Title: Methodical Development and Evaluation of Using Additive Manufacturing for Creating Neurosurgical 3D Models for Operative Preparation and Professional Trainings in Medicine

Authors: Eugen Musienko, Marc Fette, Tobias Meyer, Maik Nibbeling, Heinrich Wessling, Sven Duda

DOI: 10.33599/nasampe/s.21.0587

Abstract: In medicine physicians reconstruct the spatial arrangement of objects from a set of two-dimensional computed tomography (CT) and magnetic resonance imaging (MRI) data. The observation from different angles or the rotation of an object in spatial axes is not possible continuously. In skull base surgery in particular, only small parts of the bones and arteries of the skull base and cranial nerves can be identified, from which the surgeon has to create his spatial model in order to understand the anatomy of the surgical site. Reliable methods and procedures for the production of three-dimensional models first need to be established using the possibilities of additive manufacturing processes and the corresponding process chains. Hence, patient-specific 3D models can be quickly and cost-efficiently implemented for preparing the operation and defining the surgical strategy. By defining necessary quality criteria and a catalogue of requirements, the foundations for the three-dimensional formation of patho-anatomical models are generated. This paper deals with the methodical development and evaluation of using additive manufacturing for creating neurosurgical 3D models for operative preparation and professional trainings. In this context, process chains with different, required quality assurance levels are developed and evaluated on the basis of real operation models in close cooperation with neurosurgeons.

References: 1. Gandhe et al.: Combined and Three-dimensional Rendered Multimodal Data for Planning Cranial Base Surgery. A Prospective Evaluation. In Neurosurgery 35 (3). 463-70, discussion 471 (1994). DOI: 10.1227/00006123-199409000-00015 2. Pieper, Daniel R. et al.: Operative management of skull base malignancies: choosing the appropriate approach. In Neurosurgical focus 12 (5), e6 (2002), DOI: 10.3171/foc.2002.12.5.7 3. Rose C. et al.: Pre-operative simulation of pediatric mastoid surgery with 3D-printed temporal bone models. In International journal of pediatric otorhinolaryngology, 79 (5), pp. 740-744 (2015). DOI: 10.1016/j.ijporl.2015.03.004 4. Yuan-dong Zhuang et al.: Effectiveness of personalized 3D printed models for patient education in degenerative lumbar disease. Patient Education and Counseling (2019). DOI: 10.1016/j.pec.2019.05.006 5. Florian Steger, Giovanni Rubei: Selbst – oder bestimmt? Illusionen und Realitäten des Medizinrechts (1). Baden Baden: Nomos Verlagsgesellschaften mbH & Co.KG (2017). 6. Tom L. Beauchamp, James F.: Childress Principles of Biophysician Ethics. 6th edn. In Ethik in der Medizin 22 (2), pp. 171–173 (2009). 7. Zheng, Jia-Ping et al.: Three-Dimensional Printed Skull Base Simulation for Transnasal Endoscopic Surgical Training. In World neurosurgery 1,11 (2018). DOI: 10.1016/j.wneu.2017.12.169 8. Zangemeister C: Nutzwertanalyse in der Systemtechnik: Eine Methodik zur multidimensionalen Bewertung und Auswahl von Projektalternativen. 5th edn. Zangemeister und Partner, München (2014) 9. Duda, S. et al.: 3D-Druck anatomischer Modelle als Mittel der Bildgebung neurochirurgischer Mikroanatomie. Poster presentation on the 26th working committee. „Arbeitskreises der chirurgisch tätigen Sanitätsoffiziere“ (ARCHIS). Ulm (2019). 10. Fette, M.; Duda, S.: Distributive Wege in der Neurochirurgie durch AM-Technologien. Recital at the 3th Additive Manufacturing Forum. Berlin (

Conference: SAMPE NEXUS 2021

Publication Date: 2021/06/29

SKU: TP21-0000000587

Pages: 10

Price: FREE