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Three-dimensional intracranial middle cerebral artery aneurysm models for aneurysm surgery and training.
J Clin Neurosci 2018; 50:77-82JC

Abstract

To develop a realistic model of middle cerebral artery (MCA) aneurysms using three-dimensional (3D) printing for surgical planning, research, and training of neurosurgical residents. This study included eight MCA aneurysm cases. The aneurysm together with the adjacent arteries and skull base were printed based on raw computed tomography angiography (CTA) data using a 3D printer with acrylonitrile-butadiene-styrene as the model material. The aneurysm models were used for surgical planning, and craniotomy and clipping practice by neurosurgical residents. Feedback was obtained using a survey. 3D aneurysm models were created for all seven MCA aneurysm patients. There was good agreement in the model aneurysm diameter, width, and neck and the CTA data, with no significant difference (p > 0.05) among the groups. The simulator was useful for choosing the clips to use before surgery. The average response to each of the survey questions was greater than 3.85 (range 3.0-5.0) on a five-point scale. The 3D printed MCA aneurysm models were accurate. Simulation and practice using the 3D models was useful for understanding the aneurysm structure and choosing the clips to use before surgery, especially for junior neurosurgeons.

Authors+Show Affiliations

Department of Neurosurgery, Beijing Tian Tan Hospital, Capital Medical Univerisity, Beijing, China; Beijing Translational Engineering Enter for 3D Printer in Clinical Neuroscience, Beijing, China; China National Clinical Research Center for Neurological Diseases, Beijing, China; Department of Neurosurgery, Peking University International Hospital, Beijing, China; Department of Neurosurgery, Tianjin Fifth Center Hospital, Tianjin, China.Department of Neurosurgery, Beijing Tian Tan Hospital, Capital Medical Univerisity, Beijing, China; Beijing Translational Engineering Enter for 3D Printer in Clinical Neuroscience, Beijing, China; China National Clinical Research Center for Neurological Diseases, Beijing, China.Department of Neurosurgery, Beijing Tian Tan Hospital, Capital Medical Univerisity, Beijing, China; Beijing Translational Engineering Enter for 3D Printer in Clinical Neuroscience, Beijing, China; China National Clinical Research Center for Neurological Diseases, Beijing, China.Department of Neurosurgery, Beijing Tian Tan Hospital, Capital Medical Univerisity, Beijing, China; Beijing Translational Engineering Enter for 3D Printer in Clinical Neuroscience, Beijing, China; China National Clinical Research Center for Neurological Diseases, Beijing, China.Department of Neurosurgery, Beijing Tian Tan Hospital, Capital Medical Univerisity, Beijing, China; Beijing Translational Engineering Enter for 3D Printer in Clinical Neuroscience, Beijing, China; China National Clinical Research Center for Neurological Diseases, Beijing, China.Department of Neurosurgery, Beijing Tian Tan Hospital, Capital Medical Univerisity, Beijing, China; Beijing Translational Engineering Enter for 3D Printer in Clinical Neuroscience, Beijing, China; China National Clinical Research Center for Neurological Diseases, Beijing, China.Department of Neurosurgery, Beijing Tian Tan Hospital, Capital Medical Univerisity, Beijing, China; Beijing Translational Engineering Enter for 3D Printer in Clinical Neuroscience, Beijing, China; China National Clinical Research Center for Neurological Diseases, Beijing, China. Electronic address: zhaoyuanli@pkuih.edu.cn.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

29439905

Citation

Wang, Liang, et al. "Three-dimensional Intracranial Middle Cerebral Artery Aneurysm Models for Aneurysm Surgery and Training." Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia, vol. 50, 2018, pp. 77-82.
Wang L, Ye X, Hao Q, et al. Three-dimensional intracranial middle cerebral artery aneurysm models for aneurysm surgery and training. J Clin Neurosci. 2018;50:77-82.
Wang, L., Ye, X., Hao, Q., Ma, L., Chen, X., Wang, H., & Zhao, Y. (2018). Three-dimensional intracranial middle cerebral artery aneurysm models for aneurysm surgery and training. Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia, 50, pp. 77-82. doi:10.1016/j.jocn.2018.01.074.
Wang L, et al. Three-dimensional Intracranial Middle Cerebral Artery Aneurysm Models for Aneurysm Surgery and Training. J Clin Neurosci. 2018;50:77-82. PubMed PMID: 29439905.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Three-dimensional intracranial middle cerebral artery aneurysm models for aneurysm surgery and training. AU - Wang,Liang, AU - Ye,Xun, AU - Hao,Qiang, AU - Ma,Li, AU - Chen,Xiaolin, AU - Wang,Hao, AU - Zhao,Yuanli, Y1 - 2018/02/10/ PY - 2017/08/05/received PY - 2017/12/02/revised PY - 2018/01/18/accepted PY - 2018/2/15/pubmed PY - 2018/8/15/medline PY - 2018/2/15/entrez KW - Aneurysm KW - Middle cerebral artery KW - Surgery simulator KW - Three-dimensional printing SP - 77 EP - 82 JF - Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia JO - J Clin Neurosci VL - 50 N2 - To develop a realistic model of middle cerebral artery (MCA) aneurysms using three-dimensional (3D) printing for surgical planning, research, and training of neurosurgical residents. This study included eight MCA aneurysm cases. The aneurysm together with the adjacent arteries and skull base were printed based on raw computed tomography angiography (CTA) data using a 3D printer with acrylonitrile-butadiene-styrene as the model material. The aneurysm models were used for surgical planning, and craniotomy and clipping practice by neurosurgical residents. Feedback was obtained using a survey. 3D aneurysm models were created for all seven MCA aneurysm patients. There was good agreement in the model aneurysm diameter, width, and neck and the CTA data, with no significant difference (p > 0.05) among the groups. The simulator was useful for choosing the clips to use before surgery. The average response to each of the survey questions was greater than 3.85 (range 3.0-5.0) on a five-point scale. The 3D printed MCA aneurysm models were accurate. Simulation and practice using the 3D models was useful for understanding the aneurysm structure and choosing the clips to use before surgery, especially for junior neurosurgeons. SN - 1532-2653 UR - https://www.unboundmedicine.com/medline/citation/29439905/Three_dimensional_intracranial_middle_cerebral_artery_aneurysm_models_for_aneurysm_surgery_and_training_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0967-5868(17)31449-2 DB - PRIME DP - Unbound Medicine ER -