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Hospitals Can 3D Print a Patient's Vasculature For Aneurysm Pre-Op Practice (computerworld.com)

Posted by Soulskill on from the practice-makes-not-brain-damage dept.

Lucas123 writes: University of Buffalo physicians and researchers from two institutes working with 3D printer maker Stratasys have successfully 3D-printed anatomically correct models of patients' vascular systems — from their femoral artery to their brain — in order to test various surgical techniques prior to an actual operation. The new 3D printed models not only precisely replicate blood vessels' geometry, but the texture and tissue tension, allowing surgeons a realistic preoperative experience when using catheterization techniques. The printed models are also being used by physicians in training.

21 comments

  1. Time constraints by dotancohen · · Score: 1

    Is the ability to practice on a particular patient really necessary? It seems like the time it would take to do a dry-run is the time that the surgeon could be performing another surgery. If individual patients' vascular systems so different that they cause problems for surgeons, then sure this development is great. But are they all really so different as to justify an expensive and time-consuming test dry run before each operation?

    --
    It is dangerous to be right when the government is wrong.
    1. Re: Time constraints by Anonymous Coward · · Score: 0

      Probably for brain surgery, yes.

    2. Re:Time constraints by Out0fAmmo · · Score: 1

      If it prevents further injury, complications during surgery, or loss of life, than I'd say it's worth it.

    3. Re:Time constraints by Anonymous Coward · · Score: 0

      If individual patients' vascular systems so different that they cause problems for surgeons, then sure this development is great.

      There is a surprising amount of heterogeneity inside people. I wouldn't expect this system to be used routinely, but definitely in cases where the vasculature/etc. is atypical at some level.

    4. Re:Time constraints by Anonymous Coward · · Score: 4, Interesting

      Is the ability to practice on a particular patient really necessary? It seems like the time it would take to do a dry-run is the time that the surgeon could be performing another surgery.

      For lack of a better analogy, imagine if air travel involved teleporting from your living room to an airplane seat, rather than an hour drive/parking to the airport, arriving two hours ahead for security, half an hour to pick up your luggage at the other end, etc...

      The time to perform a dry run is also a lot less than the time associated with the actual surgery. There's no actual patient to deal with. No anaesthesiology. No prep. No worries about sterility. No patient to get complications that might require further intervention. Etc... and the surgeon in this case is already spending a fair bit of quality time with radiographs and/or 3d-rendered models of the aneurysm in question in order to figure out the best way in/out of it. (And to further abuse the travel analogy, the big veins in the legs and the neck are mostly the same, but once you get off the highway after having left the airport, every trip is unique. Cerebral vascular surgery is very much a last-mile problem.)

    5. Re:Time constraints by Anonymous Coward · · Score: 0

      Where do you draw the line? If it takes a full week to do and costs a billion dollars, is it still worth it? How many other people suffered and died for one to live?

      People like to try and be all high and mighty when it comes to saving lives, making all kinds of claims about how no price is too high to save a life. These people never seem to be the ones paying the bill.

    6. Re:Time constraints by mikael · · Score: 1

      That's the whole problem with aneurysms. What was an simple hot large pipe supplying blood to the brain, had lost strength, started to disintegrate, split apart, and turn into a balloon bubble until it's in a highly unstable state. When it finally blows apart, the patient will either end up paralyzed or dead. There is only one chance to get it right. Some solutions involve trying to block off the end, others involve filling the cavity with some kind of filler than reduces pressure so that it deflates by itself. Get the treatment wrong and it explodes.

      --
      Vintage computer adverts: http://www.vintageadbrowser.com/computers-and-software-ads
    7. Re:Time constraints by Out0fAmmo · · Score: 1

      That's an absurd hypothetical situation. If the patient or insurance company is willing to pay for it, or if the doctors have the funds to buy it and perform the work as part of their standard procedures, how are any other patients negatively affected? Advances in medical technology are not zero-sum games. And no, no price is too high to save a life. There's no mention of the cost, but it only took them one day to do the scanning and printing. If that was my wife or mother undergoing that surgery, you'd bet I'd want the doctor to use every method available to increase the odds of success.

    8. Re: Time constraints by Anonymous Coward · · Score: 0

      Depends. One Percenters' lives are of course priceless and must be saved at all costs. The world cannot exist without a Ruling Elite. Have-nots, on the other hand, not only are in over-abundance but are soon to be made obsolete by widespread automation. The sooner their numbers start to dwindle, the better. It's all a matter of costs-benefits.

    9. Re:Time constraints by dotancohen · · Score: 1

      I see, thanks. Your last sentence summed it up pretty well.

      --
      It is dangerous to be right when the government is wrong.
    10. Re: Time constraints by Anonymous Coward · · Score: 0

      I am well within the 1% group. I wear a DNR bracelet and have the appropriate forms filled out with my doctor, the local EMT service, the fire department, and the sheriff's office. The strange assumptions you make and broad strokes that you brush with mean you miss the finer details and are frequently wrong. If that's the position that you choose to take then, by all means, you are free to be wrong as often as you like. However, the rest of the world will ignore you and any legitimate complaints that you might have because you're frothing at the mouth, inarticulate, and incorrect.

    11. Re:Time constraints by Anonymous Coward · · Score: 0

      I believe that the basket device he mentions is from Sequent Medical, this device is in the trial phase and FDA requires a dry run before treatment. I believe that 3D printing should be used only for unfavorable anatomy, children or devices in trial phases.
      Concerning time, since I have experience with the 3D printing, I can say that a small model like that takes less than an hour to produce, however it requires a biomedical engineer or equivalent on board. Also dry run runs take less time and $ than a malpractice processes.

  2. More 3d printing hype by Anonymous Coward · · Score: 0

    Any idiot could see this technology is only good for printing plastic trinkets! Slowly too.

    1. Re:More 3d printing hype by Anonymous Coward · · Score: 0

      But that's all this is. It's only relevant for a few people for a short time.

      Where are all the amazing things we were promised? The 3D printed cars and houses and all the other mindless nonsense?

      Sure, great, we can 3D print some plastic parts, some factories use something that people call 3D printing.

      In the meantime, nothing has changed in my or your life.

    2. Re:More 3d printing hype by Anonymous Coward · · Score: 0

      Where are all the amazing things we were promised? The 3D printed cars and houses and all the other mindless nonsense?

      I have a better question: Where are those "promises" you're alluding to?

  3. The real money... by Anonymous Coward · · Score: 0

    Would be in 3d-printed supermodels with all the texture intact.

  4. Sometimes by Etherwalk · · Score: 1

    Is the ability to practice on a particular patient really necessary? It seems like the time it would take to do a dry-run is the time that the surgeon could be performing another surgery. If individual patients' vascular systems so different that they cause problems for surgeons, then sure this development is great. But are they all really so different as to justify an expensive and time-consuming test dry run before each operation?

    It probably depends on how good the scans are, and if they're good enough then cases far outside the norm can be practiced on first. Maybe you are operating on someone with a lot of scar tissue from badly done prior operations--that can be hard and it might be better to practice first. Maybe you are operating on someone heavier than anyone you've operated on by a hundred pounds. Maybe you are dealing with something fairly obscure and there are only a dozen cases in the medical literature, so you've never done it. Maybe you are doing something that hasn't been done in a long time because of changing demographics.

    And maybe you are dealing with a surgery where the odds of long-term survival are 10% better if you try it on a simulation first. We don't know until we run some experiments. So let's run some experiments, especially on hard types of surgery like for pancreatic and intestinal cancer, or neurosurgery.

  5. Slashdot 3D prints... by Anonymous Coward · · Score: 0

    ....an exact duplicate of elon musk's rear end, offer it for sale via bitcoin. With UX.

    RIP slasdot

  6. Finally something interesting! by KlomDark · · Score: 1

    This for the first time is a solid application of 3D printing, rather than the over-hyped gimmicks of the 3D printing enthusiasts, we are getting something that directly saves lives. Awesome!

    1. Re:Finally something interesting! by Anonymous Coward · · Score: 0

      There was another. A doctor was able to 3D print serviceable stethoscopes. While the naysayers here scoffed at it, the current solution was using a cup. They are in use currently and, it would seem, quite useful and beneficial.