Pub Date : 2025-03-20DOI: 10.1016/j.stlm.2025.100197
S van der Westhuizen , JT Janson , RF Nel , WB du Preez , GJ Booysen
{"title":"A neo-sternal reconstruction using titanium additive manufacturing; a South African case report","authors":"S van der Westhuizen , JT Janson , RF Nel , WB du Preez , GJ Booysen","doi":"10.1016/j.stlm.2025.100197","DOIUrl":"10.1016/j.stlm.2025.100197","url":null,"abstract":"","PeriodicalId":72210,"journal":{"name":"Annals of 3D printed medicine","volume":"18 ","pages":"Article 100197"},"PeriodicalIF":0.0,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143705695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-03-05DOI: 10.1016/j.stlm.2025.100196
Lana Bautz , Oluwabusayo A. Oni , Tamim Sarwar , Hivnu Toraman , Olav Jansen , Jan-Bernd Hövener , Naomi Larsen , Mariya S. Pravdivtseva
Background
Intracranial aneurysms (IAs) are preventively treated with flow-diverting stents (FDs), but complications persist, necessitating safer, customized FDs. While 4D flow magnetic resonance imaging (MRI) can evaluate FD treatment efficiency, metal artifacts from FDs compromise flow assessments.
Purpose
This study developed a protocol for fabricating 3D-printed FD replicas to test customized FDs and support MR imaging development by providing a metal-free testing platform.
Methods
Simplified mesh models with varying wire diameters (0.05–0.5 mm) and cell lengths (0.07–4.74 mm) were 3D printed using stereolithography and tested under gravity. A patient-specific aneurysm model was created, with 3D-printed FDs featuring 6, 16, and 20 wires covering the aneurysm entrance. Flow reduction caused by 3D printed FDs was evaluated with 4D flow MRI and compared to a commercial FD.
Results
Printable meshes had wire diameters ≥ 0.05 mm, with porosities over 14 % ensuring permeability. Lower porosities reduced gravity flow (4.93 ml/s vs. 28.57 ml/s for 14 % and 54 % porosity). Only wire sizes of 0.25 mm and 0.5 mm were accurately 3D-printed. The 3D-printed FDs reduced flow into the aneurysm sac without metal artifacts on MR images. The 20-wire FD fully occluded aneurysm flow, while the 16-wire and 6-wire FDs achieved 94 % and 76 % reductions, comparable to the 65 % reduction of the commercial FD.
Conclusion
The proposed workflow enables efficient 3D printing of FD replicas that match commercial FDs in performance. These 3D-printed FDs can optimize initial design parameters and support artifact-free MR imaging development for aneurysm treatment evaluation.
{"title":"Development of 3D-printed flow-diverting stents for studying the effect of aneurysm treatment in vitro","authors":"Lana Bautz , Oluwabusayo A. Oni , Tamim Sarwar , Hivnu Toraman , Olav Jansen , Jan-Bernd Hövener , Naomi Larsen , Mariya S. Pravdivtseva","doi":"10.1016/j.stlm.2025.100196","DOIUrl":"10.1016/j.stlm.2025.100196","url":null,"abstract":"<div><h3>Background</h3><div>Intracranial aneurysms (IAs) are preventively treated with flow-diverting stents (FDs), but complications persist, necessitating safer, customized FDs. While 4D flow magnetic resonance imaging (MRI) can evaluate FD treatment efficiency, metal artifacts from FDs compromise flow assessments.</div></div><div><h3>Purpose</h3><div>This study developed a protocol for fabricating 3D-printed FD replicas to test customized FDs and support MR imaging development by providing a metal-free testing platform.</div></div><div><h3>Methods</h3><div>Simplified mesh models with varying wire diameters (0.05–0.5 mm) and cell lengths (0.07–4.74 mm) were 3D printed using stereolithography and tested under gravity. A patient-specific aneurysm model was created, with 3D-printed FDs featuring 6, 16, and 20 wires covering the aneurysm entrance. Flow reduction caused by 3D printed FDs was evaluated with 4D flow MRI and compared to a commercial FD.</div></div><div><h3>Results</h3><div>Printable meshes had wire diameters ≥ 0.05 mm, with porosities over 14 % ensuring permeability. Lower porosities reduced gravity flow (4.93 ml/s vs. 28.57 ml/s for 14 % and 54 % porosity). Only wire sizes of 0.25 mm and 0.5 mm were accurately 3D-printed. The 3D-printed FDs reduced flow into the aneurysm sac without metal artifacts on MR images. The 20-wire FD fully occluded aneurysm flow, while the 16-wire and 6-wire FDs achieved 94 % and 76 % reductions, comparable to the 65 % reduction of the commercial FD.</div></div><div><h3>Conclusion</h3><div>The proposed workflow enables efficient 3D printing of FD replicas that match commercial FDs in performance. These 3D-printed FDs can optimize initial design parameters and support artifact-free MR imaging development for aneurysm treatment evaluation.</div></div>","PeriodicalId":72210,"journal":{"name":"Annals of 3D printed medicine","volume":"18 ","pages":"Article 100196"},"PeriodicalIF":0.0,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143621249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-25DOI: 10.1016/j.stlm.2025.100195
Mishel Manashirov , Ran Brauner , Yarden Mor , Guy Raphaeli , Sagi Harnof , Alain Perlow , Eitan Auriel , Michael Findler
Background
Intracranial aneurysms are abnormal dilatations of arteries in the brain, often necessitating intricate endovascular interventions. Preoperative planning using 3D-printed models can enhance the understanding of complex aneurysm anatomy and improve treatment strategies. This study aims to evaluate the impact of patient-specific 3D-printed aneurysm models on procedural planning, treatment efficacy, and clinical outcomes.
Methods
We conducted a retrospective analysis of patients treated for non-ruptured intracranial aneurysms at our institution between 2021 and 2023. Nine patients underwent preoperative simulation using 3D-printed models, while 32 patients received standard care without simulation. The vascular models were created using 3D Slicer for segmentation and Meshmixer for model refinement. The simulations were performed on a biplane Allura system. Data on demographics, aneurysm characteristics, hospitalization duration, procedure times, treatment changes, and unused materials were collected and analyzed using SPSS software. Statistical significance was assessed with independent one-tail t-tests, with a p-value < 0.05 considered significant.
Results
The experimental group (nine patients) showed a trend towards reduced procedure times compared to the control group (126 ± 48 mins vs. 142 ± 68 mins, p = 0.253). There was no significant difference in mean hospitalization days between the groups (4 ± 0.9 days vs. 4 ± 1.7 days, p = 0.502). Interestingly, the treatment strategy was altered in four cases based on 3D simulation insights. The 3D simulation group also experienced fewer procedural complications (22.2 % vs. 31.2 %).
Conclusions
simulation using 3D-printed models shows potential in enhancing procedural planning and reducing complication rates in the treatment of intracranial aneurysms. While the study did not demonstrate statistically significant differences in procedure time and hospitalization days, the observed trends and changes in treatment strategies suggest that 3D printing technology can provide valuable insights for neurointerventionists. Further research with larger sample sizes and prospective designs is warranted to validate these findings and establish standardized protocols for integrating 3D printing into clinical practice.
背景:颅内动脉瘤是脑部动脉的异常扩张,通常需要复杂的血管内介入治疗。使用3d打印模型进行术前规划可以增强对复杂动脉瘤解剖结构的理解并改进治疗策略。本研究旨在评估患者特异性3d打印动脉瘤模型对手术计划、治疗效果和临床结果的影响。方法回顾性分析我院2021年至2023年收治的未破裂颅内动脉瘤患者。9例患者术前使用3d打印模型进行模拟,32例患者接受标准护理,未进行模拟。血管模型创建使用3D切片器分割和网格混合器模型细化。在双翼Allura系统上进行了仿真。统计数据、动脉瘤特征、住院时间、手术次数、治疗改变和未使用材料等数据收集并使用SPSS软件进行分析。采用独立单尾t检验评估统计学显著性,p值为<;0.05认为显著。结果实验组(9例)手术时间明显少于对照组(126±48 min vs 142±68 min, p = 0.253)。两组患者平均住院天数差异无统计学意义(4±0.9天vs. 4±1.7天,p = 0.502)。有趣的是,根据3D模拟结果,有4例患者的治疗策略发生了改变。3D模拟组也经历了更少的手术并发症(22.2%比31.2%)。结论3d打印模型在颅内动脉瘤治疗中具有提高手术计划和降低并发症发生率的潜力。虽然该研究没有显示手术时间和住院天数的统计学差异,但观察到的治疗策略趋势和变化表明,3D打印技术可以为神经介入医生提供有价值的见解。进一步的研究需要更大的样本量和前瞻性设计来验证这些发现,并建立将3D打印整合到临床实践的标准化协议。
{"title":"3D printed aneurysm training before treatment: A case control retrospective study","authors":"Mishel Manashirov , Ran Brauner , Yarden Mor , Guy Raphaeli , Sagi Harnof , Alain Perlow , Eitan Auriel , Michael Findler","doi":"10.1016/j.stlm.2025.100195","DOIUrl":"10.1016/j.stlm.2025.100195","url":null,"abstract":"<div><h3>Background</h3><div>Intracranial aneurysms are abnormal dilatations of arteries in the brain, often necessitating intricate endovascular interventions. Preoperative planning using 3D-printed models can enhance the understanding of complex aneurysm anatomy and improve treatment strategies. This study aims to evaluate the impact of patient-specific 3D-printed aneurysm models on procedural planning, treatment efficacy, and clinical outcomes.</div></div><div><h3>Methods</h3><div>We conducted a retrospective analysis of patients treated for non-ruptured intracranial aneurysms at our institution between 2021 and 2023. Nine patients underwent preoperative simulation using 3D-printed models, while 32 patients received standard care without simulation. The vascular models were created using 3D Slicer for segmentation and Meshmixer for model refinement. The simulations were performed on a biplane Allura system. Data on demographics, aneurysm characteristics, hospitalization duration, procedure times, treatment changes, and unused materials were collected and analyzed using SPSS software. Statistical significance was assessed with independent one-tail <em>t</em>-tests, with a p-value < 0.05 considered significant.</div></div><div><h3>Results</h3><div>The experimental group (nine patients) showed a trend towards reduced procedure times compared to the control group (126 ± 48 mins vs. 142 ± 68 mins, <em>p</em> = 0.253). There was no significant difference in mean hospitalization days between the groups (4 ± 0.9 days vs. 4 ± 1.7 days, <em>p</em> = 0.502). Interestingly, the treatment strategy was altered in four cases based on 3D simulation insights. The 3D simulation group also experienced fewer procedural complications (22.2 % vs. 31.2 %).</div></div><div><h3>Conclusions</h3><div>simulation using 3D-printed models shows potential in enhancing procedural planning and reducing complication rates in the treatment of intracranial aneurysms. While the study did not demonstrate statistically significant differences in procedure time and hospitalization days, the observed trends and changes in treatment strategies suggest that 3D printing technology can provide valuable insights for neurointerventionists. Further research with larger sample sizes and prospective designs is warranted to validate these findings and establish standardized protocols for integrating 3D printing into clinical practice.</div></div>","PeriodicalId":72210,"journal":{"name":"Annals of 3D printed medicine","volume":"18 ","pages":"Article 100195"},"PeriodicalIF":0.0,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143549260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-08DOI: 10.1016/j.stlm.2025.100193
Muhammad Ikhwan Nugraha , Waleed K. Ahmed , Agung Shamsuddin Saragih
Objective
Injuries or fractures in the proximal interphalangeal (PIP) region can be managed through various methods, including surgical pins, finger splint immobilizers, casts, or buddy taping, depending on the physician's recommendation. When a splint immobilizer is selected, the currently available market options, such as aluminum finger splints (Product A) and finger corrector splints (Product B), exhibit limitations in their usability during water-related activities. To address these limitations, this study aims to develop a finger splint immobilizer (FSI) utilizing cost-effective 3D printed and recyclable PETG (Polyethylene Terephthalate Glycol) materials.
Participants
Thirty healthy respondents will wear three types of finger splints—namely, the 3D printed prototype, Product A and Product B—on their ring fingers for 24 hours.
Benchmarking
The comfort level of the splints will be assessed using a structured questionnaire. Additionally, the production cost of the 3D-printed prototype will be evaluated by measuring electrical consumption and filament usage. These costs will then be compared to the prices of Product A and Product B.
Results
The average comfort rating for washing activities was 2.76 for the 3D-printed splint. At the same time, Product A received a rating of 3.23, and Product B was rated at 2.67, using a scale where 1 indicates the least difficulty and 5 indicates the most difficulty. This suggests that the comfort level of the 3D-printed splint is comparable to that of Product B and superior to that of Product A for water-related daily activities. Additionally, the production cost of the 3D printed prototype was only 0.093 USD, whereas Product A was priced at 1,23 USD and Product B at 0.93 USD.
Conclusion
The findings of this study add to the potential of 3D printing technology in the medical field, particularly in the development of medical devices tailored to various individual patient needs. The use of PETG not only enhances the mechanical properties of the splint but also promotes sustainability through its recyclability. Future research is recommended to investigate the long-term effectiveness and user satisfaction of the 3D-printed finger splint in clinical settings further and explore the potential for expanding this technology to other medical applications.
{"title":"Development of a 3D-printed Finger Splint Immobilizer for comfortable treatment of Proximal Interphalangeal Joint Injuries","authors":"Muhammad Ikhwan Nugraha , Waleed K. Ahmed , Agung Shamsuddin Saragih","doi":"10.1016/j.stlm.2025.100193","DOIUrl":"10.1016/j.stlm.2025.100193","url":null,"abstract":"<div><h3>Objective</h3><div>Injuries or fractures in the proximal interphalangeal (PIP) region can be managed through various methods, including surgical pins, finger splint immobilizers, casts, or buddy taping, depending on the physician's recommendation. When a splint immobilizer is selected, the currently available market options, such as aluminum finger splints (Product A) and finger corrector splints (Product B), exhibit limitations in their usability during water-related activities. To address these limitations, this study aims to develop a finger splint immobilizer (FSI) utilizing cost-effective 3D printed and recyclable PETG (Polyethylene Terephthalate Glycol) materials.</div></div><div><h3>Participants</h3><div>Thirty healthy respondents will wear three types of finger splints—namely, the 3D printed prototype, Product A and Product B—on their ring fingers for 24 hours.</div></div><div><h3>Benchmarking</h3><div>The comfort level of the splints will be assessed using a structured questionnaire. Additionally, the production cost of the 3D-printed prototype will be evaluated by measuring electrical consumption and filament usage. These costs will then be compared to the prices of Product A and Product B.</div></div><div><h3>Results</h3><div>The average comfort rating for washing activities was 2.76 for the 3D-printed splint. At the same time, Product A received a rating of 3.23, and Product B was rated at 2.67, using a scale where 1 indicates the least difficulty and 5 indicates the most difficulty. This suggests that the comfort level of the 3D-printed splint is comparable to that of Product B and superior to that of Product A for water-related daily activities. Additionally, the production cost of the 3D printed prototype was only 0.093 USD, whereas Product A was priced at 1,23 USD and Product B at 0.93 USD.</div></div><div><h3>Conclusion</h3><div>The findings of this study add to the potential of 3D printing technology in the medical field, particularly in the development of medical devices tailored to various individual patient needs. The use of PETG not only enhances the mechanical properties of the splint but also promotes sustainability through its recyclability. Future research is recommended to investigate the long-term effectiveness and user satisfaction of the 3D-printed finger splint in clinical settings further and explore the potential for expanding this technology to other medical applications.</div></div>","PeriodicalId":72210,"journal":{"name":"Annals of 3D printed medicine","volume":"20 ","pages":"Article 100193"},"PeriodicalIF":0.0,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145362701","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-07DOI: 10.1016/j.stlm.2025.100194
Mynmayh Khamvongsa , Kent Milton , Tanvir R. Faisal
Bone tissue engineering has gained popularity as a potential alternative in bone defect treatment, where the synthetic graft can be generated by a 3D biomaterial framework (scaffold) that yields shape and initial mechanical strength to facilitate cell bone formation. Biopolymer-based, Poly Lactic Acid (PLA)/Hydroxyapatite (HA) scaffolds were found to have a similar structure, composition, and mechanical properties as natural bone. The objective of this work was to fabricate 3D scaffolds with PLA and HA using a low-cost fabrication process such as Fused Deposition Modeling (FDM), which can be used to construct scaffolds tailored to an individual's specific need in a controlled and customizable process. The study primarily focuses on the synthesis, and mechanical and morphological characterization of PLA/HA filament and its scaffolds. The fabricated 3D printed PLA/HA scaffolds had an interconnected and highly porous structure, resembling natural bone porosity. The addition of HA had a significant effect on the PLA/HA composites although there are no notable differences in mechanical properties between 10–15 % PLA/HA composites. The microstructural morphology of the PLA and PLA/HA composite filaments observed under Scanning Electron Microscopy (SEM) showed a relatively well mixed and homogenous mixture and Energy-dispersive X-ray Spectroscopy (EDS) testing of the filaments’ surface topography further showed a mostly homogeneous presence of HA throughout. The 3D printed scaffolds showed a larger pore size due to the inclusion of HA. Additionally, with the increased percentage of HA, the pores became more uneven and irregular. The preliminary results of this study show a promising potential for personalized scaffold design for bone tissue regeneration.
{"title":"Mechanical characterization of low-cost 3D FDM printed scaffolds fabricated with synthesized PLA/HA bio-composite filament","authors":"Mynmayh Khamvongsa , Kent Milton , Tanvir R. Faisal","doi":"10.1016/j.stlm.2025.100194","DOIUrl":"10.1016/j.stlm.2025.100194","url":null,"abstract":"<div><div>Bone tissue engineering has gained popularity as a potential alternative in bone defect treatment, where the synthetic graft can be generated by a 3D biomaterial framework (scaffold) that yields shape and initial mechanical strength to facilitate cell bone formation. Biopolymer-based, Poly Lactic Acid (PLA)/Hydroxyapatite (HA) scaffolds were found to have a similar structure, composition, and mechanical properties as natural bone. The objective of this work was to fabricate 3D scaffolds with PLA and HA using a low-cost fabrication process such as Fused Deposition Modeling (FDM), which can be used to construct scaffolds tailored to an individual's specific need in a controlled and customizable process. The study primarily focuses on the synthesis, and mechanical and morphological characterization of PLA/HA filament and its scaffolds. The fabricated 3D printed PLA/HA scaffolds had an interconnected and highly porous structure, resembling natural bone porosity. The addition of HA had a significant effect on the PLA/HA composites although there are no notable differences in mechanical properties between 10–15 % PLA/HA composites. The microstructural morphology of the PLA and PLA/HA composite filaments observed under Scanning Electron Microscopy (SEM) showed a relatively well mixed and homogenous mixture and Energy-dispersive X-ray Spectroscopy (EDS) testing of the filaments’ surface topography further showed a mostly homogeneous presence of HA throughout. The 3D printed scaffolds showed a larger pore size due to the inclusion of HA. Additionally, with the increased percentage of HA, the pores became more uneven and irregular. The preliminary results of this study show a promising potential for personalized scaffold design for bone tissue regeneration.</div></div>","PeriodicalId":72210,"journal":{"name":"Annals of 3D printed medicine","volume":"18 ","pages":"Article 100194"},"PeriodicalIF":0.0,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143387340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This study aims to 3D print customized dental models using a multi-material 3D printer that can mimic natural human teeth. The model consists of a detailed tooth with adequate radiopacity and pulp cavity which will be used for preclinical endodontic training.
Methods
A radiopaque resin with varying barium sulfate (BaSO₄) ratios was synthesized to optimize printability and radiopacity. The artificial tooth with a pulp cavity was created from micro-computed tomography (micro-CT) data and printed using a multi-resin 3D printer, employing clinical A2 resin (AA-Temp) for the tooth body and soft red resin for the pulp. Periapical radiography evaluated the radiopacity, and the effect of BaSO₄ on resin viscosity and hardness was measured.
Results
Experimental results show that adding a 10% weight ratio of BaSO₄ in A2 resin can obtain the highest radiopacity of the printed tooth. Furthermore, the study successfully fabricated incisor and molar tooth models for preclinical endodontic training which closely matched the natural human tooth in terms of appearance, size, and shape.
Originality and significance
The multi-material 3D printing technology that is capable of fabricating hard and soft parts of the tooth is self-developed. Furthermore, two training models were successfully framed for students to get hands-on experience in root canal treatment of incisor and molar teeth. The enhanced confidence gained by training on the 3D-printed tooth that closely matches the characteristics of a natural human tooth would increase the clinical success rate.
{"title":"Multi-resin 3D printing of radiopaque customized artificial tooth for revolutionizing preclinical training on root canal treatment","authors":"Yi-Ching Ho , Wan-Rong Jiang , Yulius Shan Romario , Chinmai Bhat , Maziar Ramezani , Cho-Pei Jiang","doi":"10.1016/j.stlm.2025.100187","DOIUrl":"10.1016/j.stlm.2025.100187","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aims to 3D print customized dental models using a multi-material 3D printer that can mimic natural human teeth. The model consists of a detailed tooth with adequate radiopacity and pulp cavity which will be used for preclinical endodontic training.</div></div><div><h3>Methods</h3><div>A radiopaque resin with varying barium sulfate (BaSO₄) ratios was synthesized to optimize printability and radiopacity. The artificial tooth with a pulp cavity was created from micro-computed tomography (micro-CT) data and printed using a multi-resin 3D printer, employing clinical A2 resin (AA-Temp) for the tooth body and soft red resin for the pulp. Periapical radiography evaluated the radiopacity, and the effect of BaSO₄ on resin viscosity and hardness was measured.</div></div><div><h3>Results</h3><div>Experimental results show that adding a 10% weight ratio of BaSO₄ in A2 resin can obtain the highest radiopacity of the printed tooth. Furthermore, the study successfully fabricated incisor and molar tooth models for preclinical endodontic training which closely matched the natural human tooth in terms of appearance, size, and shape.</div></div><div><h3>Originality and significance</h3><div>The multi-material 3D printing technology that is capable of fabricating hard and soft parts of the tooth is self-developed. Furthermore, two training models were successfully framed for students to get hands-on experience in root canal treatment of incisor and molar teeth. The enhanced confidence gained by training on the 3D-printed tooth that closely matches the characteristics of a natural human tooth would increase the clinical success rate.</div></div>","PeriodicalId":72210,"journal":{"name":"Annals of 3D printed medicine","volume":"17 ","pages":"Article 100187"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143141750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1016/j.stlm.2025.100189
Lucille de Bengy-Puyvallée , David Poisbleau , Francois Herman , Elisabeth Cobraiville , Jean-Philippe Giot , Loric Galmard
Osteomas are benign, well-differentiated bony tumors characterized by gradual progression, commonly observed within the craniofacial skeleton. This case report aims at describing the successful surgical treatment of giant frontal osteomas thanks to additive manufacturing technologies. The osteomas were located on the external table of the parietal and frontal bones with complete invasion of the anterior wall of the right frontal sinus. Resection was performed with the help of three 3D printed surgical cutting guides to prevent damaging the inter-sinus septum, the right orbital roof and the posterior wall of the frontal sinus. Anterior frontal sinus wall was reconstructed with a 3D printed hydroxyapatite patient-specific implant called MyBone Custom Implant (MBCI). The 3D planning and accuracy of the additive manufacturing tools enabled to obtain good bone contacts. Ossification of the edges of the MBCI is visible on the six-month postoperative scans. The outcome of this reconstruction proved highly satisfactory both in terms of aesthetic results as well as restoring the bone integrity.
{"title":"Voluminous fronto-parietal osteomas: Guided resection with patient-specific cutting guides and reconstruction with a 3D printed hydroxyapatite implant","authors":"Lucille de Bengy-Puyvallée , David Poisbleau , Francois Herman , Elisabeth Cobraiville , Jean-Philippe Giot , Loric Galmard","doi":"10.1016/j.stlm.2025.100189","DOIUrl":"10.1016/j.stlm.2025.100189","url":null,"abstract":"<div><div>Osteomas are benign, well-differentiated bony tumors characterized by gradual progression, commonly observed within the craniofacial skeleton. This case report aims at describing the successful surgical treatment of giant frontal osteomas thanks to additive manufacturing technologies. The osteomas were located on the external table of the parietal and frontal bones with complete invasion of the anterior wall of the right frontal sinus. Resection was performed with the help of three 3D printed surgical cutting guides to prevent damaging the inter-sinus septum, the right orbital roof and the posterior wall of the frontal sinus. Anterior frontal sinus wall was reconstructed with a 3D printed hydroxyapatite patient-specific implant called MyBone Custom Implant (MBCI). The 3D planning and accuracy of the additive manufacturing tools enabled to obtain good bone contacts. Ossification of the edges of the MBCI is visible on the six-month postoperative scans. The outcome of this reconstruction proved highly satisfactory both in terms of aesthetic results as well as restoring the bone integrity.</div></div>","PeriodicalId":72210,"journal":{"name":"Annals of 3D printed medicine","volume":"17 ","pages":"Article 100189"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143141745","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Three-dimensional (3D) printing technology, introduced by Charles Hull in 1986, has revolutionized prototyping and is increasingly applied in medical fields such as orthopedics, neurosurgery, and cardiac surgery. The technology offers numerous benefits, including reduced surgical complications, cost-effectiveness, and customization of medical devices. This study provides a bibliometric analysis of 3D printing in surgery, highlighting trends, influential countries, and key research contributors.
Objectives
This study aims to analyze the publication landscape of 3D printing in surgery, focusing on key metrics such as annual citation rates, growth trends, citation per year, total citations, source journals, author details, country-wise production, and institutional contributions. The study also aims to explore collaborative patterns at the author, institutional, and country levels and identify core research areas through keyword co-occurrence analysis.
Materials and Methods
Data were collected from the Web of Science (WoS) Core Collection on August 13, 2023, including documents published from 2001 to 2022. A total of 3,230 documents were identified and analyzed using VOSviewer and the Bibliometrix R-package. Inclusion criteria encompassed English-language documents related to 3D printing in surgery, while documents published after December 2022 were excluded.
Results
The analysis revealed a significant annual growth rate of 20.08 % in publications related to 3D printing in surgery, with peak years being 2022, 2021, and 2020. China and the USA dominate the research output, accounting for approximately 50 % of global publications. Shanghai Jiao Tong University and Sichuan University are leading institutions. Collaborative patterns show strong author linkages and international cooperation, particularly between the USA, China, and England. Keyword co-occurrence analysis identified "reconstruction," "accuracy," and "additive manufacturing" as core research areas.
Conclusion
This bibliometric analysis provides a comprehensive overview of the research landscape of 3D printing in surgery, emphasizing this technology's rapid growth and significant impact. The insights gained can guide future research, foster collaborations, and inform policy decisions to advance the field. Leading countries and institutions are crucial in driving scientific discoveries and translating research into clinical practice.
Charles Hull于1986年引入的三维(3D)打印技术已经彻底改变了原型设计,并越来越多地应用于整形外科、神经外科和心脏外科等医疗领域。该技术提供了许多好处,包括减少手术并发症、成本效益和医疗设备定制。本研究提供了3D打印在外科手术中的文献计量分析,突出了趋势、有影响力的国家和主要研究贡献者。本研究旨在分析3D打印在外科领域的出版前景,重点关注年度引用率、增长趋势、年度引用、总引用、来源期刊、作者详细信息、国家/地区产量和机构贡献等关键指标。本研究还旨在探索作者、机构和国家层面的合作模式,并通过关键词共现分析确定核心研究领域。资料与方法数据来源于Web of Science (WoS) Core Collection,检索时间为2023年8月13日,检索时间为2001 - 2022年。使用VOSviewer和Bibliometrix R-package对3230份文献进行了识别和分析。纳入标准包括与手术中3D打印相关的英文文件,而在2022年12月之后发表的文件被排除在外。结果分析显示,与外科3D打印相关的出版物年增长率为20.08%,高峰年份为2022年、2021年和2020年。中国和美国在研究产出方面占主导地位,约占全球出版物的50%。上海交通大学和四川大学是主要院校。合作模式显示出强烈的作者联系和国际合作,特别是在美国、中国和英国之间。关键词共现分析确定了“重构”、“精度”和“增材制造”为核心研究领域。本文献计量学分析提供了3D打印在外科手术中的研究概况,强调了这项技术的快速发展和重大影响。获得的见解可以指导未来的研究,促进合作,并为政策决策提供信息,以推动该领域的发展。领先的国家和机构在推动科学发现和将研究转化为临床实践方面至关重要。
{"title":"A bibliometric analysis of publications in 3D printing in surgery from the web of science database","authors":"Bitesh Kumar , Anjan Kumar Dhua , Mohit Garg , Vishesh Jain , Devendra Kumar Yadav , Prabudh Goel , Sachit Anand , Divya Jain","doi":"10.1016/j.stlm.2025.100188","DOIUrl":"10.1016/j.stlm.2025.100188","url":null,"abstract":"<div><h3>Background</h3><div>Three-dimensional (3D) printing technology, introduced by Charles Hull in 1986, has revolutionized prototyping and is increasingly applied in medical fields such as orthopedics, neurosurgery, and cardiac surgery. The technology offers numerous benefits, including reduced surgical complications, cost-effectiveness, and customization of medical devices. This study provides a bibliometric analysis of 3D printing in surgery, highlighting trends, influential countries, and key research contributors.</div></div><div><h3>Objectives</h3><div>This study aims to analyze the publication landscape of 3D printing in surgery, focusing on key metrics such as annual citation rates, growth trends, citation per year, total citations, source journals, author details, country-wise production, and institutional contributions. The study also aims to explore collaborative patterns at the author, institutional, and country levels and identify core research areas through keyword co-occurrence analysis.</div></div><div><h3>Materials and Methods</h3><div>Data were collected from the Web of Science (WoS) Core Collection on August 13, 2023, including documents published from 2001 to 2022. A total of 3,230 documents were identified and analyzed using VOSviewer and the Bibliometrix R-package. Inclusion criteria encompassed English-language documents related to 3D printing in surgery, while documents published after December 2022 were excluded.</div></div><div><h3>Results</h3><div>The analysis revealed a significant annual growth rate of 20.08 % in publications related to 3D printing in surgery, with peak years being 2022, 2021, and 2020. China and the USA dominate the research output, accounting for approximately 50 % of global publications. Shanghai Jiao Tong University and Sichuan University are leading institutions. Collaborative patterns show strong author linkages and international cooperation, particularly between the USA, China, and England. Keyword co-occurrence analysis identified \"reconstruction,\" \"accuracy,\" and \"additive manufacturing\" as core research areas.</div></div><div><h3>Conclusion</h3><div>This bibliometric analysis provides a comprehensive overview of the research landscape of 3D printing in surgery, emphasizing this technology's rapid growth and significant impact. The insights gained can guide future research, foster collaborations, and inform policy decisions to advance the field. Leading countries and institutions are crucial in driving scientific discoveries and translating research into clinical practice.</div></div>","PeriodicalId":72210,"journal":{"name":"Annals of 3D printed medicine","volume":"17 ","pages":"Article 100188"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143141748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1016/j.stlm.2025.100186
Dhruv Bose , Shubham Gupta , Arnab Chanda
Spinal cord injury (SCI) is one of the most debilitating injuries with no direct cure. Managing SCI thus becomes a critical task for caregivers and most importantly patients, whose lives are severely hindered both physically and psychologically. Injury at different parts of the spine corroborates to partial or complete motor loss at one or more parts of the body. The current paradigm of recuperative techniques aim at effective splinting coupled with a consistent rehabilitation regimen. This work focused on the development of a novel wrist-hand orthosis using 3D printing to aid patients inflicted by C5-C7 SCI which causes loss of motor function at the distal ends of the upper extremity. An optimized development framework was presented to achieve quick production times, scalability, ergonomics and minimal post processing activities to produce an ultra-low cost orthotic device (∼$2). The Print in Place (PIP) method was employed to diminish all post processing and assembly operations. A unique compliant wrist brace mechanism was introduced. The developed assistive device was assessed via Finite Element Analysis (FEA) prior to manufacturing and the same was verified experimentally, post-manufacturing. Overall, the developed device was found to successfully sustain the designed load requirements. It was anticipated that the use of the aforementioned methods and techniques could greatly enhance the scalability and affordability of 3D printed orthotic devices, especially in low and middle income countries where SCI cases are not only highly prevalent but also neglected, escalating the severity of injury.
{"title":"Scalable direct manufacturing of a functional multipurpose wrist-hand orthosis using 3D printing","authors":"Dhruv Bose , Shubham Gupta , Arnab Chanda","doi":"10.1016/j.stlm.2025.100186","DOIUrl":"10.1016/j.stlm.2025.100186","url":null,"abstract":"<div><div>Spinal cord injury (SCI) is one of the most debilitating injuries with no direct cure. Managing SCI thus becomes a critical task for caregivers and most importantly patients, whose lives are severely hindered both physically and psychologically. Injury at different parts of the spine corroborates to partial or complete motor loss at one or more parts of the body. The current paradigm of recuperative techniques aim at effective splinting coupled with a consistent rehabilitation regimen. This work focused on the development of a novel wrist-hand orthosis using 3D printing to aid patients inflicted by C5-C7 SCI which causes loss of motor function at the distal ends of the upper extremity. An optimized development framework was presented to achieve quick production times, scalability, ergonomics and minimal post processing activities to produce an ultra-low cost orthotic device (∼$2). The Print in Place (PIP) method was employed to diminish all post processing and assembly operations. A unique compliant wrist brace mechanism was introduced. The developed assistive device was assessed via Finite Element Analysis (FEA) prior to manufacturing and the same was verified experimentally, post-manufacturing. Overall, the developed device was found to successfully sustain the designed load requirements. It was anticipated that the use of the aforementioned methods and techniques could greatly enhance the scalability and affordability of 3D printed orthotic devices, especially in low and middle income countries where SCI cases are not only highly prevalent but also neglected, escalating the severity of injury.</div></div>","PeriodicalId":72210,"journal":{"name":"Annals of 3D printed medicine","volume":"17 ","pages":"Article 100186"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143141749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-20DOI: 10.1016/j.stlm.2024.100184
Una M. Cronin , Dr. Niamh M. Cummins , Dr. Aidan O’ Sullivan , Prof. Damien Ryan , Prof. Leonard O'Sullivan
Purpose
Custom orthoses provided by a skilled therapist are deemed the gold standard of care for the treatment of mallet injury, but traditional orthoses are still used. It is unclear to what extent custom orthoses versus traditional off the shelf variants are currently provided to treat mallet injury. The study aims to investigate current practice regarding the conservative treatment of mallet injury in Ireland. The study also aims to assess healthcare providers' awareness of and opinions to the use of 3D printing in healthcare.
Design/Methodology/ Approach
This study was cross-sectional in design and used an online survey methodology. Healthcare professionals involved in the treatment of mallet injuries from both public and private settings were eligible for inclusion. Data collection involved convenience and snowball sampling with the survey being promoted by professional bodies, distributed at national meetings and circulated via social media. Data analysis took place in Excel and comprised descriptive statistics.
Findings
In total 86 participants completed the survey including nurses (58 %), doctors (2 8 %), allied health professionals (9 %) and other healthcare professionals (5 %). Non personalised orthosis including the Stack splint were most frequently applied (58 %). Regarding 3D printing, 52 % of participants reported they were not aware of 3DP in healthcare. However, 80 % overall said they would be interested in using it in the future. The inference from this is that they have a positive attitude toward the use of 3D printing, considering they have a low knowledge of using it in this discipline.
Originality/value
This study provides an insight into healthcare professionals’ recent experiences of treating mallet injuries in the Irish healthcare system. There remains a lack of custom orthosis creation to treat mallet injury. The respondent's openness to using 3D printing technology is promising and suggests that in the future 3D printing of custom orthoses may have a role in the treatment of mallet injuries. However, custom care, and not just a custom orthosis, would provide patients with optimal treatment.
目的由专业治疗师提供的定制矫形器被认为是治疗槌伤的黄金标准,但传统矫形器仍在使用。目前尚不清楚定制矫形器与传统现成矫形器在治疗槌伤方面的差异有多大。本研究旨在调查爱尔兰目前对槌骨损伤进行保守治疗的做法。该研究还旨在评估医疗保健提供者对在医疗保健中使用 3D 打印技术的认识和看法。设计/方法/途径该研究采用横断面设计,采用在线调查方法。来自公共和私营机构的参与治疗槌伤的医疗保健专业人员均符合纳入调查的资格。数据收集采用方便抽样和滚雪球抽样法,调查由专业机构推广,在全国性会议上分发,并通过社交媒体传播。数据分析在 Excel 中进行,包括描述性统计。调查结果共有 86 名参与者完成了调查,其中包括护士(58%)、医生(2.8%)、专职医疗人员(9%)和其他医疗专业人员(5%)。最常使用的非个性化矫形器包括 Stack 夹板(58%)。关于 3D 打印,52% 的参与者表示他们不知道 3DP 在医疗保健领域的应用。但是,80% 的参与者表示他们有兴趣在未来使用它。由此推断,他们对使用 3D 打印持积极态度,因为他们对在这门学科中使用 3D 打印的知识知之甚少。原创性/价值这项研究深入探讨了医疗保健专业人员最近在爱尔兰医疗保健系统中治疗槌伤的经验。目前仍缺乏治疗槌伤的定制矫形器。受访者对使用 3D 打印技术持开放态度,这表明未来 3D 打印定制矫形器可能会在槌伤治疗中发挥作用。然而,定制护理,而不仅仅是定制矫形器,将为患者提供最佳治疗。
{"title":"A national survey of conservative mallet finger injury care and the potential for 3D printing to impact current practice","authors":"Una M. Cronin , Dr. Niamh M. Cummins , Dr. Aidan O’ Sullivan , Prof. Damien Ryan , Prof. Leonard O'Sullivan","doi":"10.1016/j.stlm.2024.100184","DOIUrl":"10.1016/j.stlm.2024.100184","url":null,"abstract":"<div><h3>Purpose</h3><div>Custom orthoses provided by a skilled therapist are deemed the gold standard of care for the treatment of mallet injury, but traditional orthoses are still used. It is unclear to what extent custom orthoses versus traditional off the shelf variants are currently provided to treat mallet injury. The study aims to investigate current practice regarding the conservative treatment of mallet injury in Ireland. The study also aims to assess healthcare providers' awareness of and opinions to the use of 3D printing in healthcare.</div></div><div><h3>Design/Methodology/ Approach</h3><div>This study was cross-sectional in design and used an online survey methodology. Healthcare professionals involved in the treatment of mallet injuries from both public and private settings were eligible for inclusion. Data collection involved convenience and snowball sampling with the survey being promoted by professional bodies, distributed at national meetings and circulated via social media. Data analysis took place in Excel and comprised descriptive statistics.</div></div><div><h3>Findings</h3><div>In total 86 participants completed the survey including nurses (58 %), doctors (2 8 %), allied health professionals (9 %) and other healthcare professionals (5 %). Non personalised orthosis including the Stack splint were most frequently applied (58 %). Regarding 3D printing, 52 % of participants reported they were not aware of 3DP in healthcare. However, 80 % overall said they would be interested in using it in the future. The inference from this is that they have a positive attitude toward the use of 3D printing, considering they have a low knowledge of using it in this discipline.</div></div><div><h3>Originality/value</h3><div>This study provides an insight into healthcare professionals’ recent experiences of treating mallet injuries in the Irish healthcare system. There remains a lack of custom orthosis creation to treat mallet injury. The respondent's openness to using 3D printing technology is promising and suggests that in the future 3D printing of custom orthoses may have a role in the treatment of mallet injuries. However, custom care, and not just a custom orthosis, would provide patients with optimal treatment.</div></div>","PeriodicalId":72210,"journal":{"name":"Annals of 3D printed medicine","volume":"17 ","pages":"Article 100184"},"PeriodicalIF":0.0,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142722189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}