PDF(Pubmed)
Abstract：
The use of 3D-printed models in simulation-based training and planning for vascular surgery is gaining interest. This study aims to provide an overview of the current applications of 3D-printing technologies in vascular surgery. We performed a systematic review by searching four databases: PubMed, Web of Science, Scopus, and Cochrane Library (last search: 1 March 2024). We included studies considering the treatment of vascular stenotic/occlusive or aneurysmal diseases. We included papers that reported the outcome of applications of 3D-printed models, excluding case reports or very limited case series (≤5 printed models or tests/simulations). Finally, 22 studies were included and analyzed. Computed tomography angiography (CTA) was the primary diagnostic method used to obtain the images serving as the basis for generating the 3D-printed models. Processing the CTA data involved the use of medical imaging software; 3DSlicer (Brigham and Women\'s Hospital, Harvard University, Boston, MA), ITK-Snap, and Mimics (Materialise NV, Leuven, Belgium) were the most frequently used. Autodesk Meshmixer (San Francisco, CA, USA) and 3-matic (Materialise NV, Leuven, Belgium) were the most frequently employed mesh-editing software during the post-processing phase. PolyJet™, fused deposition modeling (FDM), and stereolithography (SLA) were the most frequently employed 3D-printing technologies. Planning and training with 3D-printed models seem to enhance physicians\' confidence and performance levels by up to 40% and lead to a reduction in the procedure time and contrast volume usage to varying extents.
摘要：
3D打印模型在基于模拟的训练和血管手术计划中的使用正在引起人们的兴趣。本研究旨在概述3D打印技术在血管外科中的当前应用。我们通过搜索四个数据库进行了系统评价：PubMed，WebofScience,Scopus,和Cochrane图书馆（最后搜索：2024年3月1日）。我们纳入了考虑治疗血管狭窄/闭塞性或动脉瘤疾病的研究。我们包括报告3D打印模型应用结果的论文，不包括病例报告或非常有限的病例系列(≤5个打印模型或测试/模拟)。最后,纳入并分析了22项研究。计算机断层扫描血管造影（CTA）是用于获取图像的主要诊断方法，作为生成3D打印模型的基础。处理CTA数据涉及使用医学成像软件；3DSlicer(布莱根妇女医院，哈佛大学,波士顿,MA),ITK-Snap,和模仿(物化NV，鲁汶,比利时）是最常用的。AutodeskMeshmixer(旧金山,CA,美国)和3-matic(MaterialiseNV，鲁汶,比利时）是后处理阶段最常用的网格编辑软件。PolyJet™,熔融沉积建模（FDM），和立体光刻（SLA）是最常用的3D打印技术。使用3D打印模型进行规划和培训似乎可以将医生的信心和表现水平提高多达40％，并导致手术时间和造影剂量的使用减少到不同程度。
