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Díaz Martínez E, Arencibia Espinosa A, Soler Laguía M, Ayala Florenciano MD, Kilroy D, García García MI, Martínez Gomariz F, Sánchez Collado C, Gil Cano F, Jaber JR, Ramírez Zarzosa G. The Bony Nasal Cavity and Paranasal Sinuses of Big Felids and Domestic Cat: A Study Using Anatomical Techniques, Computed Tomographic Images Reconstructed in Maximum-Intensity Projection, Volume Rendering and 3D Printing Models. Animals (Basel) 2024; 14:2609. [PMID: 39272394 PMCID: PMC11393894 DOI: 10.3390/ani14172609] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2024] [Revised: 09/01/2024] [Accepted: 09/05/2024] [Indexed: 09/15/2024] Open
Abstract
This study aims to develop three-dimensional printing models of the bony nasal cavity and paranasal sinuses of big and domestic cats using reconstructed computed tomographic images. This work included an exhaustive study of the osseous nasal anatomy of the domestic cat carried out through dissections, bone trepanations and sectional anatomy. With the use of OsiriX viewer, the DICOM images were postprocessed to obtaining maximum-intensity projection and volume-rendering reconstructions, which allowed for the visualization of the nasal cavity structures and the paranasal sinuses, providing an improvement in the future anatomical studies and diagnosis of pathologies. DICOM images were also processed with AMIRA software to obtain three-dimensional images using semiautomatic segmentation application. These images were then exported using 3D Slicer software for three-dimensional printing. Molds were printed with the Stratasys 3D printer. In human medicine, three-dimensional printing is already of great importance in the clinical field; however, it has not yet been implemented in veterinary medicine and is a technique that will, in the future, in addition to facilitating the anatomical study and diagnosis of diseases, allow for the development of implants that will improve the treatment of pathologies and the survival of big felids.
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Affiliation(s)
- Elena Díaz Martínez
- Department of Anatomy and Comparative Pathological Anatomy, Veterinary Faculty, University of Murcia, 30100 Murcia, Spain
| | - Alberto Arencibia Espinosa
- Department of Morphology, Anatomy and Embriology, Veterinary Faculty, University of Las Palmas de Gran Canaria, Transmontaña, Arucas, 35416 Las Palmas, Spain
| | - Marta Soler Laguía
- Department of Medicine and Surgery, Veterinary Faculty, University of Murcia, 30100 Murcia, Spain
| | | | - David Kilroy
- UCD Veterinary Science Centre, University College Dublin, D04 V1W8 Dublin, Ireland
| | | | - Francisco Martínez Gomariz
- Department of Anatomy and Comparative Pathological Anatomy, Veterinary Faculty, University of Murcia, 30100 Murcia, Spain
| | - Cayetano Sánchez Collado
- Department of Anatomy and Comparative Pathological Anatomy, Veterinary Faculty, University of Murcia, 30100 Murcia, Spain
| | - Francisco Gil Cano
- Department of Anatomy and Comparative Pathological Anatomy, Veterinary Faculty, University of Murcia, 30100 Murcia, Spain
| | - José Raduán Jaber
- Department of Morphology, Anatomy and Embriology, Veterinary Faculty, University of Las Palmas de Gran Canaria, Transmontaña, Arucas, 35416 Las Palmas, Spain
| | - Gregorio Ramírez Zarzosa
- Department of Anatomy and Comparative Pathological Anatomy, Veterinary Faculty, University of Murcia, 30100 Murcia, Spain
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Lucas KDA, Kassab S, de Souza RG, Inpanbutr N, Pereira-Sampaio MA, Carvalho YK. Three-dimensional models of physeal fractures in the femur for the teaching of veterinary medicine. Acta Cir Bras 2024; 39:e395424. [PMID: 39109784 PMCID: PMC11299386 DOI: 10.1590/acb395424] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2024] [Accepted: 07/01/2024] [Indexed: 08/11/2024] Open
Abstract
PURPOSE To develop and assess three-dimensional models of physeal fractures in dog femurs (3D MPFDF) using radiographic imaging. METHODS The study was conducted in three phases: development of 3D MPFDF; radiographic examination of the 3D MPFDF; and comparative analysis of the anatomical and radiographic features of the 3D MPFDF. RESULTS The base model and the 3D MPFDF achieved high fidelity in replicating the bone structures, accurately maintaining the morphological characteristics and dimensions such as length, width, and thickness, closely resembling natural bone. The radiographs of the 3D MPFDF displayed distinct radiopaque and radiolucent areas, enabling clear visualization of the various anatomical structures of the femur. However, in these radiographs, it was challenging to distinguish between the cortical and medullary regions due to the use of 99% internal padding in the printing process. Despite this limitation, the radiographs successfully demonstrated the representation of the Salter-Harris classification. CONCLUSIONS This paper presents a pioneering project focused on technological advancement aimed at developing a method for the rapid and cost-effective production of three-printed models and radiographs of physeal fractures in dogs.
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Affiliation(s)
- Kleber dos Anjos Lucas
- Universidade Federal do Acre – Centro de Ciências Biológicas e da Natureza – Rio Branco (AC) – Brazil
| | - Siham Kassab
- Universidade Federal do Acre – Centro de Ciências Biológicas e da Natureza – Rio Branco (AC) – Brazil
| | - Rodrigo Gomes de Souza
- Universidade Federal do Acre – Centro de Ciências Biológicas e da Natureza – Rio Branco (AC) – Brazil
| | - Nongnuch Inpanbutr
- The Ohio State University – Department of Veterinary Clinical Sciences – Columbus (OH) – United States of America
| | - Marco Aurélio Pereira-Sampaio
- Universidade do Estado do Rio de Janeiro – Urogenital Research Unit – Rio de Janeiro (RJ) – Brazil
- Universidade Federal Fluminense – Department of Morphology – Niterói (RJ) – Brazil
| | - Yuri Karaccas Carvalho
- Universidade Federal do Acre – Centro de Ciências Biológicas e da Natureza – Rio Branco (AC) – Brazil
- Universidade Federal Fluminense – Department of Pathology and Veterinary Clinic – Niterói (RJ) – Brazil
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Lobo Moraes P, Ghisi L, Paes de Barros AJB, de Carvalho Peixoto VH, Brandini Népoli PE, Moleta Colodel E, Souza de Lima LF, Lopes de Souza R. SimuVet: a preliminary study of the innovative development of a simulator for epidural anesthesia training in dogs. Front Vet Sci 2024; 11:1322871. [PMID: 38988978 PMCID: PMC11234840 DOI: 10.3389/fvets.2024.1322871] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2023] [Accepted: 05/17/2024] [Indexed: 07/12/2024] Open
Abstract
Epidural anesthesia in dogs is a locoregional anesthesia technique used in veterinary medicine, becoming an important integrated application in the anesthetic protocol to provide safer and more effective analgesia to patients. For this, professionals must adhere to rigorous guidelines and possess technical skills. In this context, in veterinary education, the development of practical clinical skills represents a crucial aspect in the training of these professionals. However, traditional teaching methods have proven insufficient to ensure a consistent level of competence among recent graduates. The introduction of non-animal alternatives for educational purposes has contributed to the development of simulation-based teaching, an innovative and accessible field capable of enhancing pre-clinical proficiency in students and reducing the use of live animals and cadavers. Despite its application in various areas of veterinary education, there are no conclusive results regarding the development of accessible simulators capable of effectively enhancing training in epidural anesthesia in dogs. Therefore, this article represents a pioneering study aimed at sharing a method for creating SimuVet, a realistic simulator for training epidural anesthesia in dogs. The simulator was fully developed by veterinary researchers with limited experience in 3D printing and, after preliminary analysis, demonstrated excellent performance and ultrasonographic anatomy. Future work will focus on the formal validation of this simulator with the aim of improving the teaching and learning process for students and experts in performing epidural anesthesia in companion animals.
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Affiliation(s)
- Paloma Lobo Moraes
- Small Animal Surgical Center, Veterinary Hospital, Federal University of Mato Grosso (HOVET/UFMT), Cuiabá, Brazil
| | - Lianna Ghisi
- Small Animal Surgical Center, Veterinary Hospital, Federal University of Mato Grosso (HOVET/UFMT), Cuiabá, Brazil
| | - Anna Júlia B Paes de Barros
- Small Animal Surgical Center, Veterinary Hospital, Federal University of Mato Grosso (HOVET/UFMT), Cuiabá, Brazil
| | | | | | - Edson Moleta Colodel
- Small Animal Surgical Center, Veterinary Hospital, Federal University of Mato Grosso (HOVET/UFMT), Cuiabá, Brazil
| | - Luiz Felipe Souza de Lima
- Small Animal Surgical Center, Veterinary Hospital, Federal University of Mato Grosso (HOVET/UFMT), Cuiabá, Brazil
| | - Roberto Lopes de Souza
- Small Animal Surgical Center, Veterinary Hospital, Federal University of Mato Grosso (HOVET/UFMT), Cuiabá, Brazil
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Jackson E, Markovic LE, Perlini M. Comparison of two-dimensional imaging to three-dimensional modeling of intrahepatic portosystemic shunts using computed tomography angiography. Vet Radiol Ultrasound 2024; 65:130-137. [PMID: 38279771 DOI: 10.1111/vru.13337] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2023] [Revised: 11/28/2023] [Accepted: 12/28/2023] [Indexed: 01/28/2024] Open
Abstract
Computed tomography angiography (CTA) is used for the diagnosis of intrahepatic portosystemic shunts (IHPSS). When planning for transcatheter intervention, caudal vena cava (CVC) measurements are typically obtained from two-dimensional (2D) imaging to aid in stent selection. We hypothesized that clinically applicable three-dimensional (3D) IHPSS models can be generated, and CVC measurements will not differ between 2D images and 3D models. Computed tomography angiography datasets from client-owned dogs with IHPSS at the University of Georgia Veterinary Teaching Hospital from 2016 to 2022 were analyzed. Materialise Mimics 25.0 and 3-matic 17.0 were used for 3D modeling. Caudal vena cava diameters were measured in 2D dorsal and transverse planes 20 mm cranial and caudal from the shunt ostium and were compared with CVC diameters from 3D models. Length was measured in the 2D dorsal plane between midpoints of each diameter and compared to the 3D model length. Data are presented as mean (SD), and intraclass correlation coefficients were performed. Three-dimensional models were generated for 32 IHPSS (15 right-, 12 left-, and five central-divisional). Two-dimensional dorsal and transverse area-associated diameter measurements were 16.7 mm (5.6) and 15.5 mm (4.2) cranial; 14.9 mm (4.2) and 14.3 mm (3.7) caudal. Three-dimensional area-associated diameter measurements were 15.3 mm (4.4) cranial and 14.0 mm (3.6) caudal. The 2D length was 61.5 mm (7.1) compared with 3D 59.9 mm (7.2). Intraclass correlation coefficients comparing 2D and 3D diameters were all >0.80, indicating very good agreement, with good agreement (>0.60) for length. Clinically applicable 3D IHPSS models can be generated using engineering software. Measurements from 3D models are consistent with 2D planar imaging. Both 2D CTA and 3D virtual models can be utilized for preprocedural planning, depending on clinician preference.
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Affiliation(s)
- Erin Jackson
- Department of Small Animal Medicine and Surgery, College of Veterinary Medicine, University of Georgia, Athens, Georgia, USA
| | - Lauren E Markovic
- Department of Small Animal Medicine and Surgery, College of Veterinary Medicine, University of Georgia, Athens, Georgia, USA
| | - Michael Perlini
- Department of Large Animal Medicine, College of Veterinary Medicine, University of Georgia, Athens, Georgia, USA
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Kapoor K. 3D visualization and printing: An "Anatomical Engineering" trend revealing underlying morphology via innovation and reconstruction towards future of veterinary anatomy. Anat Sci Int 2024; 99:159-182. [PMID: 38236439 DOI: 10.1007/s12565-023-00755-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2023] [Accepted: 12/14/2023] [Indexed: 01/19/2024]
Abstract
The amalgamation of veterinary anatomy, technology and innovation has led to development of latest technological advancement in the field of veterinary medicine, i.e., three-dimensional (3D) imaging and reconstruction. 3D visualization technique followed by 3D reconstruction has been proven to enhance non-destructive 3D visualization grossly or microscopically, e.g., skeletal muscle, smooth muscle, ligaments, cartilage, connective tissue, blood vessels, nerves, lymph nodes, and glands. The core aim of this manuscript is to document non-invasive 3D visualization methods being adopted currently in veterinary anatomy to reveal underlying morphology and to reconstruct them by 3D softwares followed by printing, its applications, current challenges, trends and future opportunities. 3D visualization methods such as MRI, CT scans and micro-CT scans are utilised in revealing volumetric data and underlying morphology at microscopic levels as well. This will pave a way to transform and re-invent the future of teaching in veterinary medicine, in clinical cases as well as in exploring wildlife anatomy. This review provides novel insights into 3D visualization and printing as it is the future of veterinary anatomy, thus making it spread to become the plethora of opportunities for whole veterinary science.
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Affiliation(s)
- Kritima Kapoor
- Department of Veterinary Anatomy, College of Veterinary Science, Guru Angad Dev Veterinary and Animal Sciences University, Ludhiana, 141004, Punjab, India.
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Broda M, Yelle DJ, Serwańska-Leja K. Biodegradable Polymers in Veterinary Medicine-A Review. Molecules 2024; 29:883. [PMID: 38398635 PMCID: PMC10892962 DOI: 10.3390/molecules29040883] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2023] [Revised: 02/03/2024] [Accepted: 02/13/2024] [Indexed: 02/25/2024] Open
Abstract
During the past two decades, tremendous progress has been made in the development of biodegradable polymeric materials for various industrial applications, including human and veterinary medicine. They are promising alternatives to commonly used non-degradable polymers to combat the global plastic waste crisis. Among biodegradable polymers used, or potentially applicable to, veterinary medicine are natural polysaccharides, such as chitin, chitosan, and cellulose as well as various polyesters, including poly(ε-caprolactone), polylactic acid, poly(lactic-co-glycolic acid), and polyhydroxyalkanoates produced by bacteria. They can be used as implants, drug carriers, or biomaterials in tissue engineering and wound management. Their use in veterinary practice depends on their biocompatibility, inertness to living tissue, mechanical resistance, and sorption characteristics. They must be designed specifically to fit their purpose, whether it be: (1) facilitating new tissue growth and allowing for controlled interactions with living cells or cell-growth factors, (2) having mechanical properties that address functionality when applied as implants, or (3) having controlled degradability to deliver drugs to their targeted location when applied as drug-delivery vehicles. This paper aims to present recent developments in the research on biodegradable polymers in veterinary medicine and highlight the challenges and future perspectives in this area.
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Affiliation(s)
- Magdalena Broda
- Department of Wood Science and Thermal Techniques, Faculty of Forestry and Wood Technology, Poznan University of Life Sciences, Wojska Polskiego 28, 60-637 Poznan, Poland
| | - Daniel J. Yelle
- Forest Biopolymers Science and Engineering, Forest Products Laboratory, USDA Forest Service, One Gifford Pinchot Drive, Madison, WI 53726, USA;
| | - Katarzyna Serwańska-Leja
- Department of Animal Anatomy, Faculty of Veterinary Medicine and Animal Sciences, Poznan University of Life Sciences, Wojska Polskiego 71c, 60-625 Poznan, Poland;
- Department of Sports Dietetics, Poznan University of Physical Education, 61-871 Poznan, Poland
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Godinho MR, Mestrinho LA. In-house three-dimensional printing for surgical planning: learning curve from a case series of temporomandibular joint and related disorders. Front Vet Sci 2024; 11:1347107. [PMID: 38379923 PMCID: PMC10876850 DOI: 10.3389/fvets.2024.1347107] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2023] [Accepted: 01/11/2024] [Indexed: 02/22/2024] Open
Abstract
Three-dimensional (3D) printed models can improve the understanding of the structural anatomic changes in cases of temporomandibular joint ankylosis and pseudoankylosis leading to closed jaw locking. Their use in pre-surgical planning and intraoperative guidance has been reported, contributing to the predictability and success of these surgery procedures, which can be quite complex, especially in small animal patients. The use and production of 3D tools and models remain challenging and are so far limited to institutions with high (economical and human) resources. This study aims to propose simplified workflows using open-source software to facilitate an in-house 3D printing process. To illustrate this, three cases of temporomandibular joint ankylosis and one of pseudoankylosis were reviewed, where in-house 3D printed models were used for client communication and surgical management. The 3D models were segmented from computed tomography and printed via stereolithography. They were used to support discussion with clients (n = 4), to allow surgeons to pre-surgical plan and practice (n = 4) and for intraoperative guidance during surgery (n = 2). Surgical cutting guides were produced in one case to improve precision and define more accurately osteotomy lines. It is essential to consider the initial time and financial investment required for establishing an in-house 3D printing production, particularly when there is a need to produce biocompatible tools, such as surgical cutting guides. However, efficient and streamlined workflows encourage the integration of this technology, by accelerating the printing process and reducing the steep learning curves, while open-source software enhances accessibility to these resources.
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Affiliation(s)
- Miguel R. Godinho
- Faculty of Veterinary Medicine, University of Lisbon, Lisbon, Portugal
| | - Lisa A. Mestrinho
- Faculty of Veterinary Medicine, University of Lisbon, Lisbon, Portugal
- Centre for Interdisciplinary Research in Animal Health (CIISA), Faculty of Veterinary Medicine, University of Lisbon, Lisbon, Portugal
- Laboratório Associado para Ciência Animal e Veterinária (AL4AnimalS), Lisbon, Portugal
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Oh M, Ban J, Lee Y, Lee M, Kim S, Kim U, Park J, Han J, Chang J, Kim B, Yun H, Lee N, Chang D. Development of three-dimensional canine hepatic tumor model based on computed tomographic angiography for simulation of transarterial embolization. Front Vet Sci 2024; 10:1280028. [PMID: 38352169 PMCID: PMC10861713 DOI: 10.3389/fvets.2023.1280028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2023] [Accepted: 12/13/2023] [Indexed: 02/16/2024] Open
Abstract
Introduction Transarterial embolization (TAE) is one of the treatment options for liver masses that are not suitable for surgery and they have been applied in veterinary medicine for about 20 years, but surgical resection is considered as the first treatment option, and only a few case reports and articles about TAE in dogs have been published. Although understanding of vascular anatomy for the procedure is important, previous studies lack of the information about hepatic artery anatomy in small and toy-breed dogs. Due to the introduction of 3D print in veterinary medicine, it is now possible to make 3D models for preoperative planning. The purpose of this study is to understand the hepatic arterial vascular structure of various sizes and breeds of dogs, and to develop 3D-printed canine artery models with and without hepatic tumors to simulate TAE procedure. Methods CT images of a total of 84 dogs with normal hepatic arteries were analyzed, and the mean value and standard deviation of body weight, celiac artery size, and hepatic artery size were 6.47 ± 4.44 kg, 3.28 ± 0.77 mm, and 2.14 ± 0.43 mm, respectively. Results It was established that type 2-2-1, which has two separate hepatic branches-the right medial and left branch and the right lateral branch that runs to the right lateral lobe and caudate process-is the most prevalent of the hepatic artery branch types, as it was in the previous study. The review of 65 CT images of dogs with hepatic tumors showed that 44.6% (29/65) had multifocal lesions in multiple lobes, for which TAE can be recommended. Discussion Based on the result, a 3D model of the normal canine hepatic artery and the hepatic tumor was made using one representative case from each group, and despite the models having some limitations in reflecting the exact tactile and velocity of blood vessels, TAE procedure was successfully simulated using both models.
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Affiliation(s)
- Miju Oh
- Section of Veterinary Imaging, Veterinary Medical Center, College of Veterinary Medicine, Chungbuk National University, Cheongju, Republic of Korea
| | - Jiyoung Ban
- Section of Veterinary Imaging, Veterinary Medical Center, College of Veterinary Medicine, Chungbuk National University, Cheongju, Republic of Korea
| | - Yooyoung Lee
- Section of Veterinary Imaging, Veterinary Medical Center, College of Veterinary Medicine, Chungbuk National University, Cheongju, Republic of Korea
| | - Minju Lee
- Section of Veterinary Imaging, Veterinary Medical Center, College of Veterinary Medicine, Chungbuk National University, Cheongju, Republic of Korea
| | - Sojin Kim
- Section of Veterinary Imaging, Veterinary Medical Center, College of Veterinary Medicine, Chungbuk National University, Cheongju, Republic of Korea
| | - Uhjin Kim
- Section of Veterinary Imaging, Veterinary Medical Center, College of Veterinary Medicine, Chungbuk National University, Cheongju, Republic of Korea
| | - Jiwoon Park
- Section of Veterinary Imaging, Veterinary Medical Center, College of Veterinary Medicine, Chungbuk National University, Cheongju, Republic of Korea
| | - Jaepung Han
- Section of Veterinary Imaging, Veterinary Medical Center, College of Veterinary Medicine, Chungbuk National University, Cheongju, Republic of Korea
| | - Jinhwa Chang
- Korea Animal Medical Center, Cheongju, Republic of Korea
| | - Byungjin Kim
- Bon Animal Medical Center, Suwon, Republic of Korea
| | - Hyeongrok Yun
- SKY Animal Medical Center, Cheonan, Republic of Korea
| | - Namsoon Lee
- Section of Veterinary Imaging, Veterinary Medical Center, College of Veterinary Medicine, Chungbuk National University, Cheongju, Republic of Korea
| | - Dongwoo Chang
- Section of Veterinary Imaging, Veterinary Medical Center, College of Veterinary Medicine, Chungbuk National University, Cheongju, Republic of Korea
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Liang W, Zhou C, Zhang H, Bai J, Jiang B, Jiang C, Ming W, Zhang H, Long H, Huang X, Zhao J. Recent advances in 3D printing of biodegradable metals for orthopaedic applications. J Biol Eng 2023; 17:56. [PMID: 37644461 PMCID: PMC10466721 DOI: 10.1186/s13036-023-00371-7] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2023] [Accepted: 07/31/2023] [Indexed: 08/31/2023] Open
Abstract
The use of biodegradable polymers for treating bone-related diseases has become a focal point in the field of biomedicine. Recent advancements in material technology have expanded the range of materials suitable for orthopaedic implants. Three-dimensional (3D) printing technology has become prevalent in healthcare, and while organ printing is still in its early stages and faces ethical and technical hurdles, 3D printing is capable of creating 3D structures that are supportive and controllable. The technique has shown promise in fields such as tissue engineering and regenerative medicine, and new innovations in cell and bio-printing and printing materials have expanded its possibilities. In clinical settings, 3D printing of biodegradable metals is mainly used in orthopedics and stomatology. 3D-printed patient-specific osteotomy instruments, orthopedic implants, and dental implants have been approved by the US FDA for clinical use. Metals are often used to provide support for hard tissue and prevent complications. Currently, 70-80% of clinically used implants are made from niobium, tantalum, nitinol, titanium alloys, cobalt-chromium alloys, and stainless steels. However, there has been increasing interest in biodegradable metals such as magnesium, calcium, zinc, and iron, with numerous recent findings. The advantages of 3D printing, such as low manufacturing costs, complex geometry capabilities, and short fabrication periods, have led to widespread adoption in academia and industry. 3D printing of metals with controllable structures represents a cutting-edge technology for developing metallic implants for biomedical applications. This review explores existing biomaterials used in 3D printing-based orthopedics as well as biodegradable metals and their applications in developing metallic medical implants and devices. The challenges and future directions of this technology are also discussed.
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Grants
- (LGF22H060023 to WQL) Public Technology Applied Research Projects of Zhejiang Province
- (2022KY433 to WQL, 2023KY1303 to HGL) Medical and Health Research Project of Zhejiang Province
- (2022KY433 to WQL, 2023KY1303 to HGL) Medical and Health Research Project of Zhejiang Province
- (2021FSYYZY45 to WQL) Research Fund Projects of The Affiliated Hospital of Zhejiang Chinese Medicine University
- (2022C31034 to CZ, 2023C31019 to HJZ) Science and Technology Project of Zhoushan
- (2022C31034 to CZ, 2023C31019 to HJZ) Science and Technology Project of Zhoushan
- (2022ZB380 to JYZ, 2023016295 to WYM, 2023007231 to CYJ ) Traditional Chinese Medicine Science and Technology Projects of Zhejiang Province
- (2022ZB380 to JYZ, 2023016295 to WYM, 2023007231 to CYJ ) Traditional Chinese Medicine Science and Technology Projects of Zhejiang Province
- (2022ZB380 to JYZ, 2023016295 to WYM, 2023007231 to CYJ ) Traditional Chinese Medicine Science and Technology Projects of Zhejiang Province
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Affiliation(s)
- Wenqing Liang
- Department of Orthopaedics, Zhoushan Hospital of Traditional Chinese Medicine, Zhejiang Chinese Medical University, 355 Xinqiao Road, Dinghai District, Zhoushan, 316000 Zhejiang Province China
| | - Chao Zhou
- Department of Orthopedics, Zhoushan Guanghua Hospital, Zhoushan, 316000 China
| | - Hongwei Zhang
- Department of Orthopaedics, Zhoushan Hospital of Traditional Chinese Medicine, Zhejiang Chinese Medical University, 355 Xinqiao Road, Dinghai District, Zhoushan, 316000 Zhejiang Province China
| | - Juqin Bai
- Department of Orthopaedics, Zhoushan Hospital of Traditional Chinese Medicine, Zhejiang Chinese Medical University, 355 Xinqiao Road, Dinghai District, Zhoushan, 316000 Zhejiang Province China
| | - Bo Jiang
- Rehabilitation Department, Zhoushan Hospital of Traditional Chinese Medicine, Zhejiang Chinese Medical University, Zhoushan, 316000 China
| | - Chanyi Jiang
- Department of Orthopedics, Zhoushan Hospital of Traditional Chinese Medicine, Zhejiang Chinese Medical University, Zhoushan, 316000 Zhejiang Province P.R. China
| | - Wenyi Ming
- Department of Orthopaedics, Zhoushan Hospital of Traditional Chinese Medicine, Zhejiang Chinese Medical University, 355 Xinqiao Road, Dinghai District, Zhoushan, 316000 Zhejiang Province China
| | - Hengjian Zhang
- Department of Orthopaedics, Zhoushan Hospital of Traditional Chinese Medicine, Zhejiang Chinese Medical University, 355 Xinqiao Road, Dinghai District, Zhoushan, 316000 Zhejiang Province China
| | - Hengguo Long
- Department of Orthopaedics, Zhoushan Hospital of Traditional Chinese Medicine, Zhejiang Chinese Medical University, 355 Xinqiao Road, Dinghai District, Zhoushan, 316000 Zhejiang Province China
| | - Xiaogang Huang
- Department of Orthopaedics, Zhoushan Hospital of Traditional Chinese Medicine, Zhejiang Chinese Medical University, 355 Xinqiao Road, Dinghai District, Zhoushan, 316000 Zhejiang Province China
| | - Jiayi Zhao
- Department of Orthopaedics, Zhoushan Hospital of Traditional Chinese Medicine, Zhejiang Chinese Medical University, 355 Xinqiao Road, Dinghai District, Zhoushan, 316000 Zhejiang Province China
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10
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Buote NJ, Porter I, Loftus J, Cummings B, Dakin GF. Laparoscopic vertical sleeve gastrectomy in felines: A cadaveric feasibility study and experimental case series in two cats. Vet Surg 2023; 52:878-887. [PMID: 35861398 DOI: 10.1111/vsu.13862] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2022] [Revised: 05/10/2022] [Accepted: 06/20/2022] [Indexed: 11/29/2022]
Abstract
OBJECTIVE To evaluate the feasibility of laparoscopic vertical sleeve gastrectomy (LVSG) in feline cadavers using endoscopic stapling equipment and report clinical outcomes in two live feline subjects. STUDY DESIGN Cadaveric study and experimental case series. ANIMALS Ten feline cadavers; two feline subjects. METHODS LVSG technique was refined on feline cadavers and included retraction of the liver, dissection of the stomach, assessment of proper location for gastrectomy via stapling, and leak testing. Appropriateness of gastrectomy, gastrectomy %, surgical times and complications were recorded. The procedure was performed on two live feline subjects, and they were followed for 4 months to report surgical complications. RESULTS LVSG was completed in 9/10 cadavers and both live patients. Stenosis at the incisura was recorded in 2/9 cadavers. No obvious leaks were seen in the 8 cadavers that were tested or either live patient. The mean surgical time for all cadaver procedures and live patients was 110.4 and 115 minutes, respectively. Mean weight of resected cadaver stomach was 10 g and the mean % of the total stomach weight resected was 27.6%. No intra- or postoperative surgical complications occurred in the live subjects. CONCLUSION LVSG technique appears feasible and safe for use in live patients. CLINICAL RELEVANCE This LVSG technique may be safely used for partial gastric resection in cats. Further studies are necessary to determine if it is effective at reversing the effects of obesity and diabetes in this population.
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Affiliation(s)
- Nicole J Buote
- Department of Clinical Sciences, Soft Tissue Surgery, College of Veterinary Medicine, Cornell University, Ithaca, New York, USA
| | - Ian Porter
- Department of Clinical Sciences, Diagnostic Imaging, College of Veterinary Medicine, Cornell University, Ithaca, New York, USA
| | - John Loftus
- Department of Clinical Sciences, Internal Medicine, College of Veterinary Medicine, Cornell University, Ithaca, New York, USA
| | - Bethany Cummings
- Department of Surgery, College of Biological Sciences, University of California Davis, Davis, California, USA
| | - Gregory F Dakin
- Department of Bariatric Surgery, Weill Cornell Medical College, New York City, New York, USA
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11
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Buote NJ, Porter I, Dakin GF. 3D printed cannulas for use in laparoscopic surgery in feline patients: A cadaveric study and case series. Vet Surg 2023; 52:870-877. [PMID: 35815791 DOI: 10.1111/vsu.13849] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2022] [Revised: 04/23/2022] [Accepted: 05/05/2022] [Indexed: 11/28/2022]
Abstract
OBJECTIVE To evaluate custom 3D printed laparoscopic cannulas (3DPC) in a feline cadaveric abdominal surgery model and report their use in two live feline subjects. STUDY DESIGN Experimental cadaver study, live subject case series. ANIMALS Ten feline cadavers; two feline subjects. METHODS Custom 3DPCs were initially modeled in a PLA filament material and then created in an autoclavable dental resin for use in live patients. The surgery time, number of surgical collisions and cannula complications were recorded during cadaver procedures before and after use of 3DPCs. Cannula complications were recorded during live procedures and patients were followed to suture removal to record any incisional complications. RESULTS There was a significant reduction in mean surgical time (125.6 vs. 95.2 min, p = 0.03), mean number of instrument collisions (6.8 vs. 2.6, p = 0.03), and mean number of cannula complications (10 vs. 2.2, p = 0.03) with the use of only 3DPCs during the procedure. During the live procedures the use of the 3DPCs was successful and no postoperative complications occurred at the incision sites. CONCLUSION The use of customized 3DPCs may improve surgical dexterity and decrease complications in advanced procedures and was not associated with any clinical complications in two cats. The use of 3DPCs in veterinary medicine may allow for wider practice of laparoscopic techniques in small animals.
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Affiliation(s)
- Nicole J Buote
- Department of Clinical Sciences, Soft Tissue Surgery, College of Veterinary Medicine, Cornell University, Ithaca, New York, USA
| | - Ian Porter
- Department of Clinical Sciences, Diagnostic Imaging, College of Veterinary Medicine, Cornell University, Ithaca, New York, USA
| | - Gregory F Dakin
- Department of Bariatric Surgery, Weill Cornell Medical College, New York, New York City, USA
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Rojo Ríos D, Ramírez Zarzosa G, Soler Laguía M, Kilroy D, Martínez Gomariz F, Sánchez Collado C, Gil Cano F, García García MI, Jáber JR, Arencibia Espinosa A. Creation of Three-Dimensional Anatomical Vascular and Biliary Models for the Study of the Feline Liver ( Felis silvestris catus L.): A Comparative CT, Volume Rendering (Vr), Cast and 3D Printing Study. Animals (Basel) 2023; 13:ani13101573. [PMID: 37238006 DOI: 10.3390/ani13101573] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2023] [Revised: 04/29/2023] [Accepted: 05/02/2023] [Indexed: 05/28/2023] Open
Abstract
In this study, six adult feline cadavers were examined using CTA, 3D printing, and casts injected with epoxy. The aorta, the portal vein, and the gallbladder of 3 feline cadavers were separately injected with a 50% mixture of colored vulcanized latex and hydrated barium sulfate as contrast medium to analyze by CT the arterial, venous and biliary systems. The other three cadavers were injected with a mixture of epoxy resin in the aorta, gallbladder and hepatic veins, separately. After the corrosion and washing process, hepatic vascular and biliary casts were obtained. The images obtained by CT showed the vascular and biliary system using a soft tissue window. For the identification of vascular and biliary structures, the 3D prints together with the 3D reconstructions were analyzed, and the results were compared with the casts obtained with epoxy resin. Each of the arterial, venous and biliary branches associated with each of the liver lobes were identified with the help of the printings. In conclusion, the creation of 3D prototypes of nonpathological feline hepatic parenchyma can be used in the veterinary clinic as a basis for the detection of pathological problems in addition to obtaining future pathological hepatic 3D models.
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Affiliation(s)
- Daniel Rojo Ríos
- Department of Anatomy and Comparative Pathological Anatomy, Veterinary Faculty, Campus de Espinardo, University of Murcia, 30100 Murcia, Spain
| | - Gregorio Ramírez Zarzosa
- Department of Anatomy and Comparative Pathological Anatomy, Veterinary Faculty, Campus de Espinardo, University of Murcia, 30100 Murcia, Spain
| | - Marta Soler Laguía
- Department of Animal Medicine and Surgery, Veterinary Faculty, Campus de Espinardo, University of Murcia, 30100 Murcia, Spain
| | - David Kilroy
- Veterinary Science Centre, University College Dublin, Belfield, D04 V1W8 Dublin, Ireland
| | - Francisco Martínez Gomariz
- Department of Anatomy and Comparative Pathological Anatomy, Veterinary Faculty, Campus de Espinardo, University of Murcia, 30100 Murcia, Spain
| | - Cayetano Sánchez Collado
- Department of Anatomy and Comparative Pathological Anatomy, Veterinary Faculty, Campus de Espinardo, University of Murcia, 30100 Murcia, Spain
| | - Francisco Gil Cano
- Department of Anatomy and Comparative Pathological Anatomy, Veterinary Faculty, Campus de Espinardo, University of Murcia, 30100 Murcia, Spain
| | | | - José Raduán Jáber
- Department of Morphology, Veterinary Faculty, University of Las Palmas de Gran Canaria, 35413 Las Palmas, Spain
| | - Alberto Arencibia Espinosa
- Department of Morphology, Veterinary Faculty, University of Las Palmas de Gran Canaria, 35413 Las Palmas, Spain
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Assad H, Assad A, Kumar A. Recent Developments in 3D Bio-Printing and Its Biomedical Applications. Pharmaceutics 2023; 15:pharmaceutics15010255. [PMID: 36678884 PMCID: PMC9861443 DOI: 10.3390/pharmaceutics15010255] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2022] [Revised: 01/07/2023] [Accepted: 01/09/2023] [Indexed: 01/13/2023] Open
Abstract
The fast-developing field of 3D bio-printing has been extensively used to improve the usability and performance of scaffolds filled with cells. Over the last few decades, a variety of tissues and organs including skin, blood vessels, and hearts, etc., have all been produced in large quantities via 3D bio-printing. These tissues and organs are not only able to serve as building blocks for the ultimate goal of repair and regeneration, but they can also be utilized as in vitro models for pharmacokinetics, drug screening, and other purposes. To further 3D-printing uses in tissue engineering, research on novel, suitable biomaterials with quick cross-linking capabilities is a prerequisite. A wider variety of acceptable 3D-printed materials are still needed, as well as better printing resolution (particularly at the nanoscale range), speed, and biomaterial compatibility. The aim of this study is to provide expertise in the most prevalent and new biomaterials used in 3D bio-printing as well as an introduction to the associated approaches that are frequently considered by researchers. Furthermore, an effort has been made to convey the most pertinent implementations of 3D bio-printing processes, such as tissue regeneration, etc., by providing the most significant research together with a comprehensive list of material selection guidelines, constraints, and future prospects.
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Affiliation(s)
- Humira Assad
- Department of Chemistry, School of Chemical Engineering and Physical Sciences, Lovely Professional University, Punjab 144001, India
| | - Arvina Assad
- Bibi Halima College of Nursing and Medical Technology, Srinagar 190010, India
| | - Ashish Kumar
- Nalanda College of Engineering, Department of Science and Technology, Government of Bihar, Patna 803108, India
- Correspondence:
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Reshamwala R, Oieni F, Shah M. Non-stem Cell Mediated Tissue Regeneration and Repair. Regen Med 2023. [DOI: 10.1007/978-981-19-6008-6_2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/01/2023] Open
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15
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Klasen JRS, Thatcher GP, Bleedorn JA, Soukup JW. Virtual surgical planning and 3D printing: Methodology and applications in veterinary oromaxillofacial surgery. Front Vet Sci 2022; 9:971318. [PMID: 36337192 PMCID: PMC9635215 DOI: 10.3389/fvets.2022.971318] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2022] [Accepted: 09/28/2022] [Indexed: 12/19/2023] Open
Abstract
Virtual surgical planning is the process of planning and rehearsing a surgical procedure completely within the virtual environment on computer models. Virtual surgical planning and 3D printing is gaining popularity in veterinary oromaxillofacial surgery and are viable tools for the most basic to the most complex cases. These techniques can provide the surgeon with improved visualization and, thus, understanding of the patients' 3D anatomy. Virtual surgical planning is feasible in a clinical setting and may decrease surgical time and increase surgical accuracy. For example, pre-operative implant contouring on a 3D-printed model can save time during surgery; 3D-printed patient-specific implants and surgical guides help maintain normocclusion after mandibular reconstruction; and the presence of a haptic model in the operating room can improve surgical precision and safety. However, significant time and financial resources may need to be allocated for planning and production of surgical guides and implants. The objectives of this manuscript are to provide a description of the methods involved in virtual surgical planning and 3D printing as they apply to veterinary oromaxillofacial surgery and to highlight these concepts with the strategic use of examples. In addition, the advantages and disadvantages of the methods as well as the required software and equipment will be discussed.
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Affiliation(s)
| | - Graham P. Thatcher
- Department of Surgical Sciences, School of Veterinary Medicine, University of Wisconsin-Madison, Madison, WI, United States
| | - Jason A. Bleedorn
- Department of Surgical Sciences, School of Veterinary Medicine, University of Wisconsin-Madison, Madison, WI, United States
| | - Jason W. Soukup
- Department of Surgical Sciences, School of Veterinary Medicine, University of Wisconsin-Madison, Madison, WI, United States
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16
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Huang YH, Lee B, Chuy JA, Goldschmidt SL. 3D printing for surgical planning of canine oral and maxillofacial surgeries. 3D Print Med 2022; 8:17. [PMID: 35678954 PMCID: PMC9178851 DOI: 10.1186/s41205-022-00142-y] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2021] [Accepted: 05/30/2022] [Indexed: 01/17/2023] Open
Abstract
Background Advanced diagnostic imaging is an essential part of preoperative planning for oral and maxillofacial surgery in veterinary patients. 3-dimensional (3D) printed models and surgical guides generated from diagnostic imaging can provide a deeper understanding of the complex maxillofacial anatomy, including relevant spatial relationships. Additionally, patient-specific 3D printed models allow surgeons and trainees to better examine anatomical features through tactile and visuospatial feedback allowing for improved preoperative planning, intraoperative guidance, and enhanced trainee education. Furthermore, these models facilitate discussions with pet owners, allowing for improved owner understanding of pathology, and educated decision-making regarding treatment. Case presentation Our case series consists of three 3D printed models segmented from computed tomography (CT) and cone beam CT (CBCT) and fabricated via desktop vat polymerization for preoperative planning and intraoperative guidance for resection of maxillary osteosarcoma, mandibular reconstruction after mandibulectomy, and gap arthroplasty for temporomandibular joint ankylosis in dogs. Conclusions We illustrate multiple benefits and indications for 3D printing in veterinary oral and maxillofacial surgery. 3D printed models facilitate the understanding of complex surgical anatomy, creating an opportunity to assess the spatial relationship of the relevant structures. It facilitates individualized surgical planning by allowing surgeons to tailor and augment the surgical plan by examining patient-specific anatomy and pathology. Surgical steps may also be simulated in advance, including planning of osteotomy lines, and pre-contouring of titanium plates for reconstruction. Additionally, a 3D printed model and surgical guide also serve as invaluable intraoperative reference and guidance. Furthermore, 3D printed models have the potential to improve veterinary resident and student training as well as pet owner understanding and communication regarding the condition of their pets, treatment plan and intended outcomes.
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Affiliation(s)
- Yu-Hui Huang
- Department of Radiology, University of Minnesota, 420 Delaware Street SE, Minneapolis, MN, 55455, USA. .,Department of Radiology, Minneapolis VA Medical Center, 1 Veterans Dr, Minneapolis, MN, 55417, USA.
| | - Bonnie Lee
- College of Veterinary Medicine, University of Minnesota, 1352 Boyd Ave, St Paul, MN, 55108, USA
| | - Jeffrey A Chuy
- Department of Radiology, University of Minnesota, 420 Delaware Street SE, Minneapolis, MN, 55455, USA.,Department of Radiology, Minneapolis VA Medical Center, 1 Veterans Dr, Minneapolis, MN, 55417, USA
| | - Stephanie L Goldschmidt
- College of Veterinary Medicine, University of Minnesota, 1352 Boyd Ave, St Paul, MN, 55108, USA
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Use of 3-D Models for Surgical Planning of a Malunion in a Dog. Case Rep Vet Med 2022; 2022:3813525. [PMID: 35368848 PMCID: PMC8975712 DOI: 10.1155/2022/3813525] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2021] [Accepted: 03/17/2022] [Indexed: 11/18/2022] Open
Abstract
Background An 8-year-old, 18.9 kg, male, intact Kai Ken with a femoral shaft fracture experienced recurrent implant breakage after two fracture reductions using an internal fixator. Objectives This case report is aimed at using a three-dimensional (3-D) printer to diagnose residual femoral rotational deviation. Implant failures and malunion occurred after two attempts at synthesis. Thus, a 3-D model was designed for preoperative planning of a third surgery. Methods To evaluate the alignment in the postoperative state after the second surgery, we removed a broken plate from the affected limb. Subsequently, a computed tomography image produced a bone replica using 3-D printing. The distal fragment was fixed and rotated externally by 42°. In addition to correcting the rotational deformity of the femur, we used an intramedullary pin and two locking plates to stabilize the proximal and distal femoral fracture segments. Results The bone union was confirmed four months after surgery, and no postoperative complications were observed 11 months after surgery. Conclusion 3-D printing is a valuable tool that increases the accuracy of presurgical planning.
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Lee HR, Adam GO, Kim SJ. Application of Patient-Specific Instrumentation in a Dog Model with Antebrachial Growth Deformity Using a 3-D Phantom Bone Model. Vet Sci 2022; 9:vetsci9040157. [PMID: 35448655 PMCID: PMC9024640 DOI: 10.3390/vetsci9040157] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2022] [Accepted: 03/18/2022] [Indexed: 12/10/2022] Open
Abstract
One of the most frequent bone deformities in dogs is antebrachial growth deformity (AGD), which results from malunion of the distal growth plates. The objective of the present study was to re-align the limbs, which can correct the length mismatch and reset the coherence of the joint with the aid of a 3-D phantom model for surgical preplanning. A 14-month-old, intact female Golden Retriever with an angular deformity of the left radius and ulna was selected for the study. The diagnosis was confirmed by orthogonal radiographs. Moreover, computed tomography (CT) scans revealed a multiplane deformity with valgus, procurator, and external rotation of the left radius. The pre-surgical planning started with the quantification of the angular deformity, followed by a simulated virtual osteotomy, and concluded with an in vitro rehearsal surgery on 3-D printed phantom bone models. In the operating room, prefabricated patient-specific instrumentation (PSI) was attached at the planned site of the radial bone surface for a precise closing wedge osteotomy. Then two locking plates were fixed routinely. Post-operative radiographs showed accurate correction of the deformity as we had planned. At 12 weeks post-operatively, the follow-up surveys revealed improved gait, weight-bearing, and progression of bone healing. Our PSI design, based on novel surgical planning, was steady yet straightforward during the osteotomy. The osteotomy was performed without difficulty since the PSI that pre-determined the sites and angles let the surgeon perform the antebrachial malformation surgery. This method of operation reduces stress on the operator and helps to improve accuracy, repeatability, and surgery time.
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Affiliation(s)
| | - Gareeballah Osman Adam
- Department of Veterinary Medicine and Surgery, College of Veterinary Medicine, Sudan University of Science and Technology, Khartoum P.O. Box 204, Sudan;
- R&D Division, HUVET Co., Ltd., Iksan 54531, Korea
| | - Shang-Jin Kim
- College of Veterinary Medicine, Jeonbuk National University, Specialized Campus, Iksan 54596, Korea
- Correspondence: ; Tel.: +82-63-850-0963
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Memarian P, Pishavar E, Zanotti F, Trentini M, Camponogara F, Soliani E, Gargiulo P, Isola M, Zavan B. Active Materials for 3D Printing in Small Animals: Current Modalities and Future Directions for Orthopedic Applications. Int J Mol Sci 2022; 23:ijms23031045. [PMID: 35162968 PMCID: PMC8834768 DOI: 10.3390/ijms23031045] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2021] [Revised: 01/10/2022] [Accepted: 01/10/2022] [Indexed: 12/15/2022] Open
Abstract
The successful clinical application of bone tissue engineering requires customized implants based on the receiver's bone anatomy and defect characteristics. Three-dimensional (3D) printing in small animal orthopedics has recently emerged as a valuable approach in fabricating individualized implants for receiver-specific needs. In veterinary medicine, because of the wide range of dimensions and anatomical variances, receiver-specific diagnosis and therapy are even more critical. The ability to generate 3D anatomical models and customize orthopedic instruments, implants, and scaffolds are advantages of 3D printing in small animal orthopedics. Furthermore, this technology provides veterinary medicine with a powerful tool that improves performance, precision, and cost-effectiveness. Nonetheless, the individualized 3D-printed implants have benefited several complex orthopedic procedures in small animals, including joint replacement surgeries, critical size bone defects, tibial tuberosity advancement, patellar groove replacement, limb-sparing surgeries, and other complex orthopedic procedures. The main purpose of this review is to discuss the application of 3D printing in small animal orthopedics based on already published papers as well as the techniques and materials used to fabricate 3D-printed objects. Finally, the advantages, current limitations, and future directions of 3D printing in small animal orthopedics have been addressed.
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Affiliation(s)
- Parastoo Memarian
- Department of Animal Medicine, Productions and Health, University of Padova, 35020 Padova, Italy; (P.M.); (M.I.)
| | - Elham Pishavar
- Department of Translational Medicine, University of Ferrara, 44121 Ferrara, Italy; (E.P.); (F.Z.); (M.T.); (F.C.)
| | - Federica Zanotti
- Department of Translational Medicine, University of Ferrara, 44121 Ferrara, Italy; (E.P.); (F.Z.); (M.T.); (F.C.)
| | - Martina Trentini
- Department of Translational Medicine, University of Ferrara, 44121 Ferrara, Italy; (E.P.); (F.Z.); (M.T.); (F.C.)
| | - Francesca Camponogara
- Department of Translational Medicine, University of Ferrara, 44121 Ferrara, Italy; (E.P.); (F.Z.); (M.T.); (F.C.)
| | - Elisa Soliani
- Engineering Department, King’s College, London WC2R 2LS, UK;
| | - Paolo Gargiulo
- Institute for Biomedical and Neural Engineering, Reykjavík University, 101 Reykjavík, Iceland;
- Department of Science, Landspítali, 101 Reykjavík, Iceland
| | - Maurizio Isola
- Department of Animal Medicine, Productions and Health, University of Padova, 35020 Padova, Italy; (P.M.); (M.I.)
| | - Barbara Zavan
- Department of Translational Medicine, University of Ferrara, 44121 Ferrara, Italy; (E.P.); (F.Z.); (M.T.); (F.C.)
- Correspondence:
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Buote NJ. Updates in Laparoscopy. Vet Clin North Am Small Anim Pract 2022; 52:513-529. [DOI: 10.1016/j.cvsm.2021.12.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Dautzenberg P, Volk HA, Huels N, Cieciora L, Dohmen K, Lüpke M, Seifert H, Harms O. The effect of steam sterilization on different 3D printable materials for surgical use in veterinary medicine. BMC Vet Res 2021; 17:389. [PMID: 34949184 PMCID: PMC8697434 DOI: 10.1186/s12917-021-03065-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2020] [Accepted: 11/03/2021] [Indexed: 11/28/2022] Open
Abstract
Background Different 3D-printed materials polyactic acid (PLA), polyamide (PA), polycarbonates (PC), acrylonitrile butadiene styrene (ABS) and GreenTEC Pro®I have been considered for surgical templates, but there is a sparity of data about how these materials are affected by steam sterilization. The aim of the current study was to test if and how these materials change morphologically when high temperature, pressure and humidity are applied during the steam sterilization process. The overall aim is to create patient-specific sawing templates for performing corrective osteotomies. After the designing process, test-specimens with five different materials: PLA, PC, ABS, PA and GreenTEC Pro® were 3D-printed in two filling grades (30 and 100%). The FDM method was used for printing. After 3D-printing, the test-specimens were steam sterilized with a standard program lasting 20 min, at a temperature of 121 °C and a pressure of 2–3 bar. In order to measure the deviation of the printed model, we measured the individual test-specimens before and after steam sterilization using a sliding gauge. Results PC, PA and ABS showed great morphological deviations from the template after 3D-printing and steam sterilization (> 1%) respectively. ABS proved unsuitable for steam sterilization. PLA and GreenTEC Pro® demonstrated fewer morphological deviations both before and after sterilization. Therefore, we decided to perform a second test just with PLA and Green-TEC Pro® to find out which material has the highest stability and is probably able to be used for clinical application. The smallest deviations were found with the GreenTEC Pro® solid body. After autoclaving, the specimens showed a deviation from the planned body and remained below the 1% limit. Conclusion Steam sterilization causes morphological deviations in 3D printed objects. GreenTEC Pro® seems to be a suitable material for clinical use, not only for intraoperative use, but also for precise modeling. Microbiological examination, as well as biomechanical tests, should be performed to further assess whether intraoperative use is possible. Supplementary Information The online version contains supplementary material available at 10.1186/s12917-021-03065-8.
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Affiliation(s)
- Philipp Dautzenberg
- Department of Small Animal Medicine and Surgery, University of Veterinary Medicine Hannover, Bünteweg 9, 30559, Hannover, Germany.
| | - Holger A Volk
- Department of Small Animal Medicine and Surgery, University of Veterinary Medicine Hannover, Bünteweg 9, 30559, Hannover, Germany
| | - Nikolaus Huels
- Department of Small Animal Medicine and Surgery, University of Veterinary Medicine Hannover, Bünteweg 9, 30559, Hannover, Germany
| | - Lena Cieciora
- Department of Small Animal Medicine and Surgery, University of Veterinary Medicine Hannover, Bünteweg 9, 30559, Hannover, Germany
| | - Katharina Dohmen
- Department of Small Animal Medicine and Surgery, University of Veterinary Medicine Hannover, Bünteweg 9, 30559, Hannover, Germany
| | - Matthias Lüpke
- Department of General Radiology and Medical Physics, University of Veterinary Medicine Hanover, Bischofsholer Damm 15, 30173, Hannover, Germany
| | - Herman Seifert
- Department of General Radiology and Medical Physics, University of Veterinary Medicine Hanover, Bischofsholer Damm 15, 30173, Hannover, Germany
| | - Oliver Harms
- Department of Small Animal Medicine and Surgery, University of Veterinary Medicine Hannover, Bünteweg 9, 30559, Hannover, Germany
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Yamada K, Yokoyama T, Aihara N, Une Y, Sato R. Role of autopsy imaging-computed tomography in the post-mortem study of farm animals. Vet Rec Open 2021; 8:e1. [PMID: 33981435 PMCID: PMC8109047 DOI: 10.1002/vro2.1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2020] [Revised: 10/23/2020] [Accepted: 12/28/2020] [Indexed: 11/21/2022] Open
Abstract
BACKGROUND Autopsy imaging (Ai) is used to determine the cause of death, providing pre-dissection information. Ai is often used in the field of human forensic medicine but has never been applied on farm animals. METHODS Ai-computed tomography (CT) was performed before necropsy for farm animals (one goat, one ox, one cow and three calves) that died or were euthanised. RESULTS Ai-CT findings of rib fractures (case 1), urethral calculi (case 2), multiple osteolytic bone lesions (case 3 and 4) and hair balls (case 4) were confirmed by dissection. However, a tentative diagnosis of actinomycosis was made in an ox (case 5) using antemortem radiography and Ai-CT, and the mass was identified as ameloblastic fibro-odontoma on histological examination. A tentative diagnosis of maxillary abscess was made from antemortem radiography in a cow (case 6); however, the lesion was shown to be maxillary neoplasia on Ai-CT. The mass was identified as hemangiosarcoma on histopathological examination. CONCLUSION Ai is helpful in pathological examination because the specific findings are known before the dissection, the lesions can be pinpointed in the pathological dissection, facilitating workflow; furthermore, the oversight of lesions can be reduced. In addition, Ai-CT images, including three-dimensional images and a three-dimensional printed model, allowed an easy understanding of pathology among students and farmers. Ai-CT for farm animals represents a novel option for veterinary education.
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Affiliation(s)
- Kazutaka Yamada
- School of Veterinary MedicineAzabu UniversitySagamiharaJapan
| | - Taiki Yokoyama
- Veterinary Teaching HospitalAzabu UniversitySagamiharaJapan
| | - Naoyuki Aihara
- School of Veterinary MedicineAzabu UniversitySagamiharaJapan
| | - Yumi Une
- Faculty of Veterinary MedicineOkayama University of ScienceImabariJapan
| | - Reiichiro Sato
- Faculty of AgricultureUniversity of MiyazakiMiyazakiJapan
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da Silveira EE, da Silva Lisboa Neto AF, Carlos Sabino Pereira H, Ferreira JS, Dos Santos AC, Siviero F, da Fonseca R, de Assis Neto AC. Canine Skull Digitalization and Three-Dimensional Printing as an Educational Tool for Anatomical Study. JOURNAL OF VETERINARY MEDICAL EDUCATION 2021; 48:649-655. [PMID: 33226900 DOI: 10.3138/jvme-2019-0132] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
This article aims to standardize 3D scanning and printing of dog skulls for educational use and evaluate the effectiveness of these anatomical printed models for a veterinary anatomy course. Skulls were selected for scanning and creating 3D-printed models through Fused Deposition Modeling using acrylonitrile-butadiene-styrene. After a lecture on skull anatomy, the 3D-printed and real skull models were introduced during the practical bone class to 140 students. A bone anatomy practical test was conducted after a month; it consisted in identifying previously marked anatomical structures of the skull bones. The students were divided into two groups for the exam; the first group of students took the test on the real skulls, whereas the second group of students took the test on 3D-printed skulls. The students' performance was evaluated using similar practical examination questions. At the end of the course, these students were asked to answer a brief questionnaire about their individual experiences. The results showed that the anatomical structures of the 3D-printed skulls were similar to the real skulls. There was no significant difference between the test scores of the students that did their test using the real skulls and those using 3D prints. In conclusion, it was possible to construct a dynamic and printed digital 3D collection for studies of the comparative anatomy of canine skull species from real skulls, suggesting that 3D-digitalized and-printed skulls can be used as tools in veterinary anatomy teaching.
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da Silveira EE, da Silva AF, Neto L, Sabino Pereira HC, Santos Ferreira J, Cesar Dos Santos A, Siviero F, da Fonseca R, de Assis Neto AC. Digitalização e Impressão Tridimensional de Crânio Canino como Ferramenta Educacional para Estudo Anatômico. JOURNAL OF VETERINARY MEDICAL EDUCATION 2021; 48:774-780. [PMID: 34898395 DOI: 10.3138/jvme-2019-0132.pt] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Este trabalho teve como objetivo padronizar a digitalização e impressão 3D de crânios de cães para uso educacional e avaliar a eficácia de modelos anatômicos impressos na disciplina de anatomia do curso de medicina veterinária. Os crânios foram selecionados para escaneamento e criação dos modelos impressos 3D modelados por fusão de deposição (FDM) utilizando acrilonitrila butadieno estireno. Após uma aula teórica sobre anatomia do crânio os modelos impressos 3D e os modelos reais do crânio de cães foram apresentados aos 140 alunos durante a aula prática de ossos. Uma avaliação prática de osteologia foi realizada após um mês que consistiu na identificação de estruturas anatômicas dos ossos do crânio identificados por alfinetes. Os alunos foram divididos em duas turmas para a realização da avaliação; o primeiro grupo fez os testes usando os crânios reais, enquanto o segundo grupo os crânios impressos 3D. O desempenho dos alunos foi avaliado conforme as suas performances no exame prático. No final da disciplina, eles foram convidados a responder a um breve questionário sobre suas experiências individuais. Os resultados do estudo demonstram que as estruturas anatômicas dos crânios impressos 3D eram semelhantes aos crânios reais. Não houve diferença significativa quando se analisou o grau de acertos e erros durante a realização do exame entre aqueles que identificaram as estruturas nos crânios reais ou nos impressos 3D. Conclui-se que é possível construir um acervo dinâmico digital e impresso tridimensional (3D) para estudos da anatomia comparada da espécie canina a partir de crânios reais, e que os crânios 3D podem ser usados como uma excelente ferramenta alternativa ao ensino na anatomia veterinária.
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Thatcher GP, Soukup JW. Virtual Surgical Planning and 3D Printing in Veterinary Dentistry and Oromaxillofacial Surgery. Vet Clin North Am Small Anim Pract 2021; 52:221-234. [PMID: 34838251 DOI: 10.1016/j.cvsm.2021.09.009] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
Virtual surgical planning and three-dimensional (3D) printing are preoperative processes requiring the acquisition of high-quality imaging data. A surgical treatment plan is created and rehearsed virtually as the operator manipulates the 3D images of the patient within the software. When the operator is satisfied with the plan, including anticipated osteotomies, tumor excision margins, and reconstruction options, physical 3D prints can be produced. This article introduces the reader to the basic concepts involved in virtual surgical planning and 3D printing as well as their implementation in veterinary oromaxillofacial surgery.
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Affiliation(s)
- Graham P Thatcher
- University of Wisconsin-Madison, School of Veterinary Medicine, 2015 Linden Drive, Madison, WI 53706, USA
| | - Jason W Soukup
- University of Wisconsin-Madison, School of Veterinary Medicine, 2015 Linden Drive, Madison, WI 53706, USA.
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Kim J, Ko J, Kim J, Seo A, Eom K. Efficacy of a Customized Three-Dimensional Printing Surgical Guide for Tibial Plateau Leveling Osteotomy: A Comparison With Conventional Tibial Plateau Leveling Osteotomy. Front Vet Sci 2021; 8:751908. [PMID: 34901244 PMCID: PMC8656361 DOI: 10.3389/fvets.2021.751908] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2021] [Accepted: 11/05/2021] [Indexed: 11/13/2022] Open
Abstract
Objective: To prospectively evaluate the effect of a computed tomography (CT)-based three-dimensional (3D) printing surgical guide on surgical accuracy of tibial plateau leveling osteotomy (TPLO). Study Design: Cadaveric study. Animals: Canine cadaveric hindlimbs (n = 14). Methods: TPLO was performed on cadaver hindlimbs disarticulated at the coxofemoral joint to compare and evaluate the conventional TPLO method (n = 7) with one that used customized 3D printing surgical guides (n = 7). The operation time and postoperative tibial plateau angle (TPA) of the osteotomy were evaluated. Moreover, the osteotomy inclination, torsion, and distance and the direction of eccentricity were assessed using CT reconstruction. Results: Significant differences in the operation time (p < 0.001), postoperative TPA (p < 0.05), osteotomy inclination (p < 0.05), and osteotomy torsion (p < 0.05) were observed. Conclusion: The use of TPLO surgical guide reduced the operation time and inaccurate osteotomy. Clinical Significance: The surgical technique applied with a customized 3D printing surgical guide could be used to perform osteotomy and TPA adjustment more precisely than conventional TPLO.
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Affiliation(s)
- Jayon Kim
- Department of Veterinary Medical Imaging, College of Veterinary Medicine, Konkuk University, Seoul, South Korea
| | - Jaeeun Ko
- Department of Veterinary Medical Imaging, College of Veterinary Medicine, Konkuk University, Seoul, South Korea
| | - Jaehwan Kim
- Department of Veterinary Medical Imaging, College of Veterinary Medicine, Konkuk University, Seoul, South Korea
| | - Anna Seo
- Research Institute, SEEANN Solution Co., Ltd., Incheon, South Korea
| | - Kidong Eom
- Department of Veterinary Medical Imaging, College of Veterinary Medicine, Konkuk University, Seoul, South Korea
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Altwal J, Wilson CH, Griffon DJ. Applications of 3-dimensional printing in small-animal surgery: A review of current practices. Vet Surg 2021; 51:34-51. [PMID: 34633081 DOI: 10.1111/vsu.13739] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2021] [Revised: 08/27/2021] [Accepted: 09/14/2021] [Indexed: 01/25/2023]
Abstract
Three-dimensional (3D) printing, also called rapid prototyping or additive manufacturing, transforms digital images into 3D printed objects, typically by layering consecutive thin films of material. This technology has become increasingly accessible to the public, prompting applications in veterinary surgery. Three-dimensional prints provide direct visualization of complex 3D structures and also haptic feedback relevant to surgery. The main objective of this review is to report current applications of 3D printing in small-animal surgery, including surgical education, preoperative planning, and treatment of tissue defects. The reported uses of 3D prints, their proposed advantages, and current limitations are discussed considering published evidence. Aspects of the manufacturing process specific to each application are described, along with current practices in veterinary surgery.
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Affiliation(s)
- Johnny Altwal
- College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, Colorado, USA.,Schmid College of Science and Technology, Chapman University, Orange, California, USA
| | - Caroline H Wilson
- Crean College of Health and Behavioral Sciences, Chapman University, Orange, California, USA
| | - Dominique J Griffon
- College of Veterinary Medicine, Western University of Health Sciences, Pomona, California, USA
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Ribeiro Gaspar B, de Assis Neto AC. Three-dimensional printing educational anatomical model of the patellar luxation in dogs. PLoS One 2021; 16:e0255288. [PMID: 34329358 PMCID: PMC8323952 DOI: 10.1371/journal.pone.0255288] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2020] [Accepted: 07/13/2021] [Indexed: 11/18/2022] Open
Abstract
Background Few studies are available for assessing the current situation of 3D printing in veterinary medicine, due to the recent popularization of this technology. This study aimed to simulate a 3D model of the femorotibiopatellar joint of dogs based on the medial patellar luxation. The scanning, editing and printing of the femur, tibia, fibula and patella of a dog from the Laboratory of Anatomy of FMVZ USP were performed. Results Three femorotibiopatellar joint models were printed: one representing a healthy join without alterations; the second one with the medially deviated tibial tuberosity; and a last one representing the shifted tibial tuberosity and the trochlear sulcus flattened as consequence. The 3D edition consisted of medial rotation of the tibia and tibial tuberosity (22° against the healthy tibia), and the flatten of the medial femoral condyle (0.2 cm) and femoral trochlear groove. After printing, the corresponding measurements were taken with the alterations and the bone models were made with elastics to represent the anatomical components of the dog joint. Finally, the measurements corresponding to the distance from the patellar ligament to the lateral femoral condyle were taken in each specimen, in order to observe the change in position of the ligament according to the occurrence of the bone alterations. Conclusion We printed 3D articular anatomical components of the femurotibiopatellar joint that could be valuable educational tools for the study of medial patellar luxation in dogs.
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Affiliation(s)
- Beatriz Ribeiro Gaspar
- Department of Surgery, School of Veterinary Medicine and Animal Science, University of Sao Paulo, São Paulo, Brazil
| | - Antonio Chaves de Assis Neto
- Department of Surgery, School of Veterinary Medicine and Animal Science, University of Sao Paulo, São Paulo, Brazil
- * E-mail:
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Zanfabro M, Radice M, Brusati M, Quintavalla F. Monolateral temporomandibular joint ankylosis treated with piezoelectric surgery employing 3D printed pre‐operative surgical planning model in cat. VETERINARY RECORD CASE REPORTS 2021. [DOI: 10.1002/vrc2.156] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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Kocyigit A, Narlicay S. The production of testis biomodels using three-dimensional (3D) technologies. Andrologia 2021; 53:e14171. [PMID: 34185876 DOI: 10.1111/and.14171] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2021] [Revised: 06/09/2021] [Accepted: 06/11/2021] [Indexed: 01/10/2023] Open
Abstract
This study aimed to investigate the potentiality of biomodels to be produced as alternative tools to slaughterhouse materials in andrology education. For this purpose, testis biomodels were produced with reference to bull testes. The biomodel production was carried out by the following steps: the preparation of the reference organs, 3D modelling, and processing of data sets and stages. The biomodels and reference testes were compared in terms of morphological parameters and tonicity. As a result of quantitative measurements, the average length in the reference testicles was 145.56 ± 21.3 mm, while the thickness was 61.94 ± 17.2 mm. The average length, thickness, volume and tonicity values of the biomodels showed similarity to the values of the reference testicles (p > .05). However, it was recorded that the average weight of the reference testicles was determined as 368.07 ± 40.3 g, while the average weight of the biomodels was 69.02 ± 3.18 g (p < .01). As a result, it has been shown that testis biomodels can be successfully produced using three-dimensional technologies. These biomodels are the first examples in the field. We think that the biomodels produced by using innovative technologies should be considered as serious alternatives, which could contribute to the learning processes of students, especially in andrology education.
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Affiliation(s)
- Alper Kocyigit
- Department of Reproduction and Artificial Insemination, Faculty of Veterinary Medicine, Sivas Cumhuriyet University, Sivas, Turkey
| | - Salih Narlicay
- Department of Reproduction and Artificial Insemination, Faculty of Veterinary Medicine, Sivas Cumhuriyet University, Sivas, Turkey
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Minto BW, Sprada AG, Gonçalves Neto JA, Alcântara BMD, Rocha TASDS, Hespanha ACV, Quarterone C, Sartori MDR, Hataka A, Uscategui RAR, Dias LGGG. Three-dimensional printed poly (L-lactide) and hydroxyapatite composite for reconstruction of critical bone defect in rabbits. Acta Cir Bras 2021; 36:e360404. [PMID: 34037081 PMCID: PMC8148815 DOI: 10.1590/acb360404] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2020] [Accepted: 03/22/2021] [Indexed: 11/22/2022] Open
Abstract
PURPOSE To use a 3D printed poly (L-lactide) acid (PLLA) and hydroxyapatite (HA) composite as a bone substitute for reconstruction of a critical bone defect in the radius of rabbits. METHODS A 1.5 cm ostectomy was performed in the radial diaphysis of 60 New Zealand white rabbits. The rabbits were divided into three groups according to surgical treatment of the bone defect (group I - control, group II - bone graft, group III - 3D PLLA). Each group was divided into four subgroups with different radiographic and histopathologic evaluation times (T1 - 15 days, T2 - 30 days, T3 - 60 days, T4 - 90 days). RESULTS The implant group had greater clinically lameness (p = 0.02), edema (p = 0.007), pain (p = 0.04) and more complications at the surgical site (p = 0.03). Histologically, this group showed greater congestion (p = 0.04), hemorrhage (p = 0.04) and inflammation. Osteogenesis was microscopically similar between days (p = 0.54) and treatments (p = 0.17), even though radiographically, more effective bone healing occurred in the graft group (II), with more callus and bone bridge formation. CONCLUSIONS The customization of a 3D PLLA/HA scaffold was successful. However, in animals receiving the polymer-ceramic composite less bone callus and bone bridge was formed compared to the graft group.
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Van Houtte J, Vandenberghe F, Zheng G, Huysmans T, Sijbers J. EquiSim: An Open-Source Articulatable Statistical Model of the Equine Distal Limb. Front Vet Sci 2021; 8:623318. [PMID: 33763462 PMCID: PMC7982960 DOI: 10.3389/fvets.2021.623318] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2020] [Accepted: 01/19/2021] [Indexed: 11/13/2022] Open
Abstract
Most digital models of the equine distal limb that are available in the community are static and/or subject specific; hence, they have limited applications in veterinary research. In this paper, we present an articulatable model of the entire equine distal limb based on statistical shape modeling. The model describes the inter-subject variability in bone geometry while maintaining proper jointspace distances to support model articulation toward different poses. Shape variation modes are explained in terms of common biometrics in order to ease model interpretation from a veterinary point of view. The model is publicly available through a graphical user interface (https://github.com/jvhoutte/equisim) in order to facilitate future digitalization in veterinary research, such as computer-aided designs, three-dimensional printing of bone implants, bone fracture risk assessment through finite element methods, and data registration and segmentation problems for clinical practices.
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Affiliation(s)
| | | | - Guoyan Zheng
- Center for Image-Guided Therapy and Interventions, Institute for Medical Robotics, Shanghai Jiao Tong University, Shanghai, China
| | - Toon Huysmans
- imec-Vision Lab, University of Antwerp, Antwerp, Belgium.,Section on Applied Ergonomics and Design, Faculty of Industrial Design Engineering, Delft University of Technology, Delft, Netherlands
| | - Jan Sijbers
- imec-Vision Lab, University of Antwerp, Antwerp, Belgium
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Comparison between Novice and Experienced Surgeons Performing Corrective Osteotomy with Patient-Specific Guides in Dogs Based on Resulting Position Accuracy. Vet Sci 2021; 8:vetsci8030040. [PMID: 33671051 PMCID: PMC8000773 DOI: 10.3390/vetsci8030040] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2020] [Revised: 02/09/2021] [Accepted: 02/24/2021] [Indexed: 11/17/2022] Open
Abstract
Corrective osteotomy has been applied to realign and stabilize the bones of dogs with lameness. However, corrective osteotomy for angular deformities requires substantial surgical experience for planning and performing accurate osteotomy. Three-dimensional printed patient-specific guides (3D-PSGs) were developed to overcome perioperative difficulties. In addition, novices can easily use these guides for performing accurate corrective osteotomy. We compared the postoperative results of corrective osteotomy accuracy when using 3D-PSGs in dogs between novice and experienced surgeons. We included eight dogs who underwent corrective osteotomy: three angular deformities of the radius and ulna, three distal femoral osteotomies, one center of rotational angle-based leveling osteotomy, and one corrective osteotomy with stifle arthrodesis. All processes, including 3D bone modeling, production of PSGs, and rehearsal surgery were carried out with computer-aided design software and a 3D-printed bone model. Pre- and postoperative positions following 3D reconstruction were evaluated by radiographs using the 2D/3D registration technique. All patients showed clinical improvement with satisfactory alignment and position. Postoperative accuracy evaluation revealed no significant difference between novice and experienced surgeons. PSGs are thought to be useful for novice surgeons to accurately perform corrective osteotomy in dogs without complications.
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Jamieson C, Keenan P, Kirkwood D, Oji S, Webster C, Russell KA, Koch TG. A Review of Recent Advances in 3D Bioprinting With an Eye on Future Regenerative Therapies in Veterinary Medicine. Front Vet Sci 2021; 7:584193. [PMID: 33665213 PMCID: PMC7921312 DOI: 10.3389/fvets.2020.584193] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2020] [Accepted: 10/21/2020] [Indexed: 01/04/2023] Open
Abstract
3D bioprinting is a rapidly evolving industry that has been utilized for a variety of biomedical applications. It differs from traditional 3D printing in that it utilizes bioinks comprised of cells and other biomaterials to allow for the generation of complex functional tissues. Bioprinting involves computational modeling, bioink preparation, bioink deposition, and subsequent maturation of printed products; it is an intricate process where bioink composition, bioprinting approach, and bioprinter type must be considered during construct development. This technology has already found success in human studies, where a variety of functional tissues have been generated for both in vitro and in vivo applications. Although the main driving force behind innovation in 3D bioprinting has been utility in human medicine, recent efforts investigating its veterinary application have begun to emerge. To date, 3D bioprinting has been utilized to create bone, cardiovascular, cartilage, corneal and neural constructs in animal species. Furthermore, the use of animal-derived cells and various animal models in human research have provided additional information regarding its capacity for veterinary translation. While these studies have produced some promising results, technological limitations as well as ethical and regulatory challenges have impeded clinical acceptance. This article reviews the current understanding of 3D bioprinting technology and its recent advancements with a focus on recent successes and future translation in veterinary medicine.
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Affiliation(s)
| | | | | | | | | | | | - Thomas G. Koch
- Reproductive Health and Biotechnology Lab, Department of Biomedical Science, University of Guelph, Guelph, ON, Canada
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Rodrigues KEM, Lucas KDA, Cordeiro ALL, Silva RPM, Santos FGDA, de Carvalho YK. 3D models of nonunion fractures in long bones as education tools. BRAZILIAN JOURNAL OF VETERINARY MEDICINE 2021; 43:e114820. [PMID: 35749084 PMCID: PMC9179198 DOI: 10.29374/2527-2179.bjvm114820] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2020] [Accepted: 10/23/2020] [Indexed: 11/05/2022] Open
Abstract
The appearance of fracture complications can present itself as a difficult scenario in a veterinarian's practice, and it can be difficult to diagnose and have a poor prognosis. The recognition of the different types of nonunion fractures can enable quick guidance on the best way to act, thus reducing the cost of treatment and the patient's suffering. The objective of this study was to create 3D models of nonunion fractures in long bones (3D NUFs). The study was carried out in three stages: 1) creating biscuit models from representations of nonunion fractures; 2) scanning the biscuit models of nonunion fractures and 3D modeling; and 3) printing and finishing the 3D models of nonunion fractures (hereafter, 3D NUFs). The creation of biscuit prototypes and the respective digitalization were decisive in producing 3D NUFs, which reproduced the main characteristics of each type of nonunion fracture classification described in the literature. It took 31.1 hours to create and print all 3D NUFs using 95.66 grams of filament (ABS) for a total cost of $3.73. The creation of 3D NUFs from the biscuit dough presented a new way of obtaining didactic models for the teaching of veterinary medicine. The 3D NUFs represent the different forms of low-cost manifestations that characterize this disease, which can be used as a possible teaching-learning tool for veterinary education.
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Affiliation(s)
- Katriny Elifelina Monteiro Rodrigues
- Undergraduate in Veterinary Medicine, Centro de Ciência Biológicas e da Natureza (CCBN), Universidade Federal do Acre (UFAC), Rio Branco, AC, Brasil
| | - Kleber dos Anjos Lucas
- Undergraduate in Veterinary Medicine, Centro de Ciência Biológicas e da Natureza (CCBN), Universidade Federal do Acre (UFAC), Rio Branco, AC, Brasil
| | - Andrey Luiz Lopes Cordeiro
- Veterinarian, MSc. Programa de Pós-Graduação Sanidade e Produção Animal Sustentável na Amazônia Ocidental (PPGESPA), CCBN, UFAC, Rio Branco, AC, Brasil
| | - Romeu Paulo Martins Silva
- Physical educator, DSc., Departamento de Biotecnologia, Universidade Federal do Catalão (UFCAT), Catalão, GO, Brasil
| | | | - Yuri Karaccas de Carvalho
- Veterinarian, DSc., CCBN, UFAC, Rio Branco, AC, Brasil
- Correspondence Yuri Karaccas de Carvalho Centro de Ciências Biológicas e da Natureza, Universidade Federal do Acre - UFAC Rodovia BR 364, Km 04, Distrito Industrial CEP 69920-900 - Rio Branco (AC), Brasil E-mail:
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Hsu CP, Lin CS, Fan CH, Chiang NY, Tsai CW, Chang CM, Liu IL. Geometric accuracy of an acrylonitrile butadiene styrene canine tibia model fabricated using fused deposition modelling and the effects of hydrogen peroxide gas plasma sterilisation. BMC Vet Res 2020; 16:478. [PMID: 33298063 PMCID: PMC7724725 DOI: 10.1186/s12917-020-02691-y] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2020] [Accepted: 11/23/2020] [Indexed: 12/03/2022] Open
Abstract
Background Three-dimensional (3D) printing techniques have been used to produce anatomical models and surgical guiding instruments in orthopaedic surgery. The geometric accuracy of the 3D printed replica may affect surgical planning. This study assessed the geometric accuracy of an acrylonitrile butadiene styrene (ABS) canine tibia model printed using fused deposition modelling (FDM) and evaluated its morphological change after hydrogen peroxide (H2O2) gas plasma sterilisation. The tibias of six canine cadavers underwent computed tomography for 3D reconstruction. Tibia models were fabricated from ABS on a 3D printer through FDM. Reverse-engineering technology was used to compare morphological errors (root mean square; RMS) between the 3D-FDM models and virtual models segmented from original tibia images (3D-CT) and between the models sterilised with H2O2 gas plasma (3D-GAS) and 3D-FDM models on tibia surface and in cross-sections at: 5, 15, 25, 50, 75, 85, and 95% of the tibia length. Results The RMS mean ± standard deviation and average positive and negative deviation values for all specimens in EFDM-CT (3D-FDM vs. 3D-CT) were significantly higher than those in EGAS-FDM (3D-GAS vs. 3D-FDM; P < 0.0001). Mean RMS values for EFDM-CT at 5% bone length (proximal tibia) were significantly higher than those at the other six cross-sections (P < 0.0001). Mean RMS differences for EGAS-FDM at all seven cross-sections were nonsignificant. Conclusions The tibia models fabricated on an FDM printer had high geometric accuracy with a low RMS value. The surface deviation in EFDM-CT indicated that larger errors occurred during manufacturing than during sterilisation. Therefore, the model may be used for surgical rehearsal and further clinically relevant applications in bone surgery. Graphical abstract ![]()
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Affiliation(s)
- Chi-Pin Hsu
- High Speed 3D Printing Research Center, National Taiwan University of Science and Technology, Taipei, Taiwan
| | - Chen-Si Lin
- Department and Graduate Institute of Veterinary Medicine, School of Veterinary Medicine, National Taiwan University, Taipei, Taiwan
| | - Chun-Hao Fan
- Institute of Veterinary Clinical Science, School of Veterinary Medicine, National Taiwan University, Taipei, Taiwan
| | - Nai-Yuan Chiang
- National Applied Research Laboratories, Taiwan Instrument Research Institute, Hsinchu, Taiwan
| | - Ching-Wen Tsai
- National Applied Research Laboratories, Taiwan Instrument Research Institute, Hsinchu, Taiwan
| | - Chun-Ming Chang
- National Applied Research Laboratories, Taiwan Instrument Research Institute, Hsinchu, Taiwan
| | - I-Li Liu
- Department and Graduate Institute of Veterinary Medicine, School of Veterinary Medicine, National Taiwan University, Taipei, Taiwan. .,Institute of Veterinary Clinical Science, School of Veterinary Medicine, National Taiwan University, Taipei, Taiwan.
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Darrow BG, Snowdon KA, Hespel A. Accuracy of Patient-Specific 3D Printed Drill Guides in the Placement of a Canine Coxofemoral Toggle Pin through a Minimally Invasive Approach. Vet Comp Orthop Traumatol 2020; 34:1-8. [PMID: 33241539 DOI: 10.1055/s-0040-1719169] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
OBJECTIVE The aim of this study was to evaluate the accuracy of patient-specific three-dimensional printed drill guides (3D-PDG) for the placement of a coxofemoral toggle via a minimally invasive approach. MATERIALS AND METHODS Pre-procedure computed tomography (CT) data of 19 canine cadaveric hips were used to design a cadaver-specific 3D-PDG that conformed to the proximal femur. Femoral and acetabular bone tunnels were drilled through the 3D-PDG, and a coxofemoral toggle pin was placed. The accuracy of tunnel placement was evaluated with post-procedure CT and gross dissection. RESULTS Coxofemoral toggle pins were successfully placed in all dogs. Mean exit point translation at the fovea capitis was 2.5 mm (0.2-7.5) when comparing pre- and post-procedure CT scans. Gross dissection revealed the bone tunnel exited the fovea capitis inside (3/19), partially inside (12/19) and outside of (4/19) the ligament of the head of the femur. Placement of the bone tunnel through the acetabulum was inside (16/19), partially inside (1/19) and outside (2/19) of the acetabular fossa. Small 1 to 2 mm articular cartilage fragments were noted in 10 of 19 specimens. CLINICAL SIGNIFICANCE Three-dimensional printed drill guide designed for coxofemoral toggle pin application is feasible. Errors are attributed to surgical execution and identification of the borders of the fovea capitis on CT data. Future studies should investigate modifications to 3D-PDG design and methods. Three-dimensional printed drill guide for coxofemoral toggle pin placement warrants consideration for use in select clinical cases of traumatic coxofemoral luxation.
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Affiliation(s)
- Brett G Darrow
- Capital Veterinary Specialists, Jacksonville, Florida, United States
| | | | - Adrien Hespel
- College of Veterinary Medicine, University of Tennessee, Knoxville, Tennessee, United States
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Johnson KL, Hespel AM, Price JM, de Swarte M. Use of color-coded, three-dimensional-printed equine carpus models is preferred by students but does not result in statistically different academic performance. Vet Radiol Ultrasound 2020; 62:76-83. [PMID: 33231352 DOI: 10.1111/vru.12929] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2020] [Revised: 08/10/2020] [Accepted: 09/04/2020] [Indexed: 11/28/2022] Open
Abstract
Radiology can be a challenging subject for students and finding new techniques that help improve their understanding could have positive effects in their clinical practice. The purpose of this prospective experimental study was to implement the use of color-coded, three-dimensional-printed, handheld equine carpus models into a radiographic anatomy course and evaluate the impact objectively and subjectively using quizzes and student response surveys. A first-year veterinary class was randomly divided into two similarly sized groups (groups A and B) for an equine normal radiographic anatomy laboratory. Both groups experienced the same laboratory structure; however, each student in group B received a handheld three-dimensional-printed equine carpus. Both groups received a quiz at the end of their laboratory consisting of 10 multiple-choice questions related to the equine carpus. An anonymous survey regarding the laboratory was emailed to students after the laboratory. One week later, the same 10 questions in randomized order were administered via a pop-quiz. Students believed both quizzes would count toward their final course grade. There was no statistically significant difference in grades between groups on either quiz (P > .05). However, based on survey responses, group B students felt the carpus made the laboratory more enjoyable and improved their comprehension of the material, whereas group A students felt the carpus would have increased their enjoyment and improved their comprehension. The implementation of three-dimensional-printed anatomic models may be useful to enhance enjoyment and perceived comprehension of veterinary students; however, there is currently insufficient evidence to suggest these models improve academic performance.
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Affiliation(s)
- Kryssa L Johnson
- Small Animal Clinical Sciences, College of Veterinary Medicine, University of Tennessee, Knoxville, Tennessee
| | - Adrien-Maxence Hespel
- Small Animal Clinical Sciences, College of Veterinary Medicine, University of Tennessee, Knoxville, Tennessee
| | - Joshua M Price
- Office of Information Technology, University of Tennessee, Knoxville, Tennessee
| | - Marie de Swarte
- Small Animal Clinical Sciences, College of Veterinary Medicine, University of Tennessee, Knoxville, Tennessee
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An Easy and Economical Way to Produce a Three-Dimensional Bone Phantom in a Dog with Antebrachial Deformities. Animals (Basel) 2020; 10:ani10091445. [PMID: 32824895 PMCID: PMC7552735 DOI: 10.3390/ani10091445] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2020] [Revised: 08/03/2020] [Accepted: 08/11/2020] [Indexed: 11/21/2022] Open
Abstract
Simple Summary Accurate planning, for corrective surgeries in case of bone cutting, is necessary to obtain a precise coordination of the skeleton and to achieve the owner’s satisfaction. The present experiment displays a simple and cost-effective technique for surgical planning, utilizing a 3-D bone phantom model in a dog with foreleg deformity. Abstract 3-D surgical planning for restorative osteotomy is costly and time-consuming because surgeons need to be helped from commercial companies to get 3-D printed bones. However, practitioners can save time and keep the cost to a minimum by utilizing free software and establishing their 3-D printers locally. Surgical planning for the corrective osteotomy of antebrachial growth deformities (AGD) is challenging for several reasons (the nature of the biapical or multiapical conformational abnormalities and lack of a reference value for the specific breed). Pre-operative planning challenges include: a definite description of the position of the center of rotation of angulation (CORA) and proper positioning of the osteotomies applicable to the CORA. In the present study, we demonstrated an accurate and reproducible bone-cutting technique using patient-specific instrumentations (PSI) 3-D technology. The results of the location precision showed that, by using PSIs, the surgeons were able to accurately replicate preoperative resection planning. PSI results also indicate that PSI technology provides a smaller standard deviation than the freehand method. PSI technology performed in the distal radial angular deformity may provide good cutting accuracy. In conclusion, the PSI technology may improve bone-cutting accuracy during corrective osteotomy by providing clinically acceptable margins.
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Neves ECD, Pelizzari C, Oliveira RSD, Kassab S, Lucas KDA, Carvalho YKD. 3D anatomical model for teaching canine lumbosacral epidural anesthesia. Acta Cir Bras 2020; 35:e202000608. [PMID: 32667587 PMCID: PMC7357831 DOI: 10.1590/s0102-865020200060000008] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2020] [Accepted: 05/14/2020] [Indexed: 11/22/2022] Open
Abstract
Purpose To develop a 3D anatomical model for teaching canine epidural anesthesia (3DMEA) and to assess its efficacy for teaching and learning prior to the use of live animals. Methods The creation of 3DMEA was based on 3D optical scanning and 3D printing of canine bone pieces of the fifth to the seventh lumbar vertebrae, sacrum and pelvis. A total of 20 male dogs were scheduled for castration. 20 veterinary students watched a video showing epidural anesthesia in dogs before the clinical attempt and were assigned to control or 3DMEA groups. Students in the 3DMEA group trained in the model after the video. For the clinical trial, the epidural procedure was performed by students under the veterinary supervision. When observed the absence of response to nociceptive stimuli, the epidural was considered successful. Then, all students answered a questionnaire evaluating the main difficulty founded in the technique and its degree of difficulty. Results The 3DMEA group reported a lower degree of difficulty to perform the epidural anesthesia technique when compared with the control group (p=0.0037). The 3DMEA reproduced the anatomical structures, allowing the perception of the distance of needle in relation to the iliac prominences during epidural anesthesia. Its mobility allowed simulation of the animal in standing position and sternal recumbency. Conclusion The use of 3DMEA demonstrated greater efficacy in the execution of the technique, being effective in the teaching and learning process before the epidural anesthesia in live animals.
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Gholamipour-Shirazi A, Kamlow MA, T. Norton I, Mills T. How to Formulate for Structure and Texture via Medium of Additive Manufacturing-A Review. Foods 2020; 9:E497. [PMID: 32326451 PMCID: PMC7231001 DOI: 10.3390/foods9040497] [Citation(s) in RCA: 30] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2020] [Revised: 04/02/2020] [Accepted: 04/08/2020] [Indexed: 02/07/2023] Open
Abstract
Additive manufacturing, which is also known as 3D printing, is an emerging and growing technology. It is providing significant innovations and improvements in many areas such as engineering, production, medicine, and more. 3D food printing is an area of great promise to provide an indulgence or entertaining experience, personalized food product, or specific nutritional needs. This paper reviews the additive manufacturing methods and materials in detail as well as their advantages and disadvantages. After a full discussion of 3D food printing, the reports on edible printed materials are briefly presented and discussed. In the end, the current and future outlook of additive manufacturing in the food industry is shown.
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Warsi MH, Yusuf M, Al Robaian M, Khan M, Muheem A, Khan S. 3D Printing Methods for Pharmaceutical Manufacturing: Opportunity and Challenges. Curr Pharm Des 2019; 24:4949-4956. [PMID: 30520367 DOI: 10.2174/1381612825666181206121701] [Citation(s) in RCA: 25] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2018] [Revised: 11/28/2018] [Accepted: 12/04/2018] [Indexed: 11/22/2022]
Abstract
BACKGROUND A recently FDA approved 3D printed drug is paving a path for new pharmaceutical manufacturing era. The 3D printing is a novel approach of producing 3D pharmaceuticals from digital designs, in a layer-by-layer fashion. However, traditional manufacturing of drug products is being carried out from decades with well-established manufacturing processes and with well approved regulatory guidelines but these processes are too obsolete in concern of process aptitude and manufacturing flexibility. On the other hand, 3D printing provides a competitive flexibility in terms of personalized drug dosage forms with complex geometries that will be made on-demand with desired drug release kinetics, hence providing the formulator a substantial provision of improvising the safety and efficacy of the drugs. Furthermore, this novel 3D technology allows tailoring of composite tissue scaffolds and sample models for characterization that closely mimic in-vivo simulations. Nevertheless, certain limitations are there in terms of regulatory aspects hindering the launch of 3DP products in the market. METHODS Exhaustive search were made on Google Scholar and PubMed databases concerning 3-D printing methods, drug delivery applications, and past to present evolution of personalized medicine. RESULTS Although a high magnitude of progress have been made on 3-D printing techniques in a short span of time, still inkjet, nozzle-based deposition, stereolithography and selective laser sintering techniques are the most popular ones. Their application is adapted in the fabrication of tablets, implants, polypills and nanoparticles. CONCLUSION 3D printing is revolutionizing the pharma expectations towards customized medicines but still there is a need to explore the aspects of cost, flexibility and bioequivalence. The present review provides a comprehensive account of various 3D printing technologies and highlights the opportunities and key challenges of 3D printing relevant to pharmaceuticals.
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Affiliation(s)
- Musarrat H Warsi
- College of Pharmacy, Taif University, Taif-Al-Haweiah 21974, Saudi Arabia
| | - Mohammad Yusuf
- College of Pharmacy, Taif University, Taif-Al-Haweiah 21974, Saudi Arabia
| | - Majed Al Robaian
- College of Pharmacy, Taif University, Taif-Al-Haweiah 21974, Saudi Arabia
| | - Maria Khan
- College of Pharmacy, Taif University, Taif-Al-Haweiah 21974, Saudi Arabia
| | - Abdul Muheem
- Department of Pharmaceutics, School of Pharmaceutical Education & Research, Jamia Hamdard, New Delhi-110062, India
| | - Saba Khan
- Department of Pharmaceutics, School of Pharmaceutical Education & Research, Jamia Hamdard, New Delhi-110062, India
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Blake C, Birch S, Brandão J. Medical Three-Dimensional Printing in Zoological Medicine. Vet Clin North Am Exot Anim Pract 2019; 22:331-348. [PMID: 31395318 DOI: 10.1016/j.cvex.2019.05.004] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
Abstract
Medical 3-dimensional printing allows the creation of anatomic models by using a sequence of computer software programs. Diagnostic imaging data are used to create a physical model that allows clinicians to plan for surgical procedures and create prosthetics and surgical implants and instruments, among other applications. Its use in zoological medicine is limited, but is an area with a great growth potential. This publication reviews the process of creating a 3-dimensional anatomic model, its application in human and small animal medicine and surgery, and reviews peer-reviewed data regarding its use in exotic animals, wildlife, and zoo animals.
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Affiliation(s)
- Cara Blake
- Small Animal Surgery, Department of Veterinary Clinical Sciences, Center for Veterinary Health Sciences, Oklahoma State University, 2065 West Farm Road, Stillwater, OK 74078, USA.
| | - Scott Birch
- Pixelbeaker, 4834 Hillsdale Circle, Chattanooga, TN 37416, USA
| | - João Brandão
- Zoological Medicine, Department of Veterinary Clinical Sciences, Center for Veterinary Health Sciences, Oklahoma State University, 2065 West Farm Road, Stillwater, OK 74078, USA
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Wilhite R, Wölfel I. 3D Printing for veterinary anatomy: An overview. Anat Histol Embryol 2019; 48:609-620. [DOI: 10.1111/ahe.12502] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2019] [Revised: 08/02/2019] [Accepted: 09/02/2019] [Indexed: 01/18/2023]
Affiliation(s)
- Ray Wilhite
- Auburn University College of Veterinary Medicine Auburn AL USA
| | - Inga Wölfel
- Department of Veterinary Sciences Faculty of Veterinary Medicine Ludwig‐Maximilians‐University Munich Germany
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Larguier L, Hespel AM, Jamet N, Mercier E, Jouan D, Jardel N, Larrat S. Accuracy and precision of measurements performed on three-dimensional printed pelvises when compared to computed tomography measurements. J Vet Sci 2019; 20:e22. [PMID: 31161740 PMCID: PMC6538512 DOI: 10.4142/jvs.2019.20.e22] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2018] [Revised: 02/22/2019] [Accepted: 03/07/2019] [Indexed: 12/20/2022] Open
Abstract
The preoperative contouring of plates decreases the duration of surgery and improves the quality of the reduction of pelvic fractures. Patient-tailored three-dimensionally printed pelvises might be an interesting tool for achieving that purpose. Currently, no study has evaluated the accuracy of measurements performed on three-dimensional printed models in comparison with computed tomography data for complex bones, such as the pelvis. This study examined whether the measurements obtained on pelvises printed using dual-material fused deposition modeling technology are not significantly different from those obtained on computed tomography images. The computed tomography images of the pelvic region from 10 dogs were used to produce three-dimensionally printed models with a dual-material fused deposition-modeling process. Four segments were measured on both three-dimensionally printed models and computed tomography images. The measurements were performed by three observers and repeated twice. Concordance correlation coefficients were used to assess the precision and accuracy of the measurements as well as evaluate the agreement between the methods. The accuracy of measurements between the methods was > 0.99 for all measurements. The precision was almost perfect for AE (0.996), substantial for BD and BC (0.963 and 0.958, respectively), and moderate for CD (0.912). These results indicate that, despite some minor variations, the measurements performed on printed models reproduced the computed tomography data reliably.
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Affiliation(s)
- Loic Larguier
- Clinique Vétérinaire Benjamin Franklin, 56400 Brech, France
| | | | - Nathalie Jamet
- Clinique Vétérinaire Benjamin Franklin, 56400 Brech, France
| | - Elise Mercier
- Clinique Vétérinaire Benjamin Franklin, 56400 Brech, France
| | - Daniel Jouan
- 3D Arc West Business Park, 78112 Fourqueux, France
| | - Nicolas Jardel
- Clinique Vétérinaire Benjamin Franklin, 56400 Brech, France
| | - Sylvain Larrat
- Clinique Vétérinaire Benjamin Franklin, 56400 Brech, France
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de Alcântara Leite Dos Reis D, Gouveia BLR, Júnior JCR, de Assis Neto AC. Comparative assessment of anatomical details of thoracic limb bones of a horse to that of models produced via scanning and 3D printing. 3D Print Med 2019; 5:13. [PMID: 31375944 PMCID: PMC6743042 DOI: 10.1186/s41205-019-0050-2] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2019] [Accepted: 07/22/2019] [Indexed: 12/18/2022] Open
Abstract
Background Three-dimensional (3D) scanning and printing for the production of models is an innovative tool that can be used in veterinary anatomy practical classes. Ease of access to this teaching material can be an important aspect of learning the anatomy of domestic animals. In this study, a scanner was used to capture 3D images and a 3D printer that performs die-cast printing was used to produce skeletal models of the thoracic limb of a horse. Methods Bones from a horse were selected for scanning and creation of 3D-printed models. The printer used a filamentous thermoplastic material (acrylonitrile-butadiene-styrene [ABS]) which was deposited together with a support resin. Comparisons of the anatomical characteristics (measurements from the original and printed bone) were analyzed to determine the p-value. Results Bones from the thoracic limb: scapula, humerus, radius and ulna, carpus and phalanges were used to produce digital and physical models for 3D impressions. Then the anatomical characteristics of the 3D printed models were compared with those of the original bones. The p-value was measured to be 0.9126, indicative of a strong evidence of similarity between the 3D-printed models and specimens. Thus, there was no significant statistical difference between the models and the original anatomical parts. Conclusions The anatomical characteristics were successfully identified in the 3D-printed copies, demonstrating that models of animal bones can be reproduced using 3D printing technology for use in veterinary education.
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Affiliation(s)
- Daniela de Alcântara Leite Dos Reis
- Department of Surgery, School of Veterinary Medicine and Animal Science, University of São Paulo, Av. Prof. Dr. Orlando Marques, 77, ZC, São Paulo, SP, 05508-270, Brazil
| | - Beatriz Laura Rojas Gouveia
- Department of Surgery, School of Veterinary Medicine and Animal Science, University of São Paulo, Av. Prof. Dr. Orlando Marques, 77, ZC, São Paulo, SP, 05508-270, Brazil
| | - José Carlos Rosa Júnior
- Department of Surgery, School of Veterinary Medicine and Animal Science, University of São Paulo, Av. Prof. Dr. Orlando Marques, 77, ZC, São Paulo, SP, 05508-270, Brazil
| | - Antônio Chaves de Assis Neto
- Department of Surgery, School of Veterinary Medicine and Animal Science, University of São Paulo, Av. Prof. Dr. Orlando Marques, 77, ZC, São Paulo, SP, 05508-270, Brazil.
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Hohnholz A, Can C, Kaierle S, Overmeyer L. Model-based Curing Depth Control of Aerosol Jet Stereolithography. J PHOTOPOLYM SCI TEC 2019. [DOI: 10.2494/photopolymer.32.217] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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Suñol A, Aige V, Morales C, López-Beltran M, Feliu-Pascual AL, Puig J. Use of Three-Dimensional Printing Models for Veterinary Medical Education: Impact on Learning How to Identify Canine Vertebral Fractures. JOURNAL OF VETERINARY MEDICAL EDUCATION 2018; 46:523-532. [PMID: 30418815 DOI: 10.3138/jvme.0817-109r] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Vertebral fractures and luxations are common causes of neurological emergencies in small-animal patients. The objective of this study was to evaluate the impact of three-dimensional printing (3Dp) models on how veterinary students understand and learn to identify canine spinal fractures and to compare 3Dp models to computed tomography (CT) images and three-dimensional CT (3D-CT) reconstructions. Three spinal fracture models were generated by 3Dp. Sixty first-year veterinary students were randomized into three teaching module groups (CT, 3D-CT, or 3Dp) and asked to answer a multiple-choice questionnaire with 12 questions that covered normal spinal anatomy and the identification of vertebral fractures. We used four additional questions to evaluate the overall learning experience and knowledge acquisition. Results showed that students in the 3Dp group performed significantly better than those in the CT (p < .001) and the 3D-CT (p < .001) groups. Students in the 3Dp and 3D-CT groups answered all questions more quickly than the CT group (3Dp versus CT, p < .001; 3D-CTversus CT, p < .001), with no significant differences between the 3Dp and 3D-CT groups (p = .051). Only the degree of knowledge acquisition that the students considered they had acquired during the session showed significant differences between groups (p = .01). In conclusion, across first-year veterinary students, 3Dp models facilitated learning about normal canine vertebral anatomy and markedly improved the identification of canine spinal fractures. Three-dimensional printing models are an easy and inexpensive teaching method that could be incorporated into veterinary neuroanatomy classes to improve learning in undergraduate students.
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Affiliation(s)
- Anna Suñol
- Neurology and Neurosurgery ECVN, Neurology and Neurosurgery Department
| | - Vicente Aige
- Associate Professor of Anatomy, Departament de Sanitat i Anatomia Animal, Universitat Autònoma de Barcelona, Faculty of Veterinary Medicine
| | - Carles Morales
- Neurology and Neurosurgery Department, Ars Veterinaria Hospital
| | | | | | - Jordi Puig
- Internal Medicine Department, Ars Veterinaria Hospital
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Kim T, Ahn C, Lee O. Image segmentation by graph cut for radiation images of small animal blood vessels. Microsc Res Tech 2018; 81:1506-1512. [DOI: 10.1002/jemt.23154] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2018] [Revised: 08/04/2018] [Accepted: 09/20/2018] [Indexed: 12/22/2022]
Affiliation(s)
- Taewan Kim
- Department of Medical IT Engineering; College of Medical Sciences, Soonchunhyang University; Chungnam-do South Korea
| | - Chibum Ahn
- Department of Molecular Medicine; Gachon University; Incheon City South Korea
| | - Onseok Lee
- Department of Medical IT Engineering; College of Medical Sciences, Soonchunhyang University; Chungnam-do South Korea
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Oxley B. A 3-dimensional-printed patient-specific guide system for minimally invasive plate osteosynthesis of a comminuted mid-diaphyseal humeral fracture in a cat. Vet Surg 2018; 47:445-453. [DOI: 10.1111/vsu.12776] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2017] [Revised: 07/14/2017] [Accepted: 07/31/2017] [Indexed: 12/19/2022]
Affiliation(s)
- Bill Oxley
- Willows Referral Service; Solihull United Kingdom
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