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首页> 外文会议>Design of Medical Devices Conference >PATIENT-SPECIFIC THREE-DIMENSIONAL COMPUTATIONAL HEART MODELING AND PRINTING TO ENHANCE CLINICAL UNDERSTANDINGS AND TREATMENT PLANNING: CONGENITAL RECURRENT PULMONARY ARTERY STENOSIS AND TRANSCATHETER PULMONARY VALVE REPLACEMENT
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PATIENT-SPECIFIC THREE-DIMENSIONAL COMPUTATIONAL HEART MODELING AND PRINTING TO ENHANCE CLINICAL UNDERSTANDINGS AND TREATMENT PLANNING: CONGENITAL RECURRENT PULMONARY ARTERY STENOSIS AND TRANSCATHETER PULMONARY VALVE REPLACEMENT

机译：患者特异性三维计算心脏建模和印刷，增强临床谅解和治疗计划：先天性复发性肺动脉狭窄和经导管肺瓣膜置换

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摘要

Advances in the surgical and interventional management of children with congenital heart disease has improved survival and outcomes. Each such patient is born with specific anatomical variations which call for detailed evaluations so to plan for appropriate patient-specific management. Significant progress has been made in commercially available two-dimensional imaging - i. e. echocardiogram, CT, and MRI - yet using such, three-dimensional anatomical details can be difficult to accurately represent. In addressing this concern, it has been shown that patient-specific three-dimensional modeling can be useful for interventional procedural or surgical planning [1]. Here we present two cases for which patient-specific anatomical three-dimensional modeling and printing were utilized for (1) the pre-sizing and placement of stents within a complex bifurcation pulmonary artery stenosis; and (2) evaluating the candidacy of the patient's anatomy for a transcatheter pulmonary valve placement. Detailed within this technical brief are de-identified case information, workflows for model generations, and results regarding clinical usage. In conclusion, we found these patient-specific models to be an advantageous resource for treatment planning in these two pediatric congenital heart disease cases.
机译：先天性心脏病患儿的外科和介入治疗的进展提高了生存和结果。每个这样的患者出生具有特定的解剖变量，该变体呼吁进行详细的评估，以计划适当的患者特定的管理。在市售二维成像中取得了重大进展 - i。 e。超声心动图，CT和MRI - 然而使用的三维解剖细节可能难以准确地代表。在解决这一问题时，已经表明，特定于患者的三维建模对于介入程序或手术计划有用[1]。在这里，我们提出了两种患者特异性解剖三维建模和印刷的案例（1）在复杂的分叉肺动脉狭窄内支架的预尺寸和放置; （2）评估患者解剖学对经导沟肺瓣膜放置的候补性。在本技术简介中详细介绍了De-Idented Case信息，用于模型代的工作流程，以及关于临床使用的结果。总之，我们发现这些患者特异性模型是在这两个儿科先天性心脏病病例中的治疗计划的有利资源。

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