: Principles and Pitfalls. , 2018, Radiographics : a review publication of the Radiological Society of North America, Inc.

[27]  Wan-Sun Lee,et al.  Accuracy evaluation of dental models manufactured by CAD/CAM milling method and 3D printing method , 2018, The journal of advanced prosthodontics.

[28]  Yoshimi Anzai,et al.  Radiological Society of North America (RSNA) 3D printing Special Interest Group (SIG): guidelines for medical 3D printing and appropriateness for clinical scenarios , 2018, 3D Printing in Medicine.

[29]  S. Boriani,et al.  Biomimetic 3D-printed custom-made prosthesis for anterior column reconstruction in the thoracolumbar spine: a tailored option following en bloc resection for spinal tumors , 2018, European Spine Journal.

[30]  Raymund E Rebong,et al.  Accuracy of three-dimensional dental resin models created by fused deposition modeling, stereolithography, and Polyjet prototype technologies: A comparative study. , 2018, The Angle orthodontist.

[31]  Leilei Zhang,et al.  A new 3D printed titanium metal trabecular bone reconstruction system for early osteonecrosis of the femoral head , 2018, Medicine.

[32]  K. Choi,et al.  Use of a life-size three-dimensional-printed spine model for pedicle screw instrumentation training , 2018, Journal of Orthopaedic Surgery and Research.

[33]  M. D. de Jongh,et al.  Validation study of 3D-printed anatomical models using 2 PLA printers for preoperative planning in trauma surgery, a human cadaver study , 2018, European Journal of Trauma and Emergency Surgery.

[34]  Sebastian Kühl,et al.  Accuracy of Three-Dimensional Printed Templates for Guided Implant Placement Based on Matching a Surface Scan with CBCT. , 2016, Clinical implant dentistry and related research.

[35]  M. Biase,et al.  Left Atrial Appendage Closure Guided by 3D Printed Cardiac Reconstruction: Emerging Directions and Future Trends , 2016, Journal of cardiovascular electrophysiology.

[36]  J. Garbo The American Association of Orthodontists. , 1970, Tic.

[37]  Shuai Leng,et al.  Three-dimensional Physical Modeling: Applications and Experience at Mayo Clinic. , 2015, Radiographics : a review publication of the Radiological Society of North America, Inc.