Clinical value of patient-specific three-dimensional printing of congenital heart disease: Quantitative and qualitative assessments

Objective: Current diagnostic assessment tools remain suboptimal in demonstrating complex morphology of congenital heart disease (CHD). This limitation has posed several challenges in preoperative planning, communication in medical practice, and medical education. This study aims to investigate the...

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Main Authors: Lau, I., Liu, D., Xu, L., Fan, Z., Sun, Zhonghua
Format: Journal Article
Published: Public Library of Science 2018
Online Access:http://hdl.handle.net/20.500.11937/67448
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author Lau, I.
Liu, D.
Xu, L.
Fan, Z.
Sun, Zhonghua
author_facet Lau, I.
Liu, D.
Xu, L.
Fan, Z.
Sun, Zhonghua
author_sort Lau, I.
building Curtin Institutional Repository
collection Online Access
description Objective: Current diagnostic assessment tools remain suboptimal in demonstrating complex morphology of congenital heart disease (CHD). This limitation has posed several challenges in preoperative planning, communication in medical practice, and medical education. This study aims to investigate the dimensional accuracy and the clinical value of 3D printed model of CHD in the above three areas. Methods: Using cardiac computed tomography angiography (CCTA) data, a patient-specific 3D model of a 20-month-old boy with double outlet right ventricle was printed in Tango Plus material. Pearson correlation coefficient was used to evaluate correlation of the quantitative measurements taken at analogous anatomical locations between the CCTA images pre- and post-3D printing. Qualitative analysis was conducted by distributing surveys to six health professionals (two radiologists, two cardiologists and two cardiac surgeons) and three medical academics to assess the clinical value of the 3D printed model in these three areas. Results: Excellent correlation (r = 0.99) was noted in the measurements between CCTA and 3D printed model, with a mean difference of 0.23 mm. Four out of six health professionals found the model to be useful in facilitating preoperative planning, while all of them thought that the model would be invaluable in enhancing patient-doctor communication. All three medical academics found the model to be helpful in teaching, and thought that the students will be able to learn the pathology quicker with better understanding. Conclusion: The complex cardiac anatomy can be accurately replicated in flexible material using 3D printing technology. 3D printed heart models could serve as an excellent tool in facilitating preoperative planning, communication in medical practice, and medical education, although further studies with inclusion of more clinical cases are needed.
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spelling curtin-20.500.11937-674482018-07-17T00:23:50Z Clinical value of patient-specific three-dimensional printing of congenital heart disease: Quantitative and qualitative assessments Lau, I. Liu, D. Xu, L. Fan, Z. Sun, Zhonghua Objective: Current diagnostic assessment tools remain suboptimal in demonstrating complex morphology of congenital heart disease (CHD). This limitation has posed several challenges in preoperative planning, communication in medical practice, and medical education. This study aims to investigate the dimensional accuracy and the clinical value of 3D printed model of CHD in the above three areas. Methods: Using cardiac computed tomography angiography (CCTA) data, a patient-specific 3D model of a 20-month-old boy with double outlet right ventricle was printed in Tango Plus material. Pearson correlation coefficient was used to evaluate correlation of the quantitative measurements taken at analogous anatomical locations between the CCTA images pre- and post-3D printing. Qualitative analysis was conducted by distributing surveys to six health professionals (two radiologists, two cardiologists and two cardiac surgeons) and three medical academics to assess the clinical value of the 3D printed model in these three areas. Results: Excellent correlation (r = 0.99) was noted in the measurements between CCTA and 3D printed model, with a mean difference of 0.23 mm. Four out of six health professionals found the model to be useful in facilitating preoperative planning, while all of them thought that the model would be invaluable in enhancing patient-doctor communication. All three medical academics found the model to be helpful in teaching, and thought that the students will be able to learn the pathology quicker with better understanding. Conclusion: The complex cardiac anatomy can be accurately replicated in flexible material using 3D printing technology. 3D printed heart models could serve as an excellent tool in facilitating preoperative planning, communication in medical practice, and medical education, although further studies with inclusion of more clinical cases are needed. 2018 Journal Article http://hdl.handle.net/20.500.11937/67448 10.1371/journal.pone.0194333 http://creativecommons.org/licenses/by/4.0/ Public Library of Science fulltext
spellingShingle Lau, I.
Liu, D.
Xu, L.
Fan, Z.
Sun, Zhonghua
Clinical value of patient-specific three-dimensional printing of congenital heart disease: Quantitative and qualitative assessments
title Clinical value of patient-specific three-dimensional printing of congenital heart disease: Quantitative and qualitative assessments
title_full Clinical value of patient-specific three-dimensional printing of congenital heart disease: Quantitative and qualitative assessments
title_fullStr Clinical value of patient-specific three-dimensional printing of congenital heart disease: Quantitative and qualitative assessments
title_full_unstemmed Clinical value of patient-specific three-dimensional printing of congenital heart disease: Quantitative and qualitative assessments
title_short Clinical value of patient-specific three-dimensional printing of congenital heart disease: Quantitative and qualitative assessments
title_sort clinical value of patient-specific three-dimensional printing of congenital heart disease: quantitative and qualitative assessments
url http://hdl.handle.net/20.500.11937/67448