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Application of Three-Dimensional Printed Models in Congenital Heart Surgery: Surgeon's Perspective

선천성 심기형의 수술에 있어서 삼차원 프린팅 모델의 적용: 심장외과의사의 관점

  • Hyungtae Kim (Department of Thoracic and Cardiovascular Surgery, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Pusan National University School of Medicine) ;
  • Ki Seok Choo (Department of Radiology, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Pusan National University School of Medicine) ;
  • Si Chan Sung (Department of Thoracic and Cardiovascular Surgery, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Pusan National University School of Medicine) ;
  • Kwang Ho Choi (Department of Thoracic and Cardiovascular Surgery, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Pusan National University School of Medicine) ;
  • Hyoung Doo Lee (Department of Pediatrics, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Pusan National University School of Medicine) ;
  • Hoon Ko (Department of Pediatrics, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Pusan National University School of Medicine) ;
  • Joung-Hee Byun (Department of Pediatrics, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Pusan National University School of Medicine) ;
  • Byung Hee Cho (DMS Co., Ltd.)
  • 김형태 (부산대학교 의과대학 양산부산대학교병원 흉부외과) ;
  • 추기석 (부산대학교 의과대학 양산부산대학교병원 영상의학과) ;
  • 성시찬 (부산대학교 의과대학 양산부산대학교병원 흉부외과) ;
  • 최광호 (부산대학교 의과대학 양산부산대학교병원 흉부외과) ;
  • 이형두 (부산대학교 의과대학 양산부산대학교병원 소아청소년과) ;
  • 고훈 (부산대학교 의과대학 양산부산대학교병원 소아청소년과) ;
  • 변정희 (부산대학교 의과대학 양산부산대학교병원 소아청소년과) ;
  • 조병희 ((주)디엠에스)
  • Received : 2019.11.20
  • Accepted : 2020.01.16
  • Published : 2020.03.01

Abstract

To treat congenital heart disease, it is important to understand the anatomical structure correctly. Three-dimensional (3D) printed models of the heart effectively demonstrate the structural features of congenital heart disease. Occasionally, the exact characteristics of complex cardiac malformations are difficult to identify on conventional computed tomography, magnetic resonance imaging, and echocardiography, and the use of 3D printed models can help overcome their limitations. Recently, 3D printed models have been used for congenital heart disease education, preoperative simulation, and decision-making processes. In addition, we will pave the way for the development of this technology in the future and discuss various aspects of its use, such as the development of surgical techniques and training of cardiac surgeons.

선천성 심장질환의 치료에 있어서 그 해부학적인 구조를 올바르게 이해하는 것은 아주 중요하다. 이러한 선천성 심장질환의 구조적인 특징을 이해하는데 있어서 삼차원 프린팅 모델을 이용하는 것은 아주 효과적이다. 기존에 얻어진 전산화단층촬영이나 자기공명영상 혹은 심장 초음파 검사의 자료만으로는 정확한 복잡심장기형의 특징을 이해하는 것이 어려운 경우가 있으며, 삼차원 프린팅 모델의 사용이 이러한 제한점 들을 극복하는데 도움을 줄 수 있다. 최근 들어서는 삼차원 프린팅 모델을 이용해 선천성 심장질환의 교육과 수술 전 시뮬레이션 그리고 치료의 방침을 결정하는데 많은 도움을 받고 있으며, 실제 구체적인 환아들의 예를 통해서 이를 살펴보고자 한다. 또한 향후 그 기술의 발전 방향에 대해 알아보고, 심장외과 의사의 관점에서 수술 수기의 발전이나 훈련 등 여러 방면의 이용에 대해서도 살펴보고자 한다.

Keywords

References

  1. Batteux C, Haidar MA, Bonnet D. 3D-printed models for surgical planning in complex congenital heart diseases: a systematic review. Front Pediatr 2019;7:23 
  2. Vukicevic M, Mosadegh B, Min JK, Little SH. Cardiac 3D printing and its future directions. JACC Cardiovasc Imaging 2017;10:171-184 
  3. Yoo SJ, Thabit O, Kim EK, Ide H, Yim D, Dragulescu A, et al. 3D printing in medicine of congenital heart diseases. 3D Print Med 2015;2:3 
  4. Lee S, Kim T, Hong D, Ock J, Kwon J, Gwon E, et al. A review of three-dimensional printing technology for medical applications. J Korean Soc Radiol 2019;80:213-225 
  5. Hoashi T, Ichikawa H, Nakata T, Shimada M, Ozawa H, Higashida A, et al. Utility of a super-flexible three-dimensional printed heart model in congenital heart surgery. Interact Cardiovasc Thorac Surg 2018;27:749-755 
  6. Shiraishi I, Yamagishi M, Hamaoka K, Fukuzawa M, Yagihara T. Simulative operation on congenital heart disease using rubber-like urethane stereolithographic biomodels based on 3D datasets of multislice computed tomography. Eur J Cardiothorac Surg 2010;37:302-306 
  7. Yang DH, Park SH, Lee K, Kim T, Kim JB, Yun TJ, et al. Applications of three-dimensional printing in cardiovascular surgery: a case-based review. Cardiovasc Imaging Asia 2018;2:166-175 
  8. Bhatla P, Tretter JT, Ludomirsky A, Argilla M, Latson LA Jr, Chakravarti S, et al. Utility and scope of rapid prototyping in patients with complex muscular ventricular septal defects or double-outlet right ventricle: does it alter management decisions? Pediatr Cardiol 2017;38:103-114 
  9. Ryan JR, Moe TG, Richardson R, Frakes DH, Nigro JJ, Pophal S. A novel approach to neonatal management of tetralogy of Fallot, with pulmonary atresia, and multiple aortopulmonary collaterals. JACC Cardiovasc Imaging 2015;8:103-104 
  10. Kim GB, Lee S, Kim H, Yang DH, Kim YH, Kyung YS, et al. Three-dimensional printing: basic principles and applications in medicine and radiology. Korean J Radiol 2016;17:182-197 
  11. Hussein N, Honjo O, Haller C, Hickey E, Coles JG, Williams WG, et al. Hands-on surgical simulation in congenital heart surgery: literature review and future perspective. Semin Thorac Cardiovasc Surg 2020;32:98-105 
  12. Yoo SJ, Spray T, Austin EH 3rd, Yun TJ, Van Arsdell GS. Hands-on surgical training of congenital heart surgery using 3-dimensional print models. J Thorac Cardiovasc Surg 2017;153:1530-1540 
  13. Yoo SJ, Van Arsdell GS. 3D printing in surgical management of double outlet right ventricle. Front Pediatr 2017;5:289 
  14. Kurup HK, Samuel BP, Vettukattil JJ. Hybrid 3D printing: a game-changer in personalized cardiac medicine? Expert Rev Cardiovasc Ther 2015;13:1281-1284 
  15. Mosadegh B, Xiong G, Dunham S, Min JK. Current progress in 3D printing for cardiovascular tissue engineering. Biomed Mater 2015;10:034002 
  16. Farooqi KM, Sengupta PP. Echocardiography and three-dimensional printing: sound ideas to touch a heart. J Am Soc Echocardiogr 2015;28:398-403