Application of a Three-dimensional Printed Anatomical Model in Presurgical Planning of Surgical Treatment of Brain Aneurysms

Veranis Sotirios; Lagios Konstantinos

doi:doi:10.11648/j.ijcda.20190502.13

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Application of a Three-dimensional Printed Anatomical Model in Presurgical Planning of Surgical Treatment of Brain Aneurysms

Veranis Sotirios, Lagios Konstantinos

Published in International Journal of Clinical and Developmental Anatomy (Volume 5, Issue 2)

Received: 24 November 2019 Accepted: 20 December 2019 Published: 30 December 2019

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Abstract

Three dimensional (3D) printed models represent innovative tools in anatomy teaching and surgical planning. The present study aimed at generating 3D skull models incorporating middle cerebral artery (MCA) aneurysms and in assessing their anatomical accuracy and utility as training and preoperative planning tools. Two aneurysm models were generated. Initially, a full skull (model A) and subsequently a half skull (model B) using white polyactic acid (PLA) filament incorporating two arterial networks with hard black PLA filament (in model A) and a softer semitransparent filament (in model B). The models were based on computed tomographic angiography (CTA) of a female patient suffering from bilateral unruptured middle cerebral aneurysms. Model A, a high contrast model, was designed for anatomical illustration purposes. Model B was designed to allow for clipping simulations. The anatomical accuracy of the two models compared to CTA was assessed by measuring their dimensions at the neck, proximal, distal branches and fundus, using an electronic micrometer. The utility of the models for the comprehension of the underlying anatomy, pathology and preoperative planning was evaluated by means of online questionnaires following clipping simulations conducted by neurosurgery residents and specialized neurosurgeons. Of the two 3D printed models generated, model B (clipping model) showed the highest degree of anatomical accuracy. The results of the online survey on the utility of the proposed models indicate that the majority of participants accepted the innovation with positive responses and approve the use of 3D printed aneurysm models for preoperative planning and resident training.

Published in	International Journal of Clinical and Developmental Anatomy (Volume 5, Issue 2)
DOI	10.11648/j.ijcda.20190502.13
Page(s)	33-40
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Three-dimensional Printing, Presurgical Planning, Brain Aneurysm, Aneurysm Clip, Middle Cerebral Artery Aneurysms

References

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APA Style

Veranis Sotirios, Lagios Konstantinos. (2019). Application of a Three-dimensional Printed Anatomical Model in Presurgical Planning of Surgical Treatment of Brain Aneurysms. International Journal of Clinical and Developmental Anatomy, 5(2), 33-40. https://doi.org/10.11648/j.ijcda.20190502.13

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ACS Style

Veranis Sotirios; Lagios Konstantinos. Application of a Three-dimensional Printed Anatomical Model in Presurgical Planning of Surgical Treatment of Brain Aneurysms. Int. J. Clin. Dev. Anat. 2019, 5(2), 33-40. doi: 10.11648/j.ijcda.20190502.13

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AMA Style

Veranis Sotirios, Lagios Konstantinos. Application of a Three-dimensional Printed Anatomical Model in Presurgical Planning of Surgical Treatment of Brain Aneurysms. Int J Clin Dev Anat. 2019;5(2):33-40. doi: 10.11648/j.ijcda.20190502.13

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@article{10.11648/j.ijcda.20190502.13,
  author = {Veranis Sotirios and Lagios Konstantinos},
  title = {Application of a Three-dimensional Printed Anatomical Model in Presurgical Planning of Surgical Treatment of Brain Aneurysms},
  journal = {International Journal of Clinical and Developmental Anatomy},
  volume = {5},
  number = {2},
  pages = {33-40},
  doi = {10.11648/j.ijcda.20190502.13},
  url = {https://doi.org/10.11648/j.ijcda.20190502.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcda.20190502.13},
  abstract = {Three dimensional (3D) printed models represent innovative tools in anatomy teaching and surgical planning. The present study aimed at generating 3D skull models incorporating middle cerebral artery (MCA) aneurysms and in assessing their anatomical accuracy and utility as training and preoperative planning tools. Two aneurysm models were generated. Initially, a full skull (model A) and subsequently a half skull (model B) using white polyactic acid (PLA) filament incorporating two arterial networks with hard black PLA filament (in model A) and a softer semitransparent filament (in model B). The models were based on computed tomographic angiography (CTA) of a female patient suffering from bilateral unruptured middle cerebral aneurysms. Model A, a high contrast model, was designed for anatomical illustration purposes. Model B was designed to allow for clipping simulations. The anatomical accuracy of the two models compared to CTA was assessed by measuring their dimensions at the neck, proximal, distal branches and fundus, using an electronic micrometer. The utility of the models for the comprehension of the underlying anatomy, pathology and preoperative planning was evaluated by means of online questionnaires following clipping simulations conducted by neurosurgery residents and specialized neurosurgeons. Of the two 3D printed models generated, model B (clipping model) showed the highest degree of anatomical accuracy. The results of the online survey on the utility of the proposed models indicate that the majority of participants accepted the innovation with positive responses and approve the use of 3D printed aneurysm models for preoperative planning and resident training.},
 year = {2019}
}

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TY  - JOUR
T1  - Application of a Three-dimensional Printed Anatomical Model in Presurgical Planning of Surgical Treatment of Brain Aneurysms
AU  - Veranis Sotirios
AU  - Lagios Konstantinos
Y1  - 2019/12/30
PY  - 2019
N1  - https://doi.org/10.11648/j.ijcda.20190502.13
DO  - 10.11648/j.ijcda.20190502.13
T2  - International Journal of Clinical and Developmental Anatomy
JF  - International Journal of Clinical and Developmental Anatomy
JO  - International Journal of Clinical and Developmental Anatomy
SP  - 33
EP  - 40
PB  - Science Publishing Group
SN  - 2469-8008
UR  - https://doi.org/10.11648/j.ijcda.20190502.13
AB  - Three dimensional (3D) printed models represent innovative tools in anatomy teaching and surgical planning. The present study aimed at generating 3D skull models incorporating middle cerebral artery (MCA) aneurysms and in assessing their anatomical accuracy and utility as training and preoperative planning tools. Two aneurysm models were generated. Initially, a full skull (model A) and subsequently a half skull (model B) using white polyactic acid (PLA) filament incorporating two arterial networks with hard black PLA filament (in model A) and a softer semitransparent filament (in model B). The models were based on computed tomographic angiography (CTA) of a female patient suffering from bilateral unruptured middle cerebral aneurysms. Model A, a high contrast model, was designed for anatomical illustration purposes. Model B was designed to allow for clipping simulations. The anatomical accuracy of the two models compared to CTA was assessed by measuring their dimensions at the neck, proximal, distal branches and fundus, using an electronic micrometer. The utility of the models for the comprehension of the underlying anatomy, pathology and preoperative planning was evaluated by means of online questionnaires following clipping simulations conducted by neurosurgery residents and specialized neurosurgeons. Of the two 3D printed models generated, model B (clipping model) showed the highest degree of anatomical accuracy. The results of the online survey on the utility of the proposed models indicate that the majority of participants accepted the innovation with positive responses and approve the use of 3D printed aneurysm models for preoperative planning and resident training.
VL  - 5
IS  - 2
ER  -

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Author Information

Veranis Sotirios

Neurosurgical Department, 251 General Air Force and Reserve Hospital, Athens, Greece
Lagios Konstantinos

Neurointerventional Unit, 251 General Air Force and Reserve Hospital, Athens, Greece

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APA Style

Veranis Sotirios, Lagios Konstantinos. (2019). Application of a Three-dimensional Printed Anatomical Model in Presurgical Planning of Surgical Treatment of Brain Aneurysms. International Journal of Clinical and Developmental Anatomy, 5(2), 33-40. https://doi.org/10.11648/j.ijcda.20190502.13

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ACS Style

Veranis Sotirios; Lagios Konstantinos. Application of a Three-dimensional Printed Anatomical Model in Presurgical Planning of Surgical Treatment of Brain Aneurysms. Int. J. Clin. Dev. Anat. 2019, 5(2), 33-40. doi: 10.11648/j.ijcda.20190502.13

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AMA Style

Veranis Sotirios, Lagios Konstantinos. Application of a Three-dimensional Printed Anatomical Model in Presurgical Planning of Surgical Treatment of Brain Aneurysms. Int J Clin Dev Anat. 2019;5(2):33-40. doi: 10.11648/j.ijcda.20190502.13

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@article{10.11648/j.ijcda.20190502.13,
  author = {Veranis Sotirios and Lagios Konstantinos},
  title = {Application of a Three-dimensional Printed Anatomical Model in Presurgical Planning of Surgical Treatment of Brain Aneurysms},
  journal = {International Journal of Clinical and Developmental Anatomy},
  volume = {5},
  number = {2},
  pages = {33-40},
  doi = {10.11648/j.ijcda.20190502.13},
  url = {https://doi.org/10.11648/j.ijcda.20190502.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcda.20190502.13},
  abstract = {Three dimensional (3D) printed models represent innovative tools in anatomy teaching and surgical planning. The present study aimed at generating 3D skull models incorporating middle cerebral artery (MCA) aneurysms and in assessing their anatomical accuracy and utility as training and preoperative planning tools. Two aneurysm models were generated. Initially, a full skull (model A) and subsequently a half skull (model B) using white polyactic acid (PLA) filament incorporating two arterial networks with hard black PLA filament (in model A) and a softer semitransparent filament (in model B). The models were based on computed tomographic angiography (CTA) of a female patient suffering from bilateral unruptured middle cerebral aneurysms. Model A, a high contrast model, was designed for anatomical illustration purposes. Model B was designed to allow for clipping simulations. The anatomical accuracy of the two models compared to CTA was assessed by measuring their dimensions at the neck, proximal, distal branches and fundus, using an electronic micrometer. The utility of the models for the comprehension of the underlying anatomy, pathology and preoperative planning was evaluated by means of online questionnaires following clipping simulations conducted by neurosurgery residents and specialized neurosurgeons. Of the two 3D printed models generated, model B (clipping model) showed the highest degree of anatomical accuracy. The results of the online survey on the utility of the proposed models indicate that the majority of participants accepted the innovation with positive responses and approve the use of 3D printed aneurysm models for preoperative planning and resident training.},
 year = {2019}
}

Copy | Download

TY  - JOUR
T1  - Application of a Three-dimensional Printed Anatomical Model in Presurgical Planning of Surgical Treatment of Brain Aneurysms
AU  - Veranis Sotirios
AU  - Lagios Konstantinos
Y1  - 2019/12/30
PY  - 2019
N1  - https://doi.org/10.11648/j.ijcda.20190502.13
DO  - 10.11648/j.ijcda.20190502.13
T2  - International Journal of Clinical and Developmental Anatomy
JF  - International Journal of Clinical and Developmental Anatomy
JO  - International Journal of Clinical and Developmental Anatomy
SP  - 33
EP  - 40
PB  - Science Publishing Group
SN  - 2469-8008
UR  - https://doi.org/10.11648/j.ijcda.20190502.13
AB  - Three dimensional (3D) printed models represent innovative tools in anatomy teaching and surgical planning. The present study aimed at generating 3D skull models incorporating middle cerebral artery (MCA) aneurysms and in assessing their anatomical accuracy and utility as training and preoperative planning tools. Two aneurysm models were generated. Initially, a full skull (model A) and subsequently a half skull (model B) using white polyactic acid (PLA) filament incorporating two arterial networks with hard black PLA filament (in model A) and a softer semitransparent filament (in model B). The models were based on computed tomographic angiography (CTA) of a female patient suffering from bilateral unruptured middle cerebral aneurysms. Model A, a high contrast model, was designed for anatomical illustration purposes. Model B was designed to allow for clipping simulations. The anatomical accuracy of the two models compared to CTA was assessed by measuring their dimensions at the neck, proximal, distal branches and fundus, using an electronic micrometer. The utility of the models for the comprehension of the underlying anatomy, pathology and preoperative planning was evaluated by means of online questionnaires following clipping simulations conducted by neurosurgery residents and specialized neurosurgeons. Of the two 3D printed models generated, model B (clipping model) showed the highest degree of anatomical accuracy. The results of the online survey on the utility of the proposed models indicate that the majority of participants accepted the innovation with positive responses and approve the use of 3D printed aneurysm models for preoperative planning and resident training.
VL  - 5
IS  - 2
ER  -

Copy | Download