Doctors can perfect procedures on a model before the intervention
New 3D printed heart technology could reduce the number of heart surgeries in children with congenital heart disease, according to Dr Peter Verschueren who spoke on the topic today at EuroEcho-Imaging 2014.1 Dr Verschueren brought 3D printed models of the heart to his lecture including models used to plan real cases in patients.
EuroEcho-Imaging is the annual meeting of the European Association of Cardiovascular Imaging (EACVI), a branch of the European Society of Cardiology (ESC), and is held 3-6 December in Vienna, Austria.
Dr Verschueren said: "Children with congenital heart disease often need up to four open heart surgeries at different times of life. The 3D printed copy of the heart could reduce this to one or two because doctors can choose and practice the best interventional approach and device beforehand. This will avoid children spending months in intensive care."
Three dimensional (3D) printing uses a machine to print objects layer by layer. Instead of ink the printer uses plastics, metals and other materials. The technology was first used in the automotive and aerospace industries to make prototypes. Dr Verschueren said: "You can make complex, unique things, which is useful in medicine because each patient is different."
3D printing entered the medical field around two decades ago in craniomaxillofacial and orthopaedic surgery. 3D reconstructions of a patient's bone were made from a computed tomography (CT) scan. Today the technology is also used to make hearing aids. Printing 3D hearts was made possible with flexible materials for printing and fast scanners that can trace the beating heart. A CT or magnetic resonance imaging (MRI) scan is used to print muscles and valves which can be beating or static.
The models are used to plan surgeries in children with congenital heart diseases such as double outlet right ventricle or Tetralogy of Fallot. Dr Verschueren said: "Until recently, doctors would look at an image and then try to visualise the heart in 3D. Now they can use a 3D copy of an individual patient's heart to plan the procedure in detail before they go into the operating theatre."
He added: "This is still a relatively new technology but there is increasing interest in using 3D printed models to plan heart valve interventions in adults. This could include complex bicuspid aortic valve cases that doctors want to treat with transcatheter aortic valve implantation (TAVI) and new transcatheter interventions for repairing or replacing the mitral and tricuspid valves."
Today at EuroEcho-Imaging, biomedical research engineer Helen O' Grady from Galway, Ireland, presents a novel 3D printed model of tricuspid regurgitation she developed to test a new device and train interventionists in the implantation procedure.2 Ms O'Grady used CT scans of tricuspid regurgitation patients to build a 3D software model which she then used for 3D printing of a right heart and tricuspid valve annulus model..
She took the additional step of using the 3D printed model to mould a more flexible model that is compatible with echocardiography and fluoroscopy. It is housed in a cardiac anatomy rig that replicates the anatomical conditions of the heart in the body as well as the leaflet motion of the valve. Doctors can use the model to practice implantation of the device on a patient's exact anatomy before the procedure.
Ms O'Grady, said: "There is a variation in normal anatomies and more so in diseased anatomies such as tricuspid regurgitation. Being able to practice on the model allows for better surgical planning and doctors can optimise the interventional procedure pre-operatively. Cardiologists, surgeons and physicians say there's nothing like having a tangible model in your hands as it gives such invaluable insight into the patient anatomy involved."
She added: "3D models can be used to discuss the intervention with the medical team, patients and, in the case of congenital heart defects, with parents. It helps everyone affected to better understand what the procedure will involve."
Professor Patrizio Lancellotti, EACVI President, said: "3D imaging is a main theme of EuroEcho-Imaging this year and 3D printing of the heart is particularly exciting. It allows us to make a perfect model of a patient's anatomy and decide the optimal device and procedure in advance."
Jacqueline Partarrieu | EurekAlert!
Further reports about: > 3-D > CT > CT scan > CT scans > Cardiology > MRI scan > aortic > aortic valve > computed tomography > congenital heart disease > congenital heart diseases > hearing aids > heart defects > heart disease > magnetic resonance imaging > mitral and tricuspid valves > orthopaedic surgery > procedure
Visualizing gene expression with MRI
23.12.2016 | California Institute of Technology
Illuminating cancer: Researchers invent a pH threshold sensor to improve cancer surgery
21.12.2016 | UT Southwestern Medical Center
Among the general public, solar thermal energy is currently associated with dark blue, rectangular collectors on building roofs. Technologies are needed for aesthetically high quality architecture which offer the architect more room for manoeuvre when it comes to low- and plus-energy buildings. With the “ArKol” project, researchers at Fraunhofer ISE together with partners are currently developing two façade collectors for solar thermal energy generation, which permit a high degree of design flexibility: a strip collector for opaque façade sections and a solar thermal blind for transparent sections. The current state of the two developments will be presented at the BAU 2017 trade fair.
As part of the “ArKol – development of architecturally highly integrated façade collectors with heat pipes” project, Fraunhofer ISE together with its partners...
At TU Wien, an alternative for resource intensive formwork for the construction of concrete domes was developed. It is now used in a test dome for the Austrian Federal Railways Infrastructure (ÖBB Infrastruktur).
Concrete shells are efficient structures, but not very resource efficient. The formwork for the construction of concrete domes alone requires a high amount of...
Many pathogens use certain sugar compounds from their host to help conceal themselves against the immune system. Scientists at the University of Bonn have now, in cooperation with researchers at the University of York in the United Kingdom, analyzed the dynamics of a bacterial molecule that is involved in this process. They demonstrate that the protein grabs onto the sugar molecule with a Pac Man-like chewing motion and holds it until it can be used. Their results could help design therapeutics that could make the protein poorer at grabbing and holding and hence compromise the pathogen in the host. The study has now been published in “Biophysical Journal”.
The cells of the mouth, nose and intestinal mucosa produce large quantities of a chemical called sialic acid. Many bacteria possess a special transport system...
UMD, NOAA collaboration demonstrates suitability of in-orbit datasets for weather satellite calibration
"Traffic and weather, together on the hour!" blasts your local radio station, while your smartphone knows the weather halfway across the world. A network of...
Fiber-reinforced plastics (FRP) are frequently used in the aeronautic and automobile industry. However, the repair of workpieces made of these composite materials is often less profitable than exchanging the part. In order to increase the lifetime of FRP parts and to make them more eco-efficient, the Laser Zentrum Hannover e.V. (LZH) and the Apodius GmbH want to combine a new measuring device for fiber layer orientation with an innovative laser-based repair process.
Defects in FRP pieces may be production or operation-related. Whether or not repair is cost-effective depends on the geometry of the defective area, the tools...
10.01.2017 | Event News
09.01.2017 | Event News
05.01.2017 | Event News
16.01.2017 | Power and Electrical Engineering
16.01.2017 | Information Technology
16.01.2017 | Power and Electrical Engineering