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Valls-Esteve A, Tejo-Otero A, Adell-Gómez N, Lustig-Gainza P, Fenollosa-Artés F, Buj-Corral I, Rubio-Palau J, Munuera J, Krauel L. Advanced Strategies for the Fabrication of Multi-Material Anatomical Models of Complex Pediatric Oncologic Cases. Bioengineering (Basel) 2023; 11:31. [PMID: 38247908 PMCID: PMC10813349 DOI: 10.3390/bioengineering11010031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2023] [Revised: 12/01/2023] [Accepted: 12/06/2023] [Indexed: 01/23/2024] Open
Abstract
The printing and manufacturing of anatomical 3D models has gained popularity in complex surgical cases for surgical planning, simulation and training, the evaluation of anatomical relations, medical device testing and patient-professional communication. 3D models provide the haptic feedback that Virtual or Augmented Reality (VR/AR) cannot provide. However, there are many technologies and strategies for the production of 3D models. Therefore, the aim of the present study is to show and compare eight different strategies for the manufacture of surgical planning and training prototypes. The eight strategies for creating complex abdominal oncological anatomical models, based on eight common pediatric oncological cases, were developed using four common technologies (stereolithography (SLA), selectie laser sinterning (SLS), fused filament fabrication (FFF) and material jetting (MJ)) along with indirect and hybrid 3D printing methods. Nine materials were selected for their properties, with the final models assessed for application suitability, production time, viscoelastic mechanical properties (shore hardness and elastic modulus) and cost. The manufacturing and post-processing of each strategy is assessed, with times ranging from 12 h (FFF) to 61 h (hybridization of FFF and SLS), as labor times differ significantly. Cost per model variation is also significant, ranging from EUR 80 (FFF) to EUR 600 (MJ). The main limitation is the mimicry of physiological properties. Viscoelastic properties and the combination of materials, colors and textures are also substantially different according to the strategy and the intended use. It was concluded that MJ is the best overall option, although its use in hospitals is limited due to its cost. Consequently, indirect 3D printing could be a solid and cheaper alternative.
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Affiliation(s)
- Arnau Valls-Esteve
- Innovation Department, SJD Barcelona Children’s Hospital, Santa Rosa 39-57, 08950 Esplugues de Llobregat, Spain
- Medicina i Recerca Translacional, Facultat de Medicina i Ciències de la Salut, Universitat de Barcelona, 08007 Barcelona, Spain
- 3D Unit (3D4H), SJD Barcelona Children’s Hospital, Santa Rosa 39-57, 08950 Esplugues de Llobregat, Spain
| | - Aitor Tejo-Otero
- Centre CIM, Universitat Politècnica de Catalunya (CIM UPC), Carrer de Llorens i Artigas, 12, 08028 Barcelona, Spain
| | - Núria Adell-Gómez
- Innovation Department, SJD Barcelona Children’s Hospital, Santa Rosa 39-57, 08950 Esplugues de Llobregat, Spain
- 3D Unit (3D4H), SJD Barcelona Children’s Hospital, Santa Rosa 39-57, 08950 Esplugues de Llobregat, Spain
| | - Pamela Lustig-Gainza
- Innovation Department, SJD Barcelona Children’s Hospital, Santa Rosa 39-57, 08950 Esplugues de Llobregat, Spain
- 3D Unit (3D4H), SJD Barcelona Children’s Hospital, Santa Rosa 39-57, 08950 Esplugues de Llobregat, Spain
| | - Felip Fenollosa-Artés
- Centre CIM, Universitat Politècnica de Catalunya (CIM UPC), Carrer de Llorens i Artigas, 12, 08028 Barcelona, Spain
- Department of Mechanical Engineering, Barcelona School of Industrial Engineering (ETSEIB), Universitat Politècnica de Catalunya, Av. Diagonal, 647, 08028 Barcelona, Spain
| | - Irene Buj-Corral
- Department of Mechanical Engineering, Barcelona School of Industrial Engineering (ETSEIB), Universitat Politècnica de Catalunya, Av. Diagonal, 647, 08028 Barcelona, Spain
| | - Josep Rubio-Palau
- Medicina i Recerca Translacional, Facultat de Medicina i Ciències de la Salut, Universitat de Barcelona, 08007 Barcelona, Spain
- 3D Unit (3D4H), SJD Barcelona Children’s Hospital, Santa Rosa 39-57, 08950 Esplugues de Llobregat, Spain
- Pediatric Surgical Oncology, Pediatric Surgery Department, SJD Barcelona Children’s Hospital, Universitat de Barcelona, 08950 Barcelona, Spain
- Maxillofacial Unit, Department of Pediatric Surgery, Pediatric Surgical Oncology, SJD Barcelona Children’s Hospital, Universitat de Barcelona, 08950 Barcelona, Spain
| | - Josep Munuera
- Medicina i Recerca Translacional, Facultat de Medicina i Ciències de la Salut, Universitat de Barcelona, 08007 Barcelona, Spain
- Diagnostic Imaging Department, Hospital de la Santa Creu i Sant Pau, 08027 Barcelona, Spain
- Advanced Medical Imaging, Artificial Intelligence, and Imaging-Guided Therapy Research Group, Institut de Recerca Sant Pau—Centre CERCA, 08041 Barcelona, Spain
| | - Lucas Krauel
- Medicina i Recerca Translacional, Facultat de Medicina i Ciències de la Salut, Universitat de Barcelona, 08007 Barcelona, Spain
- 3D Unit (3D4H), SJD Barcelona Children’s Hospital, Santa Rosa 39-57, 08950 Esplugues de Llobregat, Spain
- Pediatric Surgical Oncology, Pediatric Surgery Department, SJD Barcelona Children’s Hospital, Universitat de Barcelona, 08950 Barcelona, Spain
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Rehman M, Yanen W, Mushtaq RT, Ishfaq K, Zahoor S, Ahmed A, Kumar MS, Gueyee T, Rahman MM, Sultana J. Additive manufacturing for biomedical applications: a review on classification, energy consumption, and its appreciable role since COVID-19 pandemic. PROGRESS IN ADDITIVE MANUFACTURING 2022; 8:1-35. [PMID: 38625342 PMCID: PMC9793824 DOI: 10.1007/s40964-022-00373-9] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/10/2021] [Accepted: 12/08/2022] [Indexed: 05/27/2023]
Abstract
The exponential rise of healthcare problems like human aging and road traffic accidents have developed an intrinsic challenge to biomedical sectors concerning the arrangement of patient-specific biomedical products. The additively manufactured implants and scaffolds have captured global attention over the last two decades concerning their printing quality and ease of manufacturing. However, the inherent challenges associated with additive manufacturing (AM) technologies, namely process selection, level of complexity, printing speed, resolution, biomaterial choice, and consumed energy, still pose several limitations on their use. Recently, the whole world has faced severe supply chain disruptions of personal protective equipment and basic medical facilities due to a respiratory disease known as the coronavirus (COVID-19). In this regard, local and global AM manufacturers have printed biomedical products to level the supply-demand equation. The potential of AM technologies for biomedical applications before, during, and post-COVID-19 pandemic alongwith its relation to the industry 4.0 (I4.0) concept is discussed herein. Moreover, additive manufacturing technologies are studied in this work concerning their working principle, classification, materials, processing variables, output responses, merits, challenges, and biomedical applications. Different factors affecting the sustainable performance in AM for biomedical applications are discussed with more focus on the comparative examination of consumed energy to determine which process is more sustainable. The recent advancements in the field like 4D printing and 5D printing are useful for the successful implementation of I4.0 to combat any future pandemic scenario. The potential of hybrid printing, multi-materials printing, and printing with smart materials, has been identified as hot research areas to produce scaffolds and implants in regenerative medicine, tissue engineering, and orthopedic implants.
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Affiliation(s)
- Mudassar Rehman
- Department of Industry Engineering, School of Mechanical Engineering, Northwestern Polytechnical University, Xian, 710072 China
- Department of Industrial and Manufacturing Engineering, University of Engineering and Technology, Lahore, 54890 Pakistan
| | - Wang Yanen
- Department of Industry Engineering, School of Mechanical Engineering, Northwestern Polytechnical University, Xian, 710072 China
| | - Ray Tahir Mushtaq
- Department of Industry Engineering, School of Mechanical Engineering, Northwestern Polytechnical University, Xian, 710072 China
| | - Kashif Ishfaq
- Department of Industrial and Manufacturing Engineering, University of Engineering and Technology, Lahore, 54890 Pakistan
| | - Sadaf Zahoor
- Department of Industrial and Manufacturing Engineering, University of Engineering and Technology, Lahore, 54890 Pakistan
| | - Ammar Ahmed
- Department of Industry Engineering, School of Mechanical Engineering, Northwestern Polytechnical University, Xian, 710072 China
| | - M. Saravana Kumar
- Graduate Institute of Manufacturing Technology, National Taipei University of Technology, Taipei, 10608 Taiwan
| | - Thierno Gueyee
- Department of Industry Engineering, School of Mechanical Engineering, Northwestern Polytechnical University, Xian, 710072 China
| | - Md Mazedur Rahman
- Department of Industry Engineering, School of Mechanical Engineering, Northwestern Polytechnical University, Xian, 710072 China
| | - Jakia Sultana
- Department of Industry Engineering, School of Mechanical Engineering, Northwestern Polytechnical University, Xian, 710072 China
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Xu W, Jambhulkar S, Ravichandran D, Zhu Y, Kakarla M, Nian Q, Azeredo B, Chen X, Jin K, Vernon B, Lott DG, Cornella JL, Shefi O, Miquelard-Garnier G, Yang Y, Song K. 3D Printing-Enabled Nanoparticle Alignment: A Review of Mechanisms and Applications. SMALL (WEINHEIM AN DER BERGSTRASSE, GERMANY) 2021; 17:e2100817. [PMID: 34176201 DOI: 10.1002/smll.202100817] [Citation(s) in RCA: 33] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/08/2021] [Revised: 04/05/2021] [Indexed: 05/12/2023]
Abstract
3D printing (additive manufacturing (AM)) has enormous potential for rapid tooling and mass production due to its design flexibility and significant reduction of the timeline from design to manufacturing. The current state-of-the-art in 3D printing focuses on material manufacturability and engineering applications. However, there still exists the bottleneck of low printing resolution and processing rates, especially when nanomaterials need tailorable orders at different scales. An interesting phenomenon is the preferential alignment of nanoparticles that enhance material properties. Therefore, this review emphasizes the landscape of nanoparticle alignment in the context of 3D printing. Herein, a brief overview of 3D printing is provided, followed by a comprehensive summary of the 3D printing-enabled nanoparticle alignment in well-established and in-house customized 3D printing mechanisms that can lead to selective deposition and preferential orientation of nanoparticles. Subsequently, it is listed that typical applications that utilized the properties of ordered nanoparticles (e.g., structural composites, heat conductors, chemo-resistive sensors, engineered surfaces, tissue scaffolds, and actuators based on structural and functional property improvement). This review's emphasis is on the particle alignment methodology and the performance of composites incorporating aligned nanoparticles. In the end, significant limitations of current 3D printing techniques are identified together with future perspectives.
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Affiliation(s)
- Weiheng Xu
- The Polytechnic School (TPS), Ira A. Fulton Schools for Engineering, Arizona State University, 6075 S. Innovation Way West, Mesa, AZ, 85212, USA
| | - Sayli Jambhulkar
- The Polytechnic School (TPS), Ira A. Fulton Schools for Engineering, Arizona State University, 6075 S. Innovation Way West, Mesa, AZ, 85212, USA
| | - Dharneedar Ravichandran
- The Polytechnic School (TPS), Ira A. Fulton Schools for Engineering, Arizona State University, 6075 S. Innovation Way West, Mesa, AZ, 85212, USA
| | - Yuxiang Zhu
- The Polytechnic School (TPS), Ira A. Fulton Schools for Engineering, Arizona State University, 6075 S. Innovation Way West, Mesa, AZ, 85212, USA
| | - Mounika Kakarla
- Department of Materials Science and Engineering, Ira A. Fulton Schools for Engineering, Arizona State University, Tempe, 501 E. Tyler Mall, Tempe, AZ, 85287, USA
| | - Qiong Nian
- Department of Mechanical Engineering, and Multi-Scale Manufacturing Material Processing Lab (MMMPL), Ira A. Fulton Schools for Engineering, Arizona State University, 501 E. Tyler Mall, Tempe, AZ, 85287, USA
| | - Bruno Azeredo
- The Polytechnic School (TPS), Ira A. Fulton Schools for Engineering, Arizona State University, 6075 S. Innovation Way West, Mesa, AZ, 85212, USA
| | - Xiangfan Chen
- Advanced Manufacturing and Functional Devices (AMFD) Laboratory, Ira A. Fulton Schools for Engineering, Arizona State University, 6075 Innovation Way W., Mesa, AZ, 85212, USA
| | - Kailong Jin
- Department of Chemical Engineering, School for Engineering Matter, Transport and Energy (SEMTE), and Biodesign Institute Center for Sustainable Macromolecular Materials and Manufacturing (BCSM3), Arizona State University, 501 E. Tyler St., Tempe, AZ, 85287, USA
| | - Brent Vernon
- Department of Biomedical Engineering, Biomaterials Lab, School of Biological and Health Systems Engineering, Arizona State University, 427 E Tyler Mall, Tempe, AZ, 85281, USA
| | - David G Lott
- Department Otolaryngology, Division of Laryngology, College of Medicine, and Mayo Clinic Arizona Center for Regenerative Medicine, 13400 E Shea Blvd, Scottsdale, AZ, 85259, USA
| | - Jeffrey L Cornella
- Professor of Obstetrics and Gynecology, Mayo Clinic College of Medicine, Division of Gynecologic Surgery, Mayo Clinic, 13400 E Shea Blvd, Scottsdale, AZ, 85259, USA
| | - Orit Shefi
- Department of Engineering, Neuro-Engineering and Regeneration Laboratory, Bar Ilan Institute of Nanotechnologies and Advanced Materials, Bar-Ilan University, Building 1105, Ramat Gan, 52900, Israel
| | - Guillaume Miquelard-Garnier
- laboratoire PIMM, UMR 8006, Arts et Métiers Institute of Technology, CNRS, CNAM, Hesam University, 151 boulevard de l'Hôpital, Paris, 75013, France
| | - Yang Yang
- Additive Manufacturing & Advanced Materials Lab, Department of Mechanical Engineering, San Diego State University, 5500 Campanile Drive, San Diego, CA, 92182-1323, USA
| | - Kenan Song
- Department of Manufacturing Engineering, Advanced Materials Advanced Manufacturing Laboratory (AMAML), Ira A. Fulton Schools for Engineering, Arizona State University, 6075 Innovation Way W., Mesa, AZ, 85212, USA
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